{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T17:34:28Z","timestamp":1767980068318,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100015006","name":"Western Alliance Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100015006","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Effective care transitions are critical to patient safety and recovery in mental healthcare, yet they remain a point of vulnerability due to fragmented communication, restrictive practices and systemic pressures. This study aimed to identify priority issues and leverage points for improving care transitions in a regional acute mental health service using group model building (GMB), a structured systems thinking co\u2010design approach. Seventeen participants\u2014including service users, family carers and healthcare workers\u2014engaged in a series of participatory workshops to map the factors influencing care transitions. With the use of causal loop diagrams and network analysis, the study identified key leverage points for intervention including patient empowerment, staff empathy, self\u2010advocacy and integration of lived experience roles, alongside systemic barriers such as bed pressures and hierarchical decision\u2010making. Findings highlighted staff communication and the lived experience workforce as central to improving care transitions, fostering trust and enhancing service user autonomy. Participants identified nine action areas for further exploration, including increased service user involvement in decision\u2010making, expanded peer workforce integration and enhanced staff training in trauma\u2010informed care and Safewards principles. This research demonstrates that structured systems thinking methods, particularly GMB, can provide actionable, system\u2010level insights for improving mental health service delivery.<\/jats:p>","DOI":"10.1111\/inm.70176","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T08:24:02Z","timestamp":1763799842000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing Care Transition Pathways in Regional Acute Mental Healthcare Settings: Insights From Lived Experience Group Model Building Workshops"],"prefix":"10.1111","volume":"34","author":[{"given":"Tari","family":"Forrester\u2010Bowling","sequence":"first","affiliation":[{"name":"Faculty of Health, School of Health and Social Development, Institute for Health Transformation Deakin University  Geelong Australia"},{"name":"Change to Improve Mental Health (CHIME) Translational Research Partnership Barwon Health and Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5766-2388","authenticated-orcid":false,"given":"Stephanie","family":"Bennetts","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Health and Social Development, Institute for Health Transformation Deakin University  Geelong Australia"},{"name":"Change to Improve Mental Health (CHIME) Translational Research Partnership Barwon Health and Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4989-4928","authenticated-orcid":false,"given":"James","family":"McLure","sequence":"additional","affiliation":[{"name":"Change to Improve Mental Health (CHIME) Translational Research Partnership Barwon Health and Deakin University  Geelong Australia"},{"name":"Mental Health Drug and Alcohol Service, Barwon Health  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Peeters","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Health and Social Development, Institute for Health Transformation Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debbie","family":"Scott","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Health and Social Development, Institute for Health Transformation Deakin University  Geelong Australia"},{"name":"School of Public Health and Social Work Queensland University of Technology  Brisbane Australia"},{"name":"School of Psychology Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5554-6946","authenticated-orcid":false,"given":"Michael","family":"Berk","sequence":"additional","affiliation":[{"name":"Change to Improve Mental Health (CHIME) Translational Research Partnership Barwon Health and Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Moylan","sequence":"additional","affiliation":[{"name":"Change to Improve Mental Health (CHIME) Translational Research Partnership Barwon Health and Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renae","family":"Carolin","sequence":"additional","affiliation":[{"name":"Change to Improve Mental Health (CHIME) Translational Research Partnership Barwon Health and Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J.","family":"Lucas","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Health and Social Development, Institute for Health Transformation Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/905934"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13352"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/ort0000208"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCM.0000000000000387"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czac064"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.20220085"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-46531-z"},{"key":"e_1_2_16_9_1","unstructured":"Department of Health.2023a.\u201cMental Health and Wellbeing Act 2022 Victoria Australia.\u201dhttps:\/\/www.legislation.vic.gov.au\/in\u2010force\/acts\/mental\u2010health\u2010and\u2010wellbeing\u2010act\u20102022\/001."},{"key":"e_1_2_16_10_1","unstructured":"Department of Health.2023b.\u201cSafewards Victoria.\u201dhttps:\/\/www.health.vic.gov.au\/practice\u2010and\u2010service\u2010quality\/safewards\u2010victoria."},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0284765"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13451"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-92"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/17522439.2016.1145731"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-020-0230-x"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-10034-4"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15289-4"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-07104-w"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0165459"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13024"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/10398562231189437"},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3432419"},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.2196\/50463"},{"key":"e_1_2_16_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231205789"},{"key":"e_1_2_16_25_1","volume-title":"Protocol for the Development of the CO\u2010Creation REporting Standards (CORES) for Research","author":"Pearce G.","year":"2023"},{"key":"e_1_2_16_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12294"},{"key":"e_1_2_16_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13206"},{"key":"e_1_2_16_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08863-w"},{"key":"e_1_2_16_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-020-0528-9"},{"key":"e_1_2_16_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011000010376416"},{"key":"e_1_2_16_31_1","unstructured":"State of Victoria.2021.Royal Commission into Victoria's Mental Health System Final Report Volume 1: A New Approach to Mental Health and Wellbeing in Victoria Parl Paper No. 202 Session 2018\u20132021 (Document 2 of 6)."},{"key":"e_1_2_16_32_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1078478"},{"key":"e_1_2_16_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-017-0174-y"},{"key":"e_1_2_16_34_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000093"},{"key":"e_1_2_16_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4658-0"},{"key":"e_1_2_16_36_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3222211"},{"key":"e_1_2_16_37_1","volume-title":"World Mental Health Report: Transforming Mental Health for All","author":"WHO","year":"2022"},{"key":"e_1_2_16_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2022.102955"}],"container-title":["International Journal of Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inm.70176","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T13:19:38Z","timestamp":1767964778000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/inm.70176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,22]]},"references-count":37,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/inm.70176"],"URL":"https:\/\/doi.org\/10.1111\/inm.70176","archive":["Portico"],"relation":{},"ISSN":["1445-8330","1447-0349"],"issn-type":[{"value":"1445-8330","type":"print"},{"value":"1447-0349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,22]]},"assertion":[{"value":"2025-07-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70176"}}