Table 2

Linkage enablers

Government policy and programme supportXIntegration advocated but lack of implementation strategy; No detail regarding older people's mental health
Organisational level: leadershipAuthorise/encourage team workAuthorisation around specific issues but limited meetings to enable teamwork; Concern re-permissions to attend meetings
Resources and strategiesLimited resources and formal strategy; Dedicated staff in OPMHS clinician, PATF project officer, SAFKI rural coordinator; Service funding tied to occasions of direct care
Recruitment and staff development✓✓As above recruitment into staff positions—MHFA training
Worker level partnership formation activitiesJoint development through active communication;
Share information, plan and problem solve
✓✓As the above (table 1) various meetings—works well informally in small subregion with long-term workers embedded in the community; Larger subregion needing more formalised processes
Worker attribute enablerCommitment to collaboration;
Skills in primary care and mental health; Primary care focused and flexible work style;
Ability to fit into teams
✓✓As above—committed workers discussed in service provider and consumer/carer interviews—expressed limits on participation in meetings
Evaluation and feedbackLimited but with some via the PATF communicating with the members
Proximate locationInteraction capacity✓✓Evidence of this working well in the small subregion and in some centres
  • Criteria: Older people's mental health (OPMH) specific; regional as compared to localised; and formal and regular compared to ad hoc

  • No criteria evident (X) through to all three criteria evident (✓✓✓)

  • For full description of linkage enablers see Fuller et al.17

  • MHFA, Mental Health First Aid; PATF, Positive Ageing Taskforce; SAFKI, Southern Adelaide Fleurieu Kangaroo Island.