Using participatory action research in a community-based initiative addressing complex mental health needs

The Australian and New Zealand Journal of Psychiatry
Stephen M KnightbridgeTimothy J Rolfe

Abstract

This paper describes the first phase of a larger project that utilizes participatory action research to examine complex mental health needs across an extensive group of stakeholders in the community. Within an objective qualitative analysis of focus group discussions the social ecological model is utilized to explore how integrative activities can be informed, planned and implemented across multiple elements and levels of a system. Seventy-one primary care workers, managers, policy-makers, consumers and carers from across the southern metropolitan and Gippsland regions of Victoria, Australia took part in seven focus groups. All groups responded to an identical set of focusing questions. Participants produced an explanatory model describing the service system, as it relates to people with complex needs, across the levels of social ecological analysis. Qualitative themes analysis identified four priority areas to be addressed in order to improve the system's capacity for working with complexity. These included: (i) system fragmentation; (ii) integrative case management practices; (iii) community attitudes; and (iv) money and resources. The emergent themes provide clues as to how complexity is constructed and interpreted across th...Continue Reading

References

Jan 1, 1990·Schizophrenia Bulletin·M S RidgelyM Willenbring
Oct 1, 1993·The Journal of Nervous and Mental Disease·R E DrakeR E Clark
May 1, 1996·Social Science & Medicine·K J Kelly, H Van Vlaenderen
Dec 1, 1996·Community Mental Health Journal·M S Ridgely, J M Jerrell
Oct 31, 2002·The Australian and New Zealand Journal of Psychiatry·Fraser C ToddPaul J Robertson

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Citations

Nov 2, 2012·Healthcare Policy = Politiques De Santé·Gayle Restall, Joseph Kaufert
Jul 22, 2010·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Lucy DunbarJeremy Stoepker
Nov 17, 2009·American Journal of Community Psychology·Lizzie D FinnNeville Sparrow
Aug 15, 2008·Health & Social Care in the Community·Penny Mitchell
Apr 12, 2007·Journal of Advanced Nursing·Arild Granerud, Elisabeth Severinsson
Oct 15, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Véronique RoussyBelinda Crockett
Oct 25, 2014·Community Mental Health Journal·Alida Joanna van der HamIvan Wolffers
Jun 29, 2014·Transcultural Psychiatry·Alida Joanna van der HamIvan Wolffers

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