Facilitators and Barriers for Sustainable Implementation of Integrated Support in a Sectored Community Mental Health Service System : Experiences from a Swedish Project

• Aim: The present research project, reported in several published articles, have studied the implementation of integrated support models (IPS and ACT). Implementation strategies used at several levels have been analyzed, including the national political level, organizational level and team level. This presentation aims to discuss the main findings of barriers and facilitators for sustainable implementation of these interventions in a sectored community mental health service system.Method: Qualitative content analysis was used to analyze political steering strategies. The Sustainable Implementation Scale, based on findings from implementation science, was used to assess effectiveness of implementation. The Supported Employment Fidelity Scale and Tool for Assessment of Assertive Community Treatment was used to assess program fidelity of 15 programs. Data of the selected programs’ target groups and sustainability was used in order to assess the programs establishment in the welfare system’s regular services.Results: Sustainable implementation of the selected models is possible, but several barriers in and between different organizational levels exist. Preparations and collaboration strategies are crucial for teams and organizations. The system level includes several inconsistencies that hamper effective implementation.Conclusions: Political steering, involved agencies’ organizations and the models supposed to be implemented has to be better aligned. A more holistic approach is needed in order to promote supportive horizontal and vertical inter-organizational relationships.

Nyckelord

psychosocial interventions

implementation

community mental health services

Publikations- och innehållstyp

vet (ämneskategori)

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