Relations between mental health team characteristics and work role performance

PLoS One. 2017 Oct 9;12(10):e0185451. doi: 10.1371/journal.pone.0185451. eCollection 2017.

Abstract

Effective mental health care requires a high performing, interprofessional team. Among 79 mental health teams in Quebec (Canada), this exploratory study aims to 1) determine the association between work role performance and a wide range of variables related to team effectiveness according to the literature, and to 2) using structural equation modelling, assess the covariance between each of these variables as well as the correlation with other exogenous variables. Work role performance was measured with an adapted version of a work role questionnaire. Various independent variables including team manager characteristics, user characteristics, team profiles, clinical activities, organizational culture, network integration strategies and frequency/satisfaction of interactions with other teams or services were analyzed under the structural equation model. The later provided a good fit with the data. Frequent use of standardized procedures and evaluation tools (e.g. screening and assessment tools for mental health disorders) and team manager seniority exerted the most direct effect on work role performance. While network integration strategies had little effect on work role performance, there was a high covariance between this variable and those directly affecting work role performance among mental health teams. The results suggest that the mental healthcare system should apply standardized procedures and evaluation tools and, to a lesser extent, clinical approaches to improve work role performance in mental health teams. Overall, a more systematic implementation of network integration strategies may contribute to improved work role performance in mental health care.

MeSH terms

  • Cooperative Behavior*
  • Health Care Reform
  • Health Personnel*
  • Health Services Accessibility
  • Humans
  • Mental Disorders / therapy*
  • Mental Health*
  • Organizational Culture
  • Patient Care Team
  • Quebec
  • Surveys and Questionnaires
  • Work Performance*
  • Workforce

Grant support

This study was funded by the Fonds de la recherche en santé du Québec (grant number 22367): http://www.frqs.gouv.qc.ca/ and the Prends soin de toi Program from AstraZeneca. MJF received the funding. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.