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Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature

N. Weaver, M. Coffey, J. Hewitt, Michael Coffey Orcid Logo, Jeanette Hewitt

Journal of Psychiatric and Mental Health Nursing, Volume: 24, Issue: 6, Pages: 431 - 450

Swansea University Authors: Michael Coffey Orcid Logo, Jeanette Hewitt

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DOI (Published version): 10.1111/jpm.12387

Abstract

The increased complexity of community mental health services, and associated fragmentation of traditional dividing lines between services, has underscored the centrality of care continuity and coordination in modern mental healthcare. However, clarification of the key features of the care continuity...

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Published in: Journal of Psychiatric and Mental Health Nursing
ISSN: 13510126
Published: 2017
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URI: https://cronfa.swan.ac.uk/Record/cronfa32661
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first_indexed 2017-03-24T05:04:39Z
last_indexed 2020-06-24T12:44:34Z
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spelling v2 32661 2017-03-23 Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature 12112bd2ce15561464c98607f3a8eb0b 0000-0002-0380-4704 Michael Coffey Michael Coffey true false f6c07f307c1e1fbcd2701af80380163f Jeanette Hewitt Jeanette Hewitt true false 2017-03-23 PHAC The increased complexity of community mental health services, and associated fragmentation of traditional dividing lines between services, has underscored the centrality of care continuity and coordination in modern mental healthcare. However, clarification of the key features of the care continuity concept has proved difficult and a consensus has not been reached. This review draws together and critically examines latest evidence concerning concepts, models and scales based on a multi-dimensional understanding of care continuity.Databases ASSIA, Pubmed, Medline and Cochrane were searched for papers dating from January 2005 to July 2016, of which 21 articles met inclusion criteria. These were subjected to quality appraisal based on CASP and COSMIN checklists. Studies were grouped into three thematic categories describing concepts, models and scales of care continuity. Synthesis indicated correspondence between independent, multi-dimensional models of care continuity, providing greater clarity regarding the essential features of the concept. Association, though not causation, between care continuity factors and health outcomes is supported by current evidence. Clarification of care continuity in mental health services may enable nurses working as care coordinators to develop a better understanding of key elements of their role, and provide guidance for future service development. Journal Article Journal of Psychiatric and Mental Health Nursing 24 6 431 450 13510126 Care continuity, care co-ordination, mental health services, community care 20 7 2017 2017-07-20 10.1111/jpm.12387 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2023-06-26T16:04:33.9689754 2017-03-23T22:45:35.1258939 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Ethics and Law N. Weaver 1 M. Coffey 2 J. Hewitt 3 Michael Coffey 0000-0002-0380-4704 4 Jeanette Hewitt 5 0032661-11042017120717.pdf Weaveretal2017v2.pdf 2017-04-11T12:07:17.1730000 Output 1325576 application/pdf Accepted Manuscript true 2018-07-20T00:00:00.0000000 true eng
title Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature
spellingShingle Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature
Michael Coffey
Jeanette Hewitt
title_short Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature
title_full Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature
title_fullStr Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature
title_full_unstemmed Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature
title_sort Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature
author_id_str_mv 12112bd2ce15561464c98607f3a8eb0b
f6c07f307c1e1fbcd2701af80380163f
author_id_fullname_str_mv 12112bd2ce15561464c98607f3a8eb0b_***_Michael Coffey
f6c07f307c1e1fbcd2701af80380163f_***_Jeanette Hewitt
author Michael Coffey
Jeanette Hewitt
author2 N. Weaver
M. Coffey
J. Hewitt
Michael Coffey
Jeanette Hewitt
format Journal article
container_title Journal of Psychiatric and Mental Health Nursing
container_volume 24
container_issue 6
container_start_page 431
publishDate 2017
institution Swansea University
issn 13510126
doi_str_mv 10.1111/jpm.12387
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Ethics and Law{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Ethics and Law
document_store_str 1
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description The increased complexity of community mental health services, and associated fragmentation of traditional dividing lines between services, has underscored the centrality of care continuity and coordination in modern mental healthcare. However, clarification of the key features of the care continuity concept has proved difficult and a consensus has not been reached. This review draws together and critically examines latest evidence concerning concepts, models and scales based on a multi-dimensional understanding of care continuity.Databases ASSIA, Pubmed, Medline and Cochrane were searched for papers dating from January 2005 to July 2016, of which 21 articles met inclusion criteria. These were subjected to quality appraisal based on CASP and COSMIN checklists. Studies were grouped into three thematic categories describing concepts, models and scales of care continuity. Synthesis indicated correspondence between independent, multi-dimensional models of care continuity, providing greater clarity regarding the essential features of the concept. Association, though not causation, between care continuity factors and health outcomes is supported by current evidence. Clarification of care continuity in mental health services may enable nurses working as care coordinators to develop a better understanding of key elements of their role, and provide guidance for future service development.
published_date 2017-07-20T16:04:29Z
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