Browsing by Person "Irvine Fitzpatrick, Linda"

Now showing 1 - 3 of 3

An exploration of intersectoral partnerships for people with multiple and complex needs: a realist informed qualitative study
(Queen Margaret University, Edinburgh, 2019) Irvine Fitzpatrick, Linda
The well-being of people with complex and multiple needs is impacted upon by the interplay of life experiences, social determinants, contextual factors, and health conditions. People with multiple and complex needs are considered to include but not be limited to  People with severe and enduring mental health problems  People who are in contact with the criminal justice system  People with substance misuse problems  People whose life opportunities are limited due to income  People who have experienced significant trauma Despite policy imperatives, there remains a lack of systematic knowledge and practice relating to what works, for which people, and under which set of circumstances. Evaluating the evidence base for interventions for people with complex and multiple needs is complicated by several factors. Historically (and currently), interventions tend to be focused on a diagnosis, behaviours, or for a particular age range. Too often, professional services look at behaviour and conditions without exploring the wider set of relationships and opportunities and life disruptions that people might have experienced or are experiencing. Within the Lothian area, a number of intersectoral partnerships (ISPs) have been developed, focused on improving health, well-being, and opportunities for people with multiple and complex needs. The partnerships are intersectoral in that they include statutory, private, and voluntary partners working together to provide innovative interventions and services for people with multiple and complex needs. Lothian’s ISPs provide support to individuals, in response to specific needs, and may be defined by geographical locations or in respect to service requirements. However, common features of good practice are obscured by differing models for provision, apparently dissimilar client groups, and a diversity of providers and contributors. Key success features and elements of effective practice require investigation and synthesis. The current research used qualitative and realist methods to propose a “programme theory” of effective intersectoral partnership based on ISPs within Lothian. Qualitative data were gathered from 18 key informants from 6 Lothian-based ISPs. A clearer, more rigorous, and systematic understanding of ISPs for people with complex and multiple needs has been developed, with recommendations for how programmes might be developed in other areas or otherwise expanded. The Incite model is the summary descriptor of the refined programme theory. The model contains the programme theory of context, mechanisms, and outcomes which should be considered in the development of an intersectoral partnership. How the Incite model may be operationalised is discussed in the thesis, as well as implications for policy, practice and research.
Formulating the Edinburgh Wellbeing Pact: intersectoral practice, innovation and coproduction for health and social care change during and after COVID-19
(Emerald, 2025-02-11) Irvine Fitzpatrick, Linda; Maciver, Donald
Purpose This paper aims to present a case study of the early “formulation” activities that laid the foundation for the Edinburgh Wellbeing Pact, developed during and after the COVID-19 pandemic. The Pact aimed to foster partnership between service providers and citizens to prevent crises, empower individuals to manage their health and independence at home and strengthen the health and social care network in Edinburgh. Design/methodology/approach The study involved a retrospective review of documentary data, including reports, meeting notes, reflections and strategy documents. The analysis was led by the programme lead, who played a central role in the design and implementation of the Pact. Findings The formulation phase focused on building the Pact’s foundation through dialogues with citizens, staff, communities and stakeholders. It emphasised the development of the Pact’s vision and the establishment of key partnerships. This process was crucial for ensuring collaboration and guiding the transition from ideas to implementation. It led to the creation of key messages for staff, citizens and community partners. The formulation phase also facilitated the transfer of power and resources to citizens and enabled the creation of new funded initiatives, which introduced new service delivery models and strengthened collaboration between public and third sectors. Originality/value This case study contributes to understanding innovation in intersectoral practices, co-creation and co-production as strategies for addressing complex health and social care challenges. It provides insights for others engaged in similar initiatives.
Predictors of discharge from hospital to supported accommodation and support needs once in supported accommodation for people with serious mental illness in Scotland: a linked national dataset study.
(Wiley, 2024-09-20) Harrison, Michele; Irvine Fitzpatrick, Linda; Maciver, Donald
Background: Many individuals with serious mental illness live in supported accommodation. Decisions regarding type of supported accommodation required and level of support to meet individual’s needs are crucial for continuing rehabilitation and recovery following admission to hospital. This study aimed to identify personal and contextual predictive factors for (1) discharge from hospital to different levels of supported accommodation and (2) self-directed support needs of individuals with serious mental illness once they are in supported accommodation in Scotland. Method: Linked data from the Scottish Morbidity Record – Scottish Mental Health and Inpatient Day Case Section and the Scottish Government Social Care Survey were analysed using multinomial regression and multivariable logistic regression to identify personal and contextual factors associated with accommodation destination at the time of discharge and four self-directed support needs: personal care; domestic care; healthcare; social, educational and recreational. Results: Personal factors (age and having a diagnosis of schizophrenia, schizotypal or delusional disorder) were associated with individuals moving to supported accommodation with higher levels of support. One contextual factor, compulsory detention when admitted to hospital, decreased the likelihood of moving to any type of supported accommodation. The personal and contextual factors associated with identified self-directed support needs varied by need. Support provided by the local authority was associated with all self-directed support needs, with having a diagnosis of schizophrenia, schizotypal or delusional disorder associated with identifying domestic care, healthcare and social, educational and recreational needs, while living in the most deprived areas was associated with identifying healthcare needs. Advancing age and being compulsorily detained decreased the likelihood of identifying a social, educational and recreational needs. Conclusion: The study highlights that older men with a diagnosis of schizophrenia, schizotypal or delusional disorder require higher levels of support upon discharge from hospital. When living in supported accommodation having this diagnosis increases the likelihood of identifying support with looking after the home, looking after their health and social and recreational activities, however being older decreases the likelihood of identifying support with social and recreational activities.