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Lookup NU author(s): Adele Elliott,
Dr Stuart Watson,
Dr Guy Dodgson
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists.Background Bipolar disorder is a chronic mental health condition, which can result in functional impairment despite medication. A large evidence base supports use of psychological therapies and structured care in the treatment of mood disorders, but these are rarely implemented. e-Pathways are digital structures that inform and record patient progress through a healthcare system, although these have not yet been used for bipolar disorder. Aims To assess the perceived benefits and costs associated with implementing a collaborative NICE-informed e-pathway for bipolar disorder. Method Healthcare professionals and people with bipolar disorder attended a workshop to share feedback on e-pathways. Data were collected through questionnaires (n = 26) and transcription of a focus group, analysed qualitatively by a framework analysis. Results Patients and healthcare professionals welcomed the development of an e-pathway for bipolar disorder. There were five elements to the framework: quality and delivery of care, patient-clinician collaboration, flexibility and adaptability, impact on staff and impact on healthcare services. Conclusions Identification of benefits and costs ensures that future development of e-pathways addresses concerns of healthcare professionals and people with bipolar disorder, which would be essential for successful implementation. Recommendations for this development include making e-pathways less complicated for patients, ensuring sufficient training and ensuring clinicians do not feel their skills become invalidated. Limitations of the study, and directions for future research, are discussed.
Author(s): Elliott AL, Watson S, Dodgson G, Cohen-Tovee E, Ling J
Publication type: Article
Publication status: Published
Journal: BJPsych Open
Online publication date: 08/03/2021
Acceptance date: 07/02/2021
Date deposited: 28/06/2021
ISSN (electronic): 2056-4724
Publisher: Cambridge University Press
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