Service integration: The perspective of Australian alcohol and other drug (AOD) nurses.

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Tytuł:: Service integration: The perspective of Australian alcohol and other drug (AOD) nurses.
Autorzy:: Searby A; Institute for Health Transformation, School of Nursing & Midwifery, Deakin University, Geelong, Victoria, Australia.
Burr D; Institute for Health Transformation, School of Nursing & Midwifery, Deakin University, Geelong, Victoria, Australia.
James R; School of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Maude P; La Trobe Rural Health School, Violet Vines Marshman Centre for Rural Health Research, Latrobe University, Melbourne, Victoria, Australia.
Źródło:: International journal of mental health nursing [Int J Ment Health Nurs] 2022 Aug; Vol. 31 (4), pp. 908-919. Date of Electronic Publication: 2022 Mar 25.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Carlton, Vic. : Wiley-Blackwell : Blackwell Pub.
Original Publication: Carlton, Vic. : Blackwell Pub., c2002-
MeSH Terms:: Mental Health Services*
Substance-Related Disorders*/psychology
Substance-Related Disorders*/therapy
Australia ; Humans
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Grant Information:: Drug and Alcohol Nurses of Australasia; Deakin University
Contributed Indexing:: Keywords: delivery of health care; dual diagnosis (psychiatry); integrated; mental health nurses; mental health services; substance abuse treatment services
Entry Date(s):: Date Created: 20220326 Date Completed: 20220706 Latest Revision: 20220731
Update Code:: 20240105
PubMed Central ID:: PMC9314025
DOI:: 10.1111/inm.12998
PMID:: 35338569
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The recently released Victorian Mental Health Royal Commission report has recommended a shift to integrated treatment, defined as treatment for alcohol and substance use disorders and mental ill health occurring in parallel, rather than distinct systems catering to each need. However, little work has sought to determine the perceptions of nurses working in alcohol and other drug (AOD) treatment towards integrating with mental health services. In this study, we explore the perspectives of specialist AOD nurses towards the integration of mental health and AOD treatment services. Secondary analysis of semi-structured interviews with Australian specialist AOD nurses (n = 46) conducted as part of a wider workforce study in 2019. Data were analysed using thematic analysis and reported using the COREQ guidelines. Of the interviews analysed, six were AOD nurses working in an Australian state that had recently undergone service integration; however, many participants expressed perceptions of service integration. Two key themes are reported in this paper: (i) perceptions of service integration, where AOD nurses participating in our study were concerned that integration would result in the model of care they worked under being replaced by a mental health-based model that was felt to be highly risk averse, and (ii) experiences of service integration. Concerns about the focus of care as well as the complexity of care differing between the two services demonstrated a contrast in both philosophical approaches to work with consumers and legislative difference in voluntary versus compulsory care provision.
(© 2022 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.)

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