Table 5.
Integration strategies developed by HSSCa-MH primary care teams to consolidate care in their services or to integrated their services with specialized care.
| Variables | Categories | PH-Groupb | WH-Groupc | SN-Groupd | LN-Groupe |
|---|---|---|---|---|---|
| Clinical Strategies | Meanf | Meanf | Meanf | Meanf | |
| Evaluation/clinical tools | Screening tools for MHDsg | 3.6 | 1.5 | 2.3 | 1.7 |
| Screening tools for SUDh | 4.0 | 4.5 | 3.7 | 4.0 | |
| Assessment tools for MHDs | 3.6 | 2.0 | 2.7 | 2.7 | |
| Assessment tools for SUDs | 4.1 | 3.0 | 3.1 | 3.7 | |
| Assessment tools for client satisfaction | 2.5 | 2.0 | 1.9 | 2.7 | |
| Clinical protocols or best-practice guidelines | 2.9 | 5.0 | 3.1 | 3.7 | |
| Cognitive behaviour therapy (CBT) | 3.0 | 4.0 | 3.7 | 3.3 | |
| Clinical Approaches | Motivational interviewing (MI) | 3.1 | 4.0 | 3.3 | 3.0 |
| Care pathway | 3.0 | 3.0 | 2.3 | 3.7 | |
| Recovery approach | 2.7 | 2.5 | 3.4 | 2.7 | |
| Strengths model | 2.9 | 2.5 | 3.1 | 3.0 | |
| Illness self-management | 2.5 | 3.0 | 2.4 | 2.6 | |
| Stepped care | 2.5 | 1.0 | 1.4 | 2.3 | |
| Administrative Strategies | Meanf | Meanf | Meanf | Meanf | |
| Network resource directories | 4.9 | 4.0 | 4.0 | 4.0 | |
| Referral procedures within the organization | 4.4 | 5.0 | 4.3 | 3.7 | |
| Referral procedures between organizations | 4.3 | 5.0 | 3.9 | 4.0 | |
| Shared clinical records | 4.2 | 4.5 | 3.7 | 2.3 | |
| Shared staff | 2.3 | 2.0 | 2.1 | 1.3 | |
| Liaison officers | 3.2 | 2.0 | 3.0 | 2.3 | |
| Joint training | 3.4 | 2.0 | 2.7 | 2.7 | |
| Service agreements | 3.0 | 2.5 | 3.1 | 3.7 | |
| SUD specialist respondents | 2.2 | 3.0 | 2.4 | 3.0 | |
a: HSSC: Health and Social Services Centres; b: PH: with a psychiatric hospital; c: WH: without an hospital in the network; d: SN: small networks (<200 000 inhabitants with psychiatric department in a general hospital); e: LN: large networks (>200 000 inhabitants with psychiatric department in a general hospital); f: Mean: from 0 to 5; 5 = greatest utilization; g: MHDs: Mental health disorders; h: SUDs: Substance use disorders.