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Patient and public involvement in integrated psychosocial care

Io Vassiliadou (Department of Psychological Medicine, Institute of Psychiatry Psychology and Neuroscience, London, UK)
Esther Tolani (Department of Psychological Medicine, Institute of Psychiatry Psychology and Neuroscience, London, UK)
Lindsay Ip (Department of Psychological Medicine, South London and Maudsley NHS Foundation Trust, London, UK)
Abigail Smith (Department of Psychological Medicine, South London and Maudsley NHS Foundation Trust, London, UK)
Iliatha Papachristou Nadal (Department of Non-communicable Disease and Epidemiology, London School of Hygiene and Tropical Medicine, Faculty of Epidemiology and Population Health, London, UK) (Department of Psychological Medicine, Institute of Psychiatry Psychology and Neuroscience, London, UK)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 7 October 2019

Issue publication date: 11 May 2020

221

Abstract

Purpose

Recent models of care incorporate service user involvement within the development and sustainability of a quality improvement project. The purpose of this paper is to demonstrate the significance of working with patients and members of the public for the integration of psychosocial care into long-term condition (LTC) management.

Design/methodology/approach

Research shows that mental health difficulties are more prevalent in people with LTC. The three Dimensions for Long-term Conditions (3DLC) is a patient-centred multidisciplinary service which integrates psychological and social care into the usual physical care. Thematic analysis was conducted on the discussions of the two patient and public involvement workshops that were facilitated by the service. The workshops included healthcare professionals, patients with LTC and their carers.

Findings

Several themes and subthemes emerged which highlighted the importance of discussing and treating mental health in a physical health setting, the challenges that both the patients and healthcare professionals encounter and the ways in which an integrated care service may address these barriers. The findings show that there was an emphasis on patient-centeredness, accessibility of services and the need for better communication.

Practical implications

People with LTC can be empowered to better self-manage their condition, whilst having access to all types of care, physical, social and psychological. By involving service users in the implementation process of the 3DLC service, the components of an effective integrated service are delineated.

Originality/value

The service users have identified barriers and facilitators of integrating a biopsychosocial model in care pathways. This has helped the 3DLC team to further develop the model to ensure improvements in condition-specific outcomes, quality of life and healthcare utilisation.

Keywords

Acknowledgements

The authors would like to thank the funding body of 3DLC, The Health Foundation, for providing the team with the opportunity to develop and implement this service in both secondary care and the community.

Citation

Vassiliadou, I., Tolani, E., Ip, L., Smith, A. and Papachristou Nadal, I. (2020), "Patient and public involvement in integrated psychosocial care", Journal of Integrated Care, Vol. 28 No. 2, pp. 135-143. https://doi.org/10.1108/JICA-06-2019-0027

Publisher

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Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited

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