SHAReD: Shared Health Arrangements Research & Development

Project Status
Current

Chief investigators 
CPHCE: Mark Harris, Catherine Spooner, Ben Harris-Roxas; SLHD: Andrew McDonald, Andrew Simpson, Lisa Parcsi, Owen Hutchings; USYD: Andrew Baillie, Michelle Cunich; CESPHN: Michael Moore

Project coordinator
Catherine Spooner

Team members
Jane Taggart

Project Rationale

People with severe mental illness have at least 15 years reduced life expectancy and decreased quality of life because of heart disease, diabetes and other conditions that can be prevented by good physical health care. This can be improved by better preventive care for this population in general practice. This care is often not received due to lack of access to primary care or problems with communication and coordination between mental health services and GPs. Sydney Local Health District, along with other Local Health Districts in NSW have begun to address this in partnership with local Primary Health Networks by establishing shared care programs. However, these are limited by ineffective ways to communicate and plan care including the ability track tasks to ensure that nothing is missed, and so that the patient and their carers can be fully informed. 

Project Aim

To investigate the adaptability, effectiveness, cost-effectiveness and replicability of a web-based shared care plan and telehealth in NSW Health mental health and primary care settings. 

Project Design and Method

Methodology: Pragmatic trial with randomisation of four community mental health teams in SLHD.  

Intervention:  An interactive web-based, shared care plan to facilitate coordinated and planned care of SLHD mental health service patients accessible by GP, SLHD mental health service case managers, patients & carers.