The complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives

Abstract Anxiety and depression are common mental health illnesses in people with chronic obstructive pulmonary disease (COPD). However, patients often decline formal mental health care with barriers identified at the patient, health provider and health system levels. Currently clinicians’ perspecti...

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Autores principales:	Juliet Wang, Karen Willis, Elizabeth Barson, Natasha Smallwood
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/6c4dc64851394ecf8d6b9c15fdd3b642
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spelling	oai:doaj.org-article:6c4dc64851394ecf8d6b9c15fdd3b6422021-12-02T16:26:34ZThe complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives10.1038/s41533-021-00252-w2055-1010https://doaj.org/article/6c4dc64851394ecf8d6b9c15fdd3b6422021-07-01T00:00:00Zhttps://doi.org/10.1038/s41533-021-00252-whttps://doaj.org/toc/2055-1010Abstract Anxiety and depression are common mental health illnesses in people with chronic obstructive pulmonary disease (COPD). However, patients often decline formal mental health care with barriers identified at the patient, health provider and health system levels. Currently clinicians’ perspectives on this issue are not well understood. A qualitative study using semi-structured interviews was undertaken to explore clinician perceived barriers and facilitators to acceptance of psychological care amongst people with COPD. Twenty-four Australian respiratory health professionals participated. Interview transcripts were analysed thematically. An overarching theme of ‘complexity’ was identified, which was evident across five domains: (1) physical and mental health illnesses; (2) psychosocial circumstances; (3) community views and stigma; (4) educational needs and knowledge gaps; (5) navigating the health system. Targeted patient education around psychological interventions and integration of mental health clinicians within multidisciplinary outpatient respiratory services are needed to address the current challenges.Juliet WangKaren WillisElizabeth BarsonNatasha SmallwoodNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Juliet Wang Karen Willis Elizabeth Barson Natasha Smallwood The complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives
description	Abstract Anxiety and depression are common mental health illnesses in people with chronic obstructive pulmonary disease (COPD). However, patients often decline formal mental health care with barriers identified at the patient, health provider and health system levels. Currently clinicians’ perspectives on this issue are not well understood. A qualitative study using semi-structured interviews was undertaken to explore clinician perceived barriers and facilitators to acceptance of psychological care amongst people with COPD. Twenty-four Australian respiratory health professionals participated. Interview transcripts were analysed thematically. An overarching theme of ‘complexity’ was identified, which was evident across five domains: (1) physical and mental health illnesses; (2) psychosocial circumstances; (3) community views and stigma; (4) educational needs and knowledge gaps; (5) navigating the health system. Targeted patient education around psychological interventions and integration of mental health clinicians within multidisciplinary outpatient respiratory services are needed to address the current challenges.
format	article
author	Juliet Wang Karen Willis Elizabeth Barson Natasha Smallwood
author_facet	Juliet Wang Karen Willis Elizabeth Barson Natasha Smallwood
author_sort	Juliet Wang
title	The complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives
title_short	The complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives
title_full	The complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives
title_fullStr	The complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives
title_full_unstemmed	The complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives
title_sort	complexity of mental health care for people with copd: a qualitative study of clinicians’ perspectives
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6c4dc64851394ecf8d6b9c15fdd3b642
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The complexity of mental health care for people with COPD: a qualitative study of clinicians’ perspectives

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