Roles and competencies of the Support Facilitator in Australia’s recovery-oriented mental health initiative: a qualitative study from Gippsland, VictoriaKeith Sutton A C , Anton N. Isaacs A , Kim Dalziel B and Darryl Maybery A
B Melbourne School of Population and Global Health, University of Melbourne, Level 4, 207 Bouverie Street, Vic. 3010, Australia. Email: firstname.lastname@example.org
C Corresponding author. Email: email@example.com
Australian Health Review - http://dx.doi.org/10.1071/AH15183
Submitted: 30 September 2015 Accepted: 29 February 2016 Published online: 14 April 2016
Objective This study explored the roles and competencies of Support Facilitators (SFs) engaged in the implementation of the Partners in Recovery initiative in a rural region of Victoria.
Methods Semi-structured interviews were conducted with 32 stakeholders involved in the initiative, of which 15 were SFs.
Results Two main themes and 10 subthemes emerged from the data: (1) SF competencies (which included an understanding of local services as well as administrative and social skills); and (2) the SF role (which included them being a single point of contact, providing care coordination, assisting the client to become self-reliant, achieving good outcomes for clients with confronting behaviours, judiciously using flexible funding, clearly outlining their role with clients and maintaining boundaries and performing a different role from that of the mental health case manager).
Conclusions The roles and competencies of the SF in the Partners in Recovery initiative in Gippsland were congruent with the defined characteristics of a care coordination approach. The results highlight how the SF role differs from that of traditional clinical case managers. These findings are important for future mental health service policy development, education and training of mental health practitioners and recruitment of personnel to care coordination roles.
What is known about the topic? There is a growing body of literature highlighting the importance of care coordination in delivery of positive outcomes for people with chronic and complex health problems. However, little is documented about the care coordination role of SFs as part of the Partners in Recovery initiative in Australia.
What does this paper add? This paper identifies the roles and competencies of SFs in the Partners in Recovery initiative in a rural region of Victoria. The paper highlights that the emergent competencies and role functions are congruent with the defined characteristics of a care coordination approach but differ from that of mental health case managers.
What are the implications for practitioners? These findings are important for future mental health service policy development, education and training of mental health practitioners and recruitment of personnel to care coordination roles.
Additional keywords: care coordination, collaborative care, nonclinical mental health services.
References Ruggeri M, Leese M, Thornicroft G, Bisoffi G, Tansella M. Definition and prevalence of severe and persistent mental illness. Br J Psychiatry 2000; 177 149–55.
| Definition and prevalence of severe and persistent mental illness.CrossRef | 1:STN:280:DC%2BD3cvns1yrtw%3D%3D&md5=c391c1db17bf990b0fe168324a62f000CAS | 11026955PubMed |
 De Hert M, Cohen D, Bobes J, Cetkovich-Bakmas M, Leucht S, Ndetei DM, Newcomer JW, Uwakwe R, Asai I, Möller H-J, Gautam S, Detraux J, Correll CU. Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level. World Psychiatry 2011; 10 138–51.
| Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level.CrossRef | 21633691PubMed |
 Jones R, Reupert A, Sutton K, Maybery D. The interplay of rural issues, mental illness, substance use and housing problems. J Ment Health 2014; 23 317–22.
| The interplay of rural issues, mental illness, substance use and housing problems.CrossRef | 25244024PubMed |
 Chadwick A, Street C, McAndrew S, Deacon M. Minding our own bodies: reviewing the literature regarding the perceptions of service users diagnosed with serious mental illness on barriers to accessing physical health care. Int J Ment Health Nurs 2012; 21 211–9.
| Minding our own bodies: reviewing the literature regarding the perceptions of service users diagnosed with serious mental illness on barriers to accessing physical health care.CrossRef | 22533328PubMed |
 Menear M, Briand C. Implementing a continuum of evidence-based psychosocial interventions for people with severe mental illness: part 1 – review of major initiatives and implementation strategies. Can J Psychiat 2014; 59 178–86.
 Smith-Merry J, Gillespie J, Hancock N, Yen I. Doing mental health care integration: a qualitative study of a new work role. Int J Ment Health Syst 2015; 9 32
| Doing mental health care integration: a qualitative study of a new work role.CrossRef | 26300963PubMed |
 Australian Government Department of Health. Partners in Recovery Initiative. Canberra: Department of Health; 2015. Available at: http://www.pirinitiative.com.au/index_public.php.
 Department of Health and Aging. Partners in Recovery (PIR): coordinated support and flexible funding for people with severe, persistent mental illness and complex needs initiative – program guidelines for the engagement of PIR organisations 2012–2013 to 2015–16. Canberra: Department of Health; 2016. Available at: https://www.health.gov.au/internet/main/publishing.nsf/Content/7C73764C94CDDC02CA257BF0001A8D3D/$File/Partners%20in%20Recovery.pdf [verified 6 January 2016]
 State Government of Victoria. Gippsland regional growth plan. Melbourne: State Government of Victoria; 2014. Available at: http://www.dtpli.vic.gov.au/__data/assets/pdf_file/0017/229310/Gippsland-Regional-Growth-Plan-May-2014.pdf [verified 29 September 2015]
 Department of Health and Human Services Victoria. Gippsland health online: socieconomic indicators. Melbourne: Victorian Government; 2015. Available at: http://docs2.health.vic.gov.au/docs/health-documents-by-category?OpenView&RestrictToCategory=Gippsland-health-online-Socioeconomic-Indicators [verified 29 September 2015]
 Neergaard MA, Olesen F, Andersen RS, Sondergaard J. Qualitative description – the poor cousin of health research? BMC Med Res Methodol 2009; 9 52
| Qualitative description – the poor cousin of health research?CrossRef | 19607668PubMed |
 Sandelowski M. Whatever happened to qualitative description? Res Nurs Health 2000; 23 334–40.
| Whatever happened to qualitative description?CrossRef | 1:STN:280:DC%2BD3cvhsFCmtw%3D%3D&md5=e6ea8c7a58fe52f306ecf7ba7994f3a0CAS | 10940958PubMed |
 Sullivan-Bolyai S, Bova C, Harper D. Developing and refining interventions in persons with health disparities: the use of qualitative description. Nurs Outlook 2005; 53 127–33.
| Developing and refining interventions in persons with health disparities: the use of qualitative description.CrossRef | 15988449PubMed |
 Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3 77–101.
| Using thematic analysis in psychology.CrossRef |
 McDonald KM, Sundaram V, Bravata DM, Lewis R, Lin N, Kraft S, McKinnon M, Paguntalan H, Owens DK. Care coordination. In: Shojania KG, McDonald KM, Wachter RM, Owens DK, editors. Closing the quality gap: a critical analysis of quality improvement strategies technical review 9. Rockville: Agency for Healthcare Research and Quality; 2007.
 McDonald KM, Schultz E, Albin L, Pineda N, Lonhart J, Sundaram V, Smith-Spangler C, Brustrom J, Malcolm E, Rohn L, Davies S. Care coordination atlas version 4. AHRQ Publication No. 14–0037- EF. Rockville: Agency for Healthcare Research and Quality; 2014.
 Mental Health Coordinating Council. Self directed funding and the community managed mental health sector: Opportunities and challenges. Sydney: Mental Health Coordinating Council; 2011.
 Ross S, Curry N, Goodwin N. Case management: what it is and how it can best be implemented. London: The King’s Fund; 2011 [verified 24 September 2015]. Available at: http://www.kingsfund.org.uk/sites/files/kf/Case-Management-paper-The-Kings-Fund-Paper-November-2011_0.pdf [verified 24 September 2015].
 Antonelli RC, McAlluster JW, Popp J. Making care coordination a critical component of the pediatric health system: a multidisciplinary framework. Washington, D.C.: The Commonwealth Fund; 2009.
 Suter E, Arndt J, Arthur N, Parboosingh J, Taylor E, Deutschlander S. Role understanding and effective communication as core competencies for collaborative practice. J Interprof Care 2009; 23 41–51.
| Role understanding and effective communication as core competencies for collaborative practice.CrossRef | 19142782PubMed |
 Brophy L, Hodges C, Halloran K, Grigg M, Swift M. Impact of care coordination on Australia’s mental health service delivery system. Aust Health Rev 2014; 38 396–400.
| Impact of care coordination on Australia’s mental health service delivery system.CrossRef | 25000849PubMed |
 Shepherd N, Meehan T. A multilevel framework for effective interagency collaboration in mental health. Aust J Public Adm 2012; 71 403–11.
| A multilevel framework for effective interagency collaboration in mental health.CrossRef |