Collaboration with Families: A Key Strategy to Optimize New Models of Health Care Delivery in Mental Health

Tuesday, July 12, 2011: 2:05 PM

Melanie Lavoie-Tremblay, RN, PhD1
Jean-Pierre Bonin, PhD2
Guylaine Cyr, PhD1
Dominique Laroche, PhD3
(1)School of Nursing, McGill University, Montreal, QC, Canada
(2)Faculty of Nursing, University of Montreal, Montreal, QC, Canada
(3)Hopital Louis H Lafontaine, Unit 218 - Fernand-Seguin Research Center, Montreal, QC, Canada

Learning Objective 1: The learner will be able to identify factors that facilitate collaboration with families to optimize new models of health care delivery in mental health

Learning Objective 2: The learner will be able to discuss on Family-driven collaboration strategies to optimize new models of health care delivery in mental health

Purpose:  One of the event objectives of the 22nd International Nursing Research Congress is to explore strategies for developing and evaluating new models of health care delivery. Family-driven collaboration is fundamental to developing new model of health care and eliminating fragmented services in mental health. The purpose of our presentation is to describe the factors that facilitate or hinder collaboration with families in the transformation of mental health services. In addition, recommendations to improve collaboration will be presented.

Methods:  In 2009 (Quebec), Focus Groups (6) were conducted with families (N=54 participants) and semi-structured individual interviews were conducted with 18 stakeholders (government, associations, community organizations). The main themes addressed were: context of mental health transformation, factors that facilitate collaboration with families, and recommendations. Interviews were audiotaped and transcribed. The data generated by the interviews and focus groups were analyzed using NVivo with the method proposed by Miles and Huberman (1994).

Results: Families perceive themselves as the first source of information, which can allow the stakeholders to have a better understanding of the close relation’s situation and improve services. However, legislative and confidentiality questions pose an obstacle to collaboration with families. Another obstacle is the non-collaboration of certain stakeholders. Healthy collaboration between the families and the stakeholders primarily depends on an exchange of information. Finally, the recommendations are intended to involve families by giving them the necessary information and training and providing them with helping and support resources. In addition, the transformation of mental health services must allow better collaboration at all levels (network, community organization, institution, families).

Conclusion: Several countries are transforming their mental health services. Collaboration with families is a strategy to implement a system favourable to the continuity of care and services.