title: What do practitioners think? A qualitative study of a shared care mental health and nutrition primary care program.
abstract: OBJECTIVE
  To develop an in-depth understanding of a shared care model from primary mental health and nutrition care practitioners with a focus on program goals, strengths, challenges and target population benefits.
  
  
  METHODS
  Qualitative method of focus groups.
  
  
  METHODS
  The study involved fifty-three practitioners from the Hamilton Health Service Organization Mental Health and Nutrition Program located in Hamilton, Ontario, Canada.
  
  
  METHODS
  Six focus groups were conducted to obtain the perspective of practitioners belonging to various disciplines or health care teams. A qualitative approach using both an editing and template organization styles was taken followed by a basic content analysis.
  
  
  RESULTS
  Themes revealed accessibility, interdisciplinary care, and complex care as the main goals of the program. Major program strengths included flexibility, communication/collaboration, educational opportunities, access to patient information, continuity of care, and maintenance of practitioner and patient satisfaction. Shared care was described as highly dependent on communication style, skill and expertise, availability, and attitudes toward shared care. Time constraint with respect to collaboration was noted as the main challenge.
  
  
  CONCLUSIONS
  Despite some challenges and variability among practices, the program was perceived as providing better patient care by the most appropriate practitioner in an accessible and comfortable setting.
authors.affiliation: Population and Community Health Unit, Family Medicine, Schulich School of Medicine and Dentistry, 2nd Floor-Dr. Don Rix Clinical Skills Facility, London, Ontario, Canada N6A 5C1. jpaquet3@uwo.ca
authors.forename: Jann
authors.initials: J
authors.lastname: Paquette-Warren
authors.forename: Evelyn
authors.initials: E
authors.lastname: Vingilis
authors.forename: Jaimi
authors.initials: J
authors.lastname: Greenslade
authors.forename: Sharon
authors.initials: S
authors.lastname: Newnam