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Complex Interventio...
Complex Interventions and Interorganisational Relationships : Examining Core Implementation Components of Assertive Community Treatment
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- Bergmark, Magnus (author)
- Umeå University,Umeå universitet,Institutionen för socialt arbete
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- Bejerholm, Ulrika (author)
- Lund University,Lunds universitet,Psykisk hälsa, aktivitet och delaktighet,Forskargrupper vid Lunds universitet,Mental Health, Activity and Participation,Lund University Research Groups
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- Svensson, Bengt (author)
- Lund University,Lunds universitet,Psykisk hälsa och psykiatrisk hälso- och sjukvårdsforskning,Forskargrupper vid Lunds universitet,Mental Health Services Research,Lund University Research Groups
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- Markström, Urban (author)
- Umeå University,Umeå universitet,Institutionen för socialt arbete
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(creator_code:org_t)
- Ubiquity Press, 2018
- 2018
- English.
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In: International Journal of Integrated Care. - : Ubiquity Press. - 1568-4156 .- 1568-4156. ; 18:4, s. 1-11
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Introduction: There is increasing interest in implementing evidence-based integrated models of care in community-based mental health service systems. Assertive Community Treatment (ACT) is seen as an attractive, and at the same time challenging, model to implement in sectored service settings. This study investigates the implementation process of such an initiative.Methods: Interviews were conducted with ACT team members, the process leader, steering group members, and collaboration partners. The “Sustainable Implementation Scale” helped to identify critical implementation components, and these were further explored using the qualitative interview data. The “Tool for Measuring Assertive Community Treatment” addressed programme fidelity, and the initiative’s sustainability was assessed.Results: High-fidelity implementation of ACT in a sectored service setting is possible. Prominent components that facilitated implementation were careful preparations, team members’ characteristics, and efforts by the process leader and the steering group to improve networking. Implementation was hampered by conflicting goals among the involved authorities and a mismatch between the ACT model’s characteristics and existing organisational traditions and regulations.Discussion and Conclusions: Reducing the uncertainty caused by conflicting goals is an important step in improving the implementation of ACT. In order to facilitate implementation, the goals, regulations, and availability of resources should be aligned horizontally and vertically through the involved organisations.
Subject headings
- SAMHÄLLSVETENSKAP -- Sociologi -- Socialt arbete (hsv//swe)
- SOCIAL SCIENCES -- Sociology -- Social Work (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Integrated Care
- Mental Health Services
- Evidence-based Practice
- Assertive Community Treatment
- Implementation
- Case Management
Publication and Content Type
- vet (subject category)
- art (subject category)
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