The Essential Network (TEN): consulting stakeholders and experts to better understand implementation of a blended care mental health support services for Australian health professionals

Abstract

Objective: The Essential Network (TEN) is a blended care mental health support service for Australian health professionals. We conducted a series of semi-structured interviews with key stakeholders and researchers to understand health professionals’ needs, canvas suggested changes to TEN, and examine methods of improving service uptake. Method: Nine semi-structured individual or group interviews were conducted with 10 TEN stakeholders (external stakeholders) and eight interviews were conducted with 18 researchers or related roles with experience implementing or evaluating mental health services for health professionals (internal experts). De-identified transcripts were thematically analysed using an inductive and deductive approach. Results: Participants highlighted the need for confidentiality, with mandatory reporting concerns being a key barrier to health professionals engaging with mental health services. External stakeholders viewed digital services as advantageous due to accessibility and anonymity, although both groups noted that concerns around effectiveness were a barrier to engagement with digital services. Both groups agreed that peer endorsement was key to implementation. Conclusions: Digital services were viewed as promising, but best employed alongside person-to-person options in a blended care format. Services that address the unique workplace culture of healthcare, including stigma and systemic barriers to help-seeking, can create effective and scalable support for health professionals.