Title: Perceived Case Management Needs and Service Preferences of Frequent Emergency Department Users: Lessons Learned in a Large Urban Centre
year: 2016
Journal: PLoS One
Volume: 11
Issue: 12
Pages: e0168782
Epubdate: 22/12/2016
Alternate Journal: PloS one
ISSN: 1932-6203
Legal note: PMC5176181
Article Number: 28002491
Abstract: OBJECTIVES: This study aimed to explore the service needs and preferences of frequent emergency department users with mental health and addictions concerns who participated in a brief intensive case management intervention. METHODS: We conducted semi-structured individual interviews with 20 frequent emergency department users with mental health and addictions challenges, 13 service providers involved in the delivery of a brief case management intervention, and a focus group with intervention case managers. Thematic analysis was used to explore perceived service user profiles, service needs and preferences of care. RESULTS: Service users experienced complex health and social needs and social isolation, while exhibiting resilience and the desire to contribute. They described multiple instances of stigmatization in interactions with healthcare professionals. Components of the brief intensive case management intervention perceived to be helpful included system navigation, advocacy, intermediation, and practical needs assistance. Frequent service users valued relational responsiveness, a non-judgmental stance, and a recovery orientation in case managers. CONCLUSION: Interventions for frequent service users in mental health may be enhanced by focusing on the engagement of formal and informal social supports, practical needs assistance, system navigation, advocacy and intermediation, and attention to the recovery goals of service users.
Notes: 1932-6203 Kahan, Deborah Poremski, Daniel Wise-Harris, Deborah Pauly, Daniel Leszcz, Molyn Wasylenki, Donald Stergiopoulos, Vicky Journal Article United States PLoS One. 2016 Dec 21;11(12):e0168782. doi: 10.1371/journal.pone.0168782. eCollection 2016.
URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5176181/pdf/pone.0168782.pdf
URI: https://open-access.imh.com.sg/handle/123456789/5004
Authors Address: Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario, Canada. Institute of Mental Health, Singapore. Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Database Provider: NLM
language: eng
Appears in Collections:2016

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