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Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

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, 7 (2). e64. ISSN 2056-4724

Item Type: Article


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.

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Depositing User: Jonathan Ling


Item ID: 13171
Identification Number:
ISSN: 2056-4724
Official URL:

Users with ORCIDS

ORCID for Jonathan Ling: ORCID iD

Catalogue record

Date Deposited: 08 Feb 2021 17:39
Last Modified: 19 Apr 2021 14:15


Author: Jonathan Ling ORCID iD
Author: Adele Louise Eliot
Author: S Watson
Author: G Dodgson
Author: E Cohen-Tovee

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Health Sciences

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