title: Barriers to managing mental health in Western Australia.
abstract: OBJECTIVE
  To explore the views of community-care and mental health workers on barriers to the management of mental health problems in rural Western Australia, and how these could be addressed.
  
  
  METHODS
  Qualitative content analysis of semi-structured interviews.
  
  
  METHODS
  Community and mental health services in Esperance.
  
  
  METHODS
  One hundred per cent of relevant mental health workers, 86% of community health professionals and representatives from a wide range of community organisations were interviewed (n = 38).
  
  
  METHODS
  The views of community-care and mental health workers on barriers to the management of mental health, and how these could be addressed.
  
  
  RESULTS
  Barriers included confusion about the role of mental health services, limited after-hours access and help for those in situational crisis, communication problems between services, differences in working practices and difficulties in dealing with the stigma of mental illness in rural communities. Suggested solutions were an expansion of counselling services and multi-agency shared care with clinical streams for adults, those aged > 65 and children.
  
  
  CONCLUSIONS
  This study revealed a number of barriers that are being addressed through a memorandum of understanding between services.
  
  
  BACKGROUND
  Initiatives to foster collaboration between rural mental health services and general practitioners have not included other providers of primary care. We wished to explore the views of community-care and mental health workers on barriers to the management of mental health problems in rural Western Australia and how these could be addressed.
  
  
  CONCLUSIONS
  We identified a number of barriers to collaboration between mental health and community-based services, including poor communication, difficulties with referral and cultural differences between services. Of all these themes, the most significant was the lack of communication at individual, case management and organisational levels.
authors.affiliation: Community Mental Health Services, South-east Coastal Health Services, Esperance, Western Australia, Australia.
authors.forename: Pam
authors.initials: P
authors.lastname: Sweeney
authors.forename: Stephen
authors.initials: S
authors.lastname: Kisely
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003142:Communication; D003299:Cooperative Behavior; D003419:Crisis Intervention / Q000592:standards; D006297:Health Services Accessibility / Q000592:standards*; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D007373:Interinstitutional Relations; D007400:Interprofessional Relations; D008605:Mental Health Services / Q000592:standards*; D036301:Qualitative Research; D019035:Rural Health Services / Q000592:standards*; D013240:Stereotyping; D011795:Surveys and Questionnaires; D013997:Time Factors; D014904:Western Australia