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Published in: International Journal of Mental Health Systems 1/2017

Open Access 01-12-2017 | Research

Users’ involvement in mental health services: programme logic model of an innovative initiative in integrated care

Authors: Carolane Tremblay, Valérie Coulombe, Catherine Briand

Published in: International Journal of Mental Health Systems | Issue 1/2017

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Abstract

Background

Collaboration and partnership are key issues for modern health systems seeking to implement quality integrated care that meets the needs of the population. The Carrefour Communautaire-Institutionnel-Usagers (Connecting Community organisations-Institutions-Users, CCIU), involving community- and institution-based mental health workers, carers and users, is an innovative normative integrated care group (group for shared values, culture and vision) established by the Canadian Mental Health Association-Montreal Branch. A programme evaluation approach was used to conduct a logic analysis of the CCIU in order to understand the relationships between its resources, activities and outcomes, build a common understanding and, allow for its replication.

Methods

Five steps were involved in the creation of a programme logic model. A non-exhaustive literature search for similar initiatives, a review of documents related to the CCIU process and direct observations led to the development of a first model. Then, following a participatory and reflexive process, this model was validated with CCIU participants.

Results

A comprehensive model and a simplified model were created. Participants’ experiential knowledge and scientific knowledge helped to identify the essential components of the successful operation of the CCIU.

Conclusions

The CCIU, with its eight essential components, including relations based on equality and mutual respect, corresponds to an essential step in normative integration and integrated care that lead to improved quality services.
Literature
1.
go back to reference Nicholson C, Jackson C, Marley J. A governance model for integrated primary/secondary care for the health-reforming first world—results of a systematic review. BMC Health Serv Res. 2013;13(528):1–12. Nicholson C, Jackson C, Marley J. A governance model for integrated primary/secondary care for the health-reforming first world—results of a systematic review. BMC Health Serv Res. 2013;13(528):1–12.
2.
go back to reference Valentijn P, Schepman S, Opheij W, Bruijnzeels M. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care [serial online]. 2013;13(22):1–12. http://www.ijic.org. Accessed 29 May 2014. URN:NBN:NL:UI:10-1-114415. Valentijn P, Schepman S, Opheij W, Bruijnzeels M. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care [serial online]. 2013;13(22):1–12. http://​www.​ijic.​org. Accessed 29 May 2014. URN:NBN:NL:UI:10-1-114415.
3.
go back to reference Kodner DL, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications—a discussion paper. Int J Integr Care [serial online]. 2002;2:1–6. http://www.ijic.org. Accessed 12 Jan 2014. URN:NBN:NL:UI:10-1-100309. Kodner DL, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications—a discussion paper. Int J Integr Care [serial online]. 2002;2:1–6. http://​www.​ijic.​org. Accessed 12 Jan 2014. URN:NBN:NL:UI:10-1-100309.
5.
go back to reference Hussain M, Seitz D. Integrated models of care for medical inpatients with psychiatric disorders: a systematic review. Psychosomatics. 2014;55:315–25 (article in press).CrossRefPubMed Hussain M, Seitz D. Integrated models of care for medical inpatients with psychiatric disorders: a systematic review. Psychosomatics. 2014;55:315–25 (article in press).CrossRefPubMed
6.
go back to reference Amering M, Mikus M, Steffen S. Recovery in Austria: Mental Health Trialogue. Int Rev Psychiatry. 2012;24(1):11–8.CrossRefPubMed Amering M, Mikus M, Steffen S. Recovery in Austria: Mental Health Trialogue. Int Rev Psychiatry. 2012;24(1):11–8.CrossRefPubMed
7.
go back to reference Wallcraft J, Amering M, Freidin J, Davar B, Froggatt D, Jafri H, Javed A, Katontoka S, Rja S, Rataemane S, Steffen S, Tyano S, Underhill C, Wahlberg H, Warner R, Herrman H. Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers. World Psychiatr Assoc. 2011. http://www.wpanet.org/detail.php?section_id=7&content_id=1056. Accessed 12 Dec 2013. Wallcraft J, Amering M, Freidin J, Davar B, Froggatt D, Jafri H, Javed A, Katontoka S, Rja S, Rataemane S, Steffen S, Tyano S, Underhill C, Wahlberg H, Warner R, Herrman H. Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers. World Psychiatr Assoc. 2011. http://​www.​wpanet.​org/​detail.​php?​section_​id=​7&​content_​id=​1056. Accessed 12 Dec 2013.
8.
go back to reference Pomey M-P, Ghadi V. La participation des usagers au fonctionnement des établissements de santé: une dynamique encore à construire. [Users’ participation in the operation of healthcare institutions: dynamics that remain to be built]. Santé société et solidarité. 2009;2:53–61. (in French). Pomey M-P, Ghadi V. La participation des usagers au fonctionnement des établissements de santé: une dynamique encore à construire. [Users’ participation in the operation of healthcare institutions: dynamics that remain to be built]. Santé société et solidarité. 2009;2:53–61. (in French).
9.
go back to reference Chamberlin J. User/consumer involvement in mental health service delivery. Epidemiologia e Psichiatria Sociale. 2005;14(1):10–4.CrossRefPubMed Chamberlin J. User/consumer involvement in mental health service delivery. Epidemiologia e Psichiatria Sociale. 2005;14(1):10–4.CrossRefPubMed
10.
go back to reference Chamberlin J. Citizenship rights and psychiatric disability. Psychiatr Rehabil J. 1998;21(4):405–8.CrossRef Chamberlin J. Citizenship rights and psychiatric disability. Psychiatr Rehabil J. 1998;21(4):405–8.CrossRef
13.
go back to reference World Health Organization. Mental health action plan 2013–2020. Geneva: World Health Organization; 2013. World Health Organization. Mental health action plan 2013–2020. Geneva: World Health Organization; 2013.
14.
go back to reference World Health Organization. Division of Mental Health; WHO initiative of support to people disabled by mental illness. Consumer involvement in mental health and rehabilitation services. Geneva: World Health Organization; 1989. World Health Organization. Division of Mental Health; WHO initiative of support to people disabled by mental illness. Consumer involvement in mental health and rehabilitation services. Geneva: World Health Organization; 1989.
15.
go back to reference World Health Organization, Division of Mental Health WHO initiative of support to people disabled by mental illness. Initiative of support to people disabled by mental illness. Geneva: World Health Organization; 1988. World Health Organization, Division of Mental Health WHO initiative of support to people disabled by mental illness. Initiative of support to people disabled by mental illness. Geneva: World Health Organization; 1988.
17.
go back to reference Adams N, Daniels A, Compagni A. International pathways to mental health transformation. Int J Mental Health. 2009;38(1):30–45.CrossRef Adams N, Daniels A, Compagni A. International pathways to mental health transformation. Int J Mental Health. 2009;38(1):30–45.CrossRef
18.
go back to reference Mental Health Foundation. Crossing boundaries improving integrated care for people with mental health problems. UK: Mental Health Foundation; 2013. Mental Health Foundation. Crossing boundaries improving integrated care for people with mental health problems. UK: Mental Health Foundation; 2013.
19.
go back to reference Commonwealth of Australia. Fourth National Mental Health Plan: an agenda for collaborative government action in mental health 2009–2014. Commonwealth of Australia; 2009. Commonwealth of Australia. Fourth National Mental Health Plan: an agenda for collaborative government action in mental health 2009–2014. Commonwealth of Australia; 2009.
20.
go back to reference Health ACT. ACT Mental Health services plan 2009–2014. Canberra: Minister for Health, ACT Government; 2009. Health ACT. ACT Mental Health services plan 2009–2014. Canberra: Minister for Health, ACT Government; 2009.
21.
go back to reference Ministère de la Santé et des Services sociaux. Plan d’action en Santé Mentale 2005–2010. La force des liens.[Mental Health Action Plan 2005–2010. Connecting power]. Québec: Ministère de la Santé et des Services sociaux; 2005. (in French). Ministère de la Santé et des Services sociaux. Plan d’action en Santé Mentale 2005–2010. La force des liens.[Mental Health Action Plan 2005–2010. Connecting power]. Québec: Ministère de la Santé et des Services sociaux; 2005. (in French).
22.
go back to reference Mental Health Europe. New report: mapping exclusion—institutional and community-based services in the mental health field in Europe. Open Society Foundations and Mental Health Europe; 2012. Mental Health Europe. New report: mapping exclusion—institutional and community-based services in the mental health field in Europe. Open Society Foundations and Mental Health Europe; 2012.
23.
go back to reference Thornicroft G, Tansella M. Better mental health care. Cambridge: The University Press; 2009. Thornicroft G, Tansella M. Better mental health care. Cambridge: The University Press; 2009.
24.
go back to reference Ministère de la Santé et des Services sociaux. Cadre de référence pour les réseaux locaux de services de santé et de services sociaux. [Reference framework for local networks of health services and social services]. Québec: Ministère de la Santé et des Services sociaux; 2004. (in French). Ministère de la Santé et des Services sociaux. Cadre de référence pour les réseaux locaux de services de santé et de services sociaux. [Reference framework for local networks of health services and social services]. Québec: Ministère de la Santé et des Services sociaux; 2004. (in French).
27.
go back to reference Canadian Mental Health Association-Montreal Branch. Planification Stratégique 2010–2015. [2010–2015 strategic planning] Canadian Mental Health Association-Montreal Branch; 2010. (in French). Canadian Mental Health Association-Montreal Branch. Planification Stratégique 2010–2015. [2010–2015 strategic planning] Canadian Mental Health Association-Montreal Branch; 2010. (in French).
28.
go back to reference Champagne F, Brousselle A, Hartz Z, Contandriopoulos A-P. Modéliser les interventions. [Modeling interventions]. In: Bousselle A, Champagne F, Contandriopoulos, A-P, Hartz, Z, editors. L’évaluation: concepts et méthodes. Montréal: Les Presses de l’Université de Montréal; 2011. p. 71–84. (in French). Champagne F, Brousselle A, Hartz Z, Contandriopoulos A-P. Modéliser les interventions. [Modeling interventions]. In: Bousselle A, Champagne F, Contandriopoulos, A-P, Hartz, Z, editors. L’évaluation: concepts et méthodes. Montréal: Les Presses de l’Université de Montréal; 2011. p. 71–84. (in French).
29.
go back to reference Contandriopoulos A-P, Champagne F, Denis JL, Avargues MC. Evaluation in the health sector: concepts and methods. Revue d’Épidémiologie et de Santé Publique. 2000;48(6):517–39.PubMed Contandriopoulos A-P, Champagne F, Denis JL, Avargues MC. Evaluation in the health sector: concepts and methods. Revue d’Épidémiologie et de Santé Publique. 2000;48(6):517–39.PubMed
30.
go back to reference McLaughlin JA, Jordan GB. Using Logic models. In: Wholey JS, Hatry HP, Newcomer KE, editors. Handbook of practical program evaluation. San Francisco: Jossey-Bass; 2010. p. 55–80. McLaughlin JA, Jordan GB. Using Logic models. In: Wholey JS, Hatry HP, Newcomer KE, editors. Handbook of practical program evaluation. San Francisco: Jossey-Bass; 2010. p. 55–80.
31.
go back to reference Slay J, Stephens L. Co-production in mental health: a literature review. London: New Economics Foundation; 2013. Slay J, Stephens L. Co-production in mental health: a literature review. London: New Economics Foundation; 2013.
32.
go back to reference Hodge S. Participation, discourse and power: a case study in service user involvement. Crit Soc Policy. 2005;25(2):164–79.CrossRef Hodge S. Participation, discourse and power: a case study in service user involvement. Crit Soc Policy. 2005;25(2):164–79.CrossRef
33.
go back to reference Amering M. Trialog—an exercise in communication between consumers, carers and professional mental health workers beyond role stereotypes. Int J Integr Care [serial online]. 2010;10:35–36. http://www.ijic.org. Accessed 12 Jan 2014. URN:NBN:NL:UI:10-1-100726. Amering M. Trialog—an exercise in communication between consumers, carers and professional mental health workers beyond role stereotypes. Int J Integr Care [serial online]. 2010;10:35–36. http://​www.​ijic.​org. Accessed 12 Jan 2014. URN:NBN:NL:UI:10-1-100726.
34.
go back to reference Amering M, Hofer H, Rath I. The, “First Vienna Trialogue”—experiences with a new form of communication between users, relatives and mental health professionals. In: Lefley HP, Johnson DL, editors. Family interventions in mental illness: international perspectives. Westport: Praeger; 2002. p. 105–24. Amering M, Hofer H, Rath I. The, “First Vienna Trialogue”—experiences with a new form of communication between users, relatives and mental health professionals. In: Lefley HP, Johnson DL, editors. Family interventions in mental illness: international perspectives. Westport: Praeger; 2002. p. 105–24.
35.
go back to reference Bock T, Priebe S. Psychosis seminars: an unconventional approach. Psychiatr Serv. 2005;56(11):1441–3.CrossRefPubMed Bock T, Priebe S. Psychosis seminars: an unconventional approach. Psychiatr Serv. 2005;56(11):1441–3.CrossRefPubMed
37.
go back to reference Bayliss E, Bonds D, Boyd C, Davis M, Finke B, Fox M, Glasgow R, Goodman R, Heurtin-Roberts S, Lachenmayr S, Lind C, Madigan E, Meyers D, Mintz S, Nilsen W, Okun S, Ruiz S, Salive M, Stange K. Understanding the context of health for persons with multiple chronic conditions: moving from what is the matter to what matters. Ann Fam Med. 2014;12(3):260–9.CrossRefPubMedPubMedCentral Bayliss E, Bonds D, Boyd C, Davis M, Finke B, Fox M, Glasgow R, Goodman R, Heurtin-Roberts S, Lachenmayr S, Lind C, Madigan E, Meyers D, Mintz S, Nilsen W, Okun S, Ruiz S, Salive M, Stange K. Understanding the context of health for persons with multiple chronic conditions: moving from what is the matter to what matters. Ann Fam Med. 2014;12(3):260–9.CrossRefPubMedPubMedCentral
38.
go back to reference Slade M, Leamy M, Bacon F, Janosik M, Le Boutillier C, Williams J, Bird V. International differences in understanding recovery: systematic review. Epidemiol Psychiatr Sci. 2012;21(4):353–64.CrossRefPubMed Slade M, Leamy M, Bacon F, Janosik M, Le Boutillier C, Williams J, Bird V. International differences in understanding recovery: systematic review. Epidemiol Psychiatr Sci. 2012;21(4):353–64.CrossRefPubMed
40.
go back to reference Shepherd G, Boardman J, Slade M. Implementing recovery: a new framework for organisational change. London: Sainsbury Centre for Mental Health; 2009. Shepherd G, Boardman J, Slade M. Implementing recovery: a new framework for organisational change. London: Sainsbury Centre for Mental Health; 2009.
41.
go back to reference Shepherd G, Boardman J, Slade M. Making recovery a reality. London: Sainsbury Centre for Mental Health; 2008. Shepherd G, Boardman J, Slade M. Making recovery a reality. London: Sainsbury Centre for Mental Health; 2008.
42.
go back to reference Davidson L, Tondora J, O’Connell MJ, Kirk T Jr, Rockholz P, Evans AC. Creating a recovery-oriented system of behavioral health care: moving from concept to reality. Psychiatr Rehabil J Summer. 2007;31(1):23–31.CrossRef Davidson L, Tondora J, O’Connell MJ, Kirk T Jr, Rockholz P, Evans AC. Creating a recovery-oriented system of behavioral health care: moving from concept to reality. Psychiatr Rehabil J Summer. 2007;31(1):23–31.CrossRef
43.
go back to reference Landry S. Travail, affection et pouvoir dans les groupes restreints. [Work, affection and power in small groups]. Québec: Presses de l’Université du Québec; 2007. (in French). Landry S. Travail, affection et pouvoir dans les groupes restreints. [Work, affection and power in small groups]. Québec: Presses de l’Université du Québec; 2007. (in French).
44.
go back to reference St-Arnaud Y. Les petits groupes: participation et animation. [Small groups: participation and facilitation]. Montréal: Les Éditions de la Chenelière inc.; 2008. (in French). St-Arnaud Y. Les petits groupes: participation et animation. [Small groups: participation and facilitation]. Montréal: Les Éditions de la Chenelière inc.; 2008. (in French).
45.
go back to reference Corrigan PW, Wassel A. Understanding and influencing the stigma of mental illness. J Psychosoc Nurs Ment Health Serv. 2008;46(1):42–8.CrossRefPubMed Corrigan PW, Wassel A. Understanding and influencing the stigma of mental illness. J Psychosoc Nurs Ment Health Serv. 2008;46(1):42–8.CrossRefPubMed
46.
go back to reference Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World Psychiatry. 2002;1(1):16–20.PubMedPubMedCentral Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World Psychiatry. 2002;1(1):16–20.PubMedPubMedCentral
47.
go back to reference Pettigrew TF, Tropp LR. A meta-analytic test of intergroup contact theory. J Pers Soc Psychol. 2006;90(5):751–83.CrossRefPubMed Pettigrew TF, Tropp LR. A meta-analytic test of intergroup contact theory. J Pers Soc Psychol. 2006;90(5):751–83.CrossRefPubMed
48.
go back to reference Anzieu D, Martin, J-Y. La dynamique des groupes restreints. [Small group dynamics]. Paris: Quadridge/Presses Universitaires de France; 2007. (in French). Anzieu D, Martin, J-Y. La dynamique des groupes restreints. [Small group dynamics]. Paris: Quadridge/Presses Universitaires de France; 2007. (in French).
49.
go back to reference Ruszniewski M, Rabier G. Le groupe de parole à l’hôpital. [Hospital-based support groups]. Paris: Dunod; 2012. (in French). Ruszniewski M, Rabier G. Le groupe de parole à l’hôpital. [Hospital-based support groups]. Paris: Dunod; 2012. (in French).
50.
go back to reference Fleury M-J. Quebec mental health services networks: models and implementation. Int J Integr Care [serial online]. 2005;5(1):1–12. http://www.ijic.org. Accessed 16 Feb 2014. URN:NBN:NL:UI:10-1-100369. Fleury M-J. Quebec mental health services networks: models and implementation. Int J Integr Care [serial online]. 2005;5(1):1–12. http://​www.​ijic.​org. Accessed 16 Feb 2014. URN:NBN:NL:UI:10-1-100369.
51.
go back to reference Cousins JB, Chouinard JA. Participatory evaluation up close. Charlotte: Information Age Publishing, Inc.; 2012. Cousins JB, Chouinard JA. Participatory evaluation up close. Charlotte: Information Age Publishing, Inc.; 2012.
52.
go back to reference Patton MQ. Utilization-focused evaluation. 4th ed. Thousand Oaks: Sage Publications; 2008. Patton MQ. Utilization-focused evaluation. 4th ed. Thousand Oaks: Sage Publications; 2008.
Metadata
Title
Users’ involvement in mental health services: programme logic model of an innovative initiative in integrated care
Authors
Carolane Tremblay
Valérie Coulombe
Catherine Briand
Publication date
01-12-2017
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2017
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/s13033-016-0111-5

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