Changing practice: Developing a treatment pathway for bipolar disorder.

Eliot, Adele Louise, Watson, S, Dodgson, G, Cohen-Tovee, E and Ling, Jonathan (2021) Changing practice: Developing a treatment pathway for bipolar disorder. BJPsych Open. ISSN 2056-4724 (In Press)

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Abstract

Introduction: Bipolar disorder is a chronic mental health condition, which can result in functional impairment despite medication. A large evidence-base supports use of psychological therapies and structured care in the treatment of mood disorders, however, these are rarely implemented. E-pathways are digital structures that inform and record patient progress through a healthcare system, although these have not yet been used for bipolar disorder.

Aims: To assess the facilitators and barriers in implementing an e-pathway for bipolar disorder.

Method: Healthcare professionals and services users attended a workshop to share feedback on e-pathways. Data were collected through questionnaires (n = 26) and transcription of a focus group, analysed qualitatively using framework analysis.

Results: Service users and healthcare professionals welcomed the development of an e-pathway for bipolar disorder. There were five elements to the framework: quality and delivery of care, service-user clinician collaboration, flexibility and adaptability, impact on staff, impact on healthcare services.

Discussion: Identification of barriers and facilitators ensures that future development of e-pathways addresses concerns of healthcare professionals and service users, which would be essential for successful implementation. Recommendations for this development include making e-pathways less complicated for service users, ensuring sufficient training and ensuring clinicians do not feel their skills become invalidated. Limitations of the study, and directions for future research, are discussed.

Item Type: Article
Subjects: Sciences > Health Sciences
Divisions: Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences
Depositing User: Jonathan Ling
Date Deposited: 08 Feb 2021 17:39
Last Modified: 08 Feb 2021 17:45
URI: http://sure.sunderland.ac.uk/id/eprint/13171
ORCID for Jonathan Ling: ORCID iD orcid.org/0000-0003-2932-4474

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