2023-09-28 14:46:10 +00:00
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abstract: 'Background Intersectoral collaboration is fundamental to the provision
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of people-centred mental health care, yet there is a dearth of research
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about how this strategy operates within mental health systems in low-
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and middle-income countries. This is problematic given the known
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attitudinal, structural and resource barriers to intersectoral
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collaboration in high-income country mental health systems. This study
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was conducted to investigate intersectoral collaboration for
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people-centred mental health care in Timor-Leste, a South-East Asian
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country in the process of strengthening its mental health system.
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Methods This study employed a mixed-methods convergent design.
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Qualitative data elicited from in-depth interviews with 85 key
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stakeholders and document review were complemented with quantitative
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social network analysis to assess understandings of, the strength and
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structure of intersectoral collaboration in the Timorese mental health
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system. Results There was consensus among stakeholder groups that
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intersectoral collaboration for mental health is important in
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Timor-Leste. Despite resource restrictions discussed by participants,
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interview data and social network analysis revealed evidence of
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information and resource sharing among organisations working within the
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health and social (disability and violence support) sectors in
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Timor-Leste (network density = 0.55 and 0.30 for information and
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resource sharing, respectively). Contrary to the assumption that mental
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health services and system strengthening are led by the Ministry of
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Health, the mixed-methods data sources identified a split in stewardship
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for mental health between subnetworks in the health and social sectors
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(network degree centralisation = 0.28 and 0.47 for information and
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resource sharing, respectively). Conclusions Overall, the findings
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suggest that there may be opportunities for intersectoral collaborations
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in mental health systems in LMICs which do not exist in settings with
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more formalised mental health systems such as HICs. Holistic
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understandings of health and wellbeing, and a commitment to working
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together in the face of resource restrictions suggest that intersectoral
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collaboration can be employed to achieve people-centred mental health
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care in Timor-Leste.'
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affiliation: 'Hall, T (Corresponding Author), Univ Melbourne, Nossal Inst Global Hlth,
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333 Exhibit St, Melbourne, Vic 3004, Australia.
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Hall, Teresa; Armstrong, Greg, Univ Melbourne, Nossal Inst Global Hlth, 333 Exhibit
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St, Melbourne, Vic 3004, Australia.
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Kakuma, Ritsuko, London Sch Hyg \& Trop Med, Ctr Global Mental Hlth, London, England.
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Kakuma, Ritsuko; Minas, Harry, Univ Melbourne, Ctr Mental Hlth, Melbourne, Vic,
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Australia.
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Palmer, Lisa, Univ Melbourne, Sch Geog, Melbourne, Vic, Australia.
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Martins, Joao, Natl Univ Timor Leste, Fac Med \& Hlth Sci, Dili, Timor-Leste.'
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article-number: '72'
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author: Hall, Teresa and Kakuma, Ritsuko and Palmer, Lisa and Minas, Harry and Martins,
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Joao and Armstrong, Greg
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author-email: teresa.hall@unimelb.edu.au
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author_list:
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- family: Hall
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given: Teresa
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- family: Kakuma
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given: Ritsuko
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- family: Palmer
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given: Lisa
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- family: Minas
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given: Harry
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- family: Martins
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given: Joao
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- family: Armstrong
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given: Greg
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da: '2023-09-28'
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doi: 10.1186/s13033-019-0328-1
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files: []
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issn: 1752-4458
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journal: INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS
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keywords: 'Intersectoral collaboration; Governance; Global mental health;
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Timor-Leste; Asia Pacific'
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keywords-plus: GOVERNANCE; SYSTEMS; DISORDERS; FRAMEWORK; SECTORS; POLICY
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language: English
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month: NOV 16
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number: '1'
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number-of-cited-references: '64'
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orcid-numbers: 'Armstrong, Gregory/0000-0002-8073-9213
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Kakuma, Ritsuko/0000-0002-0196-2100
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Palmer, Lisa/0000-0003-3571-5404'
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papis_id: 50bb9de323f8ab15cd087d09f21681d8
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ref: Hall2019intersectoralcollabo
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researcherid-numbers: 'Armstrong, Gregory/K-1068-2015
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'
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times-cited: '5'
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title: 'Intersectoral collaboration for people-centred mental health care in Timor-Leste:
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a mixed-methods study using qualitative and social network analysis'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000497746000002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '13'
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web-of-science-categories: Psychiatry
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year: '2019'
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