title: "The Chicken or the Egg": Barriers and Facilitators to Collaborative Care for People With Comorbidity in a Metropolitan Region of South Australia.
abstract: Mental health disorder and alcohol and other drug comorbidity is prevalent in Australia. This qualitative study used semistructured interviews (N = 20) to elicit clinicians' and workers' knowledge, experiences, and opinions regarding issues pertaining to service needs of people with comorbidity in a metropolitan region of South Australia. The study revealed barriers to effective access and delivery of comorbidity care by MH and AOD services. Participants reported difficulties with identification, access, suitability, policy, funding, and collaboration between sectors and services responding to comorbidity. Results suggest that these models of practice were inadequate influencing the delivery, consistency, and reliability of comorbidity care.
authors.affiliation: a Department of Clinical Medicine , Aalborg University, Clinical Nursing Research Unit, Aalborg University Hospital , Aalborg , Denmark ; School of Nursing, University of Adelaide , Adelaide , Australia.
authors.forename: Mette
authors.initials: M
authors.lastname: Groenkjaer
authors.affiliation: b The University of Adelaide , Adelaide , Australia.
authors.forename: Charlotte
authors.initials: C
authors.lastname: de Crespigny
authors.affiliation: c The University of Adelaide , Australia , Northern Adelaide Local Health Network , Adelaide , Australia.
authors.forename: Dennis
authors.initials: D
authors.lastname: Liu
authors.affiliation: a Department of Clinical Medicine , Aalborg University, Clinical Nursing Research Unit, Aalborg University Hospital , Aalborg , Denmark ; School of Nursing, University of Adelaide , Adelaide , Australia.
authors.forename: John
authors.initials: J
authors.lastname: Moss
authors.affiliation: a Department of Clinical Medicine , Aalborg University, Clinical Nursing Research Unit, Aalborg University Hospital , Aalborg , Denmark ; School of Nursing, University of Adelaide , Adelaide , Australia.
authors.forename: Imelda
authors.initials: I
authors.lastname: Cairney
authors.affiliation: d Northern Adelaide Medicare Local , Australia.
authors.forename: Deb
authors.initials: D
authors.lastname: Lee
authors.affiliation: e University of South Australia, School of Nursing and Midwifery , Adelaide , Australia.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Procter
authors.affiliation: f The University of Adelaide, Australia Northern Adelaide Local Health Network, Ramsay Health Care (SA) Mental Health , Adelaide , Australia.
authors.forename: Cherrie
authors.initials: C
authors.lastname: Galletly
mesh_terms: D000328:Adult; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D013021:South Australia