A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care
Abstract Background Various models for collaborative practice in mental health care incorporating the perspectives of service-user participation and collaboration in the care have been developed. However, the emphasis in these practice models has not been on identifying specific features of “how” co...
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doaj-a8b396c0266146e2895d827ea78af5682020-11-25T03:10:58ZengBMCInternational Journal of Mental Health Systems1752-44582020-06-0114111210.1186/s13033-020-00377-4A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse careRolf Sundet0Hesook Suzie Kim1Bengt Eirik Karlsson2Marit Borg3Knut Tore Sælør4Ottar Ness5Faculty of Health and Social Sciences, Department of Health, Social & Welfare Studies, University of South-Eastern NorwayFaculty of Health and Social Sciences, Department of Health, Social & Welfare Studies, University of South-Eastern NorwayFaculty of Health and Social Sciences, Department of Health, Social & Welfare Studies, University of South-Eastern NorwayFaculty of Health and Social Sciences, Department of Health, Social & Welfare Studies, University of South-Eastern NorwayFaculty of Health and Social Sciences, Department of Health, Social & Welfare Studies, University of South-Eastern NorwayFaculty of Health and Social Sciences, Department of Health, Social & Welfare Studies, University of South-Eastern NorwayAbstract Background Various models for collaborative practice in mental health care incorporating the perspectives of service-user participation and collaboration in the care have been developed. However, the emphasis in these practice models has not been on identifying specific features of “how” collaboration and service-user participation can occur and be nurtured. This suggests a need for a collaborative practice model that specifies essential strategies operationalizing the tenets of service-user participation and collaboration applicable in mental health and substance abuse (MHSA) care. Methods A double helix approach of coalescing theoretical ideas and empirical findings to develop a practice model that is applicable in MHSA practice. A theoretical analysis is carried out to identify the critical, foundational elements for collaborative practice in MHSA practice, and has identified the philosophical-theoretical orientations of Habermas’ theory of communicative action, Bakhtin’s dialogicality, and the philosophy of personhood as the foundational features of collaboration. This base is juxtaposed with the results of a qualitative meta-analysis of 18 empirical articles on collaboration in MHSA to advance a collaborative practice model specifically in the domain of service user/professional collaboration. Results “The collaborative, dialogue-based clinical practice model” (CDCP Model) for community mental health care is proposed, within the structure of four main components. The first specifies the framework for practice that includes person-centered care, recovery-orientation, and a pluralistic orientation and the second identifies the domains of collaboration as service user/professional collaboration, inter-professional collaboration, and service sector collaboration. The third identifies self-understanding, mutual understanding, and shared decision-making as the essential principles of collaboration. The fourth specifies interactive-dialogic processes, negotiated-participatory engagement processes, and negotiated-supportive processes as the essential strategies of collaboration applicable in service user/professional collaboration which were extracted in the empirical work. An illustration of the CDCP Model in a clinical case is given. Conclusions The CDCP Model presented fills the gap that exists in the field of community MHSA practice regarding how to operationalize systematically the tenets of person-centeredness, recovery-oriented, and pluralism-oriented practice in terms of user/professional collaboration.http://link.springer.com/article/10.1186/s13033-020-00377-4Collaborative practiceMental health and substance abuseCommunity mental health and substance abuse practicePerson/professional collaborationDialogue-basedClinical practice model for mental health and substance abuse care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rolf Sundet Hesook Suzie Kim Bengt Eirik Karlsson Marit Borg Knut Tore Sælør Ottar Ness |
spellingShingle |
Rolf Sundet Hesook Suzie Kim Bengt Eirik Karlsson Marit Borg Knut Tore Sælør Ottar Ness A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care International Journal of Mental Health Systems Collaborative practice Mental health and substance abuse Community mental health and substance abuse practice Person/professional collaboration Dialogue-based Clinical practice model for mental health and substance abuse care |
author_facet |
Rolf Sundet Hesook Suzie Kim Bengt Eirik Karlsson Marit Borg Knut Tore Sælør Ottar Ness |
author_sort |
Rolf Sundet |
title |
A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care |
title_short |
A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care |
title_full |
A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care |
title_fullStr |
A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care |
title_full_unstemmed |
A heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care |
title_sort |
heuristic model for collaborative practice—part 2: development of the collaborative, dialogue-based clinical practice model for community mental health and substance abuse care |
publisher |
BMC |
series |
International Journal of Mental Health Systems |
issn |
1752-4458 |
publishDate |
2020-06-01 |
description |
Abstract Background Various models for collaborative practice in mental health care incorporating the perspectives of service-user participation and collaboration in the care have been developed. However, the emphasis in these practice models has not been on identifying specific features of “how” collaboration and service-user participation can occur and be nurtured. This suggests a need for a collaborative practice model that specifies essential strategies operationalizing the tenets of service-user participation and collaboration applicable in mental health and substance abuse (MHSA) care. Methods A double helix approach of coalescing theoretical ideas and empirical findings to develop a practice model that is applicable in MHSA practice. A theoretical analysis is carried out to identify the critical, foundational elements for collaborative practice in MHSA practice, and has identified the philosophical-theoretical orientations of Habermas’ theory of communicative action, Bakhtin’s dialogicality, and the philosophy of personhood as the foundational features of collaboration. This base is juxtaposed with the results of a qualitative meta-analysis of 18 empirical articles on collaboration in MHSA to advance a collaborative practice model specifically in the domain of service user/professional collaboration. Results “The collaborative, dialogue-based clinical practice model” (CDCP Model) for community mental health care is proposed, within the structure of four main components. The first specifies the framework for practice that includes person-centered care, recovery-orientation, and a pluralistic orientation and the second identifies the domains of collaboration as service user/professional collaboration, inter-professional collaboration, and service sector collaboration. The third identifies self-understanding, mutual understanding, and shared decision-making as the essential principles of collaboration. The fourth specifies interactive-dialogic processes, negotiated-participatory engagement processes, and negotiated-supportive processes as the essential strategies of collaboration applicable in service user/professional collaboration which were extracted in the empirical work. An illustration of the CDCP Model in a clinical case is given. Conclusions The CDCP Model presented fills the gap that exists in the field of community MHSA practice regarding how to operationalize systematically the tenets of person-centeredness, recovery-oriented, and pluralism-oriented practice in terms of user/professional collaboration. |
topic |
Collaborative practice Mental health and substance abuse Community mental health and substance abuse practice Person/professional collaboration Dialogue-based Clinical practice model for mental health and substance abuse care |
url |
http://link.springer.com/article/10.1186/s13033-020-00377-4 |
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