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CMHTs for older people: team managers’ views surveyed

Michele Abendstern (Personal Social Services Research Unit (PSSRU), University of Manchester, Manchester, UK)
Christian Brand (Personal Social Services Research Unit (PSSRU), University of Manchester, Manchester, UK)
Val Harrington (Personal Social Services Research Unit (PSSRU), University of Manchester, Manchester, UK)
Rowan Jasper (Personal Social Services Research Unit (PSSRU), University of Manchester, Manchester, UK)
Sue Tucker (Personal Social Services Research Unit (PSSRU), University of Manchester, Manchester, UK)
Mark Wilberforce (Personal Social Services Research Unit (PSSRU), University of Manchester, Manchester, UK)
David Challis (Personal Social Services Research Unit (PSSRU), University of Manchester, Manchester, UK)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 15 December 2014

Abstract

Purpose

The purpose of this paper is to identify features of community mental health teams (CMHTs) for older people valued by their managers, and those they would most like to change.

Design/methodology/approach

Content analysis was used to analyse “free text” responses to open questions from a national survey about CMHTs’ organisational structures and processes. Responses were sorted into statements which were categorised into content areas and higher level dimensions.

Findings

Free text information was provided by 376 teams (an 88 per cent response rate). Eight higher level dimensions were identified. One related specifically to integration with social care services, whilst several more included material about other aspects of intra-team integration (e.g. documentation and location). The largest proportion of statements related to staffing and teamwork. Statements about inter-personal and inter-professional issues were largely positive, whilst statements about resources, bureaucracy and integration with social care services typically detailed desired changes.

Practical implications

Four key issues emerged comprising a high level of support from managers to develop integrated practices; a need to define the focus of CMHTs for older people and to be fully resourced; and the importance of a nurturing and supportive team environment.

Originality/value

The methodology provides a bridge between qualitative and quantitative research, exploring the volume of statements on particular topics and their meaning.

Keywords

Acknowledgements

The authors are grateful to the CMHT managers who completed the questionnaire on which this paper is based. The paper presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research scheme (RP-PG-0606-1109). The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.

Funding information: This work was supported by the National Institute for Health Research under Grant RP-PG-0606-1109.

Citation

Abendstern, M., Brand, C., Harrington, V., Jasper, R., Tucker, S., Wilberforce, M. and Challis, D. (2014), "CMHTs for older people: team managers’ views surveyed", Journal of Integrated Care, Vol. 22 No. 5/6, pp. 208-219. https://doi.org/10.1108/JICA-07-2014-0029

Publisher

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Emerald Group Publishing Limited

Copyright © 2014, Emerald Group Publishing Limited