Interprofessional Collaboration in the Mental Health Services in Norway
Table 1
Summary of the findings: main theme, categories, subcategories, and codes.
Main theme: development of interprofessional collaboration by means of organisational strategies and interactional styles
Categories
Sub categories
Codes
Improved communication skills
Getting to know each other
(i) Meeting and getting to know each other face to face (ii) Clarifying expectations
Development of a common professional understanding
(i) Recognising each other's professional reasoning and tasks (ii) Joint professional discussions on the understanding of high quality patient care
Developing structures for coordination and responsibility
Routines
(i) Lack of routines for exchange of information (ii) Written information should be routine (iii) Joint meetings with the patient to clarify her/his needs and agree on responsibilities
Regular meetings
Responsibility groups are important for coordinating patient work
Increased professional insight into the values and conditions necessary for decision-making
Increased user involvement
(i) We need greater awareness of how to involve the patient (ii) Dialogue with the patient about her/his views of the follow-up and her/his care needs (iii) Collaborate with the patient
Interactional flexibility in decision-making
(i) We have positive experiences of being flexible when working with planned admissions (ii) Very positive for the patient when we (DPC and CMHC) overlap at discharge
Equality and respect
(i) A top-down attitude inhibits collaboration (ii) Sometimes we experience a “little sister-big brother” attitude from DPC staff (iii) We must respect each other's contributions
DPC: district psychiatric centre; CMHC: community mental health care.