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Chronic care model for the management of depression: Synthesis of barriers to, and facilitators of, success
Author(s) -
Holm Anne Lise,
Severinsson Elisabeth
Publication year - 2012
Publication title -
international journal of mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.911
H-Index - 54
eISSN - 1447-0349
pISSN - 1445-8330
DOI - 10.1111/j.1447-0349.2012.00827.x
Subject(s) - clarity , thematic analysis , nursing , psychology , work (physics) , inclusion (mineral) , health care , qualitative research , medicine , political science , social psychology , law , mechanical engineering , social science , biochemistry , chemistry , sociology , engineering
Depression is a socially‐ and physically‐disabling condition. The Chronic Care Model (CCM) was developed to promote better management of long‐term conditions, such as depression, in primary care settings. The aim of the study was to identify barriers to, and facilitators of, success when implementing the CCM for the management of depression in primary care. A systematic search was conducted in electronic databases from January 2005 to December 2011. Thirteen articles met the inclusion criteria and were reviewed by means of a thematic analysis. The barriers were categorized under two themes: lack of organizational, administrative, and professional ability to change and implement the components of the CCM; and lack of clarity pertaining to the responsibility inherent in the role of care manager (often a nurse) when it comes to promoting the patient's self‐management ability. In terms of the facilitators of success, two themes emerged: leadership support and vision, and redesigning the delivery system. When shaping an environment for organizational change, leadership and professionals must work towards a common goal and vision. Such processes require a care manager with a clear role and responsibilities in order for the health‐care system to meet the needs of the person with depression.