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Why Collaborative Care for Depressed Patients is so Difficult: A Belgian Qualitative Study Cover

Why Collaborative Care for Depressed Patients is so Difficult: A Belgian Qualitative Study

Open Access
|Jun 2017

Figures & Tables

Table 1

Participants’ characteristics.

CodeSexProvides ambulatory careProvides residential careParticipated at nominal group
dGP1FemaleGroup practiceNAYes
dGP2FemaleGroup practiceNAYes
dGP3MaleSolo practiceNAYes
dGP4MaleSolo practiceNANo
dPSY1MalePrivate practice + ambulatory mental health serviceNoYes
dPSY2MalePrivate practice + outpatients while based at a psychiatric hospitalLimitedlyYes
dPSY3MaleNoPsychiatric hospitalYes
dPSY4MaleNoPsychiatric ward of a general hospitalNo
fGP1(FB)FemaleGroup practiceNAYes
fGP2(AS)FemaleCommunity health centreNAYes
fGP3(AM)FemaleCommunity health centreNANo
fGP4(MS)FemaleSolo practiceNANo
fGP5(NW)FemaleSolo practiceNAYes
fGP6(AD)MaleSolo practiceNAYes
fGP7(JF)MaleGroup practiceNAYes
fPSY1(DG)FemaleOutpatients while based at a psychiatric hospitalLimitedly in a psychiatric hospital + psychiatric ward of a general hospitalNo
fPSY2(SS)FemalePrivate practicePsychiatric ward of a general hospitalYes
fPSY3(JLK)MaleOutreachPsychiatric hospitalYes
fPSY4(DB)MalePrivate practice + outpatients while based at a psychiatric hospitalNoYes
fPSt1(NB)MaleDay careNoYes

[i] A participant’s code is consisted as follows: d = Dutch speaking; f = French speaking; GP = general practitioner; PSY = psychiatrist; PSt = Psychiatrist trainee.

Table 2

Summary of suggestions to improve collaboration amongst practitioners when dealing with severely depressed patients, classified by system level.

Suggestions at macro level: conditions necessary to install collaborative care
  • Safe and easy-to-use technology to support communication

  • Clarity about professional confidentiality

  • Reimbursement of psychotherapy provided by psychologists

  • Adapted nomenclature

Suggestions at meso level: measures supporting collaborative care
  • Knowing each other (both formal and informal)

  • Small-scale networks with steady partners

  • Support for GPs in terms of education, a help line, an up-to-date (online?) tool, presenting an overview of all care taking facilities and health care providers

Suggestions at micro level: possible to implement rapidly
  • Professionals should make arrangements regarding reachability and availability

  • Professionals should make arrangements about how and when what to communicate

  • Professionals should make arrangements about each other’s roles and tasks

  • Professionals should set up intervision moments to discuss current practice and collaboration

  • Professionals should include case management and monitoring in daily care for severely depressed patients

DOI: https://doi.org/10.5334/ijic.2491 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jun 7, 2016
Accepted on: Jun 12, 2017
Published on: Jun 21, 2017
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2017 Kris Van den Broeck, Frédéric Ketterer, Roy Remmen, Marc Vanmeerbeek, Marianne Destoop, Geert Dom, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.