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Table 6 Barriers and facilitators to delivery of systematic communication, coaching and supervision

From: Refining a model of collaborative care for people with a diagnosis of bipolar, schizophrenia or other psychoses in England: a qualitative formative evaluation

Barriers

Facilitators

Systematic communication

 • Primary care service difficult to access

 • Care partner passive approach

 • Lack of support for care partner

 • Lack of service user interest

• Primary care service hospitable

• Care partner pro-active and flexible approach

• Care partner seeks support

• Service user motivated to access support

Coaching and goal setting

 • Beliefs unsupportive of goal setting

 • Coaching incongruent with care partner style

 • Lack of supervision in use of coaching

 • Service user not motivated to change

• Goal setting valued

• Coaching congruent with care partner style

• Availability of supervision in use of coaching

• Service users motivated to change

Supervision

 • Lack of supervisor availability

 • Lack of supervisor understanding of model

 • Lack of awareness of need for change in care partner’s practice

• Supervisor makes themselves available

• Supervisor understands model

• Awareness of need to support care partner’s development