Join us on Friday, February 7th from 12:00-1:00pm (Pacific)
An integrated and recovery-oriented model of care for people with concurrent disorders—results of a Delphi study
Presenters: Angela Russolillo and Anja Lanz
Session description
People with concurrent mental health and substance use disorders have to navigate a fragmented, uncoordinated system of care. Despite evidence that individuals with a single diagnosis are a clinical minority, integrated management approaches are rare in the current health system.
A research team at Providence Health Care conducted a Delphi study to understand which features are most important to include in an integrated and recovery-oriented model of care. They engaged people who have experienced care for mental health and substance use, health care providers, and health researchers in a consensus-based priority-setting activity. Based on participants’ responses, the research team identified 5 guiding principles and 51 indicators across 7 core domains, including person-centred care, screening and assessment, health equity, education, and workforce development.
This webinar will present the results of this study, including (a) a description of the full model, including domains and indicators, and (b) participants’ qualitative responses to the Delphi questionnaires, which identify existing barriers to integrated, recovery-oriented care and suggest ways to address those barriers. Collectively these findings may be used to guide health care providers and policymakers in implementing an integrated and recovery-oriented model of care for people with a concurrent disorder.
PSR practice competencies
The model of care developed through this research addresses the following PSR practice competencies:
- Demonstrates awareness of individuals’ values, beliefs, experiences, and preferences
- Demonstrates knowledge of culture and diversity
- Assures competence through life-long learning and ongoing professional development
- Understands mental illness and its impact on individuals
- Understands and can implement evidence-based and evidence-informed PSR practices as essential tools for recovery
- Has knowledge and understanding of major types of recovery-enhancing interventions/approaches and their contributions to recovery
- Assesses individual needs, creates PSR and recovery-oriented plans, and measures outcomes
- Has system navigational knowledge and skills and connects and coordinates with community resources and services
- Works with individuals to maximize access to work, leisure, education, and community
- Supports and enables advocacy with individuals
- Assists the community to maximize social inclusion and equity
- Fosters recovery, well-being, and equity within systems and across the social determinants of health
- Promotes application of recovery-oriented PSR in practice
Learning objectives
By the end of this webinar, you will be able to:
- Define concurrent disorders
- Describe how existing models of care fail to meet the needs of people with concurrent mental health and substance use disorders
- Name the 7 core domains of the integrated, recovery-oriented model of care developed from this research
- Describe changes proposed by people with lived experience of concurrent disorder care, health care providers, and health researchers to improve health care delivery and policy
Presenters
Angela Russolillo, PhD, an assistant professor in the School of Nursing at UBC and the Director of Mental Health Clinical Research in the Mental Health Program and Department of Psychiatry at Providence Health Care. Her research aims to reduce disparities in mental health and substance use treatment through health services reform, advocacy, and the integration of evidence-based practices.
Anja Lanz is a dedicated patient advocate, advisor, and caregiver to an individual experiencing a recurring concurrent disorder. Through this role, she witnesses firsthand the gaps in the healthcare system when addressing concurrent disorders, particularly the need for increased education, compassion, and holistic care. Navigating these challenges as a caregiver has equipped her with valuable insights and patient-centered solutions that emphasize empathy and effective care approaches. Anja remains a strong advocate for integrating more patient voices into medical models, ensuring care strategies reflect lived experiences and address systemic shortcomings.