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Facilitators and Barriers for Sustainable Implementation of Integrated Support in a Sectored Community Mental Health Service System: Experiences from a Swedish Project.
Umeå University, Faculty of Social Sciences, Department of Social Work. (CEPI)ORCID iD: 0000-0001-8802-133X
Lunds universitet, Institutionen för hälsovetenskaper..
Lunds Universitet.
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0002-6330-5640
2017 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

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.

Place, publisher, year, edition, pages
2017.
Keywords [en]
psychosocial interventions, implementation, community mental health services
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:umu:diva-141357OAI: oai:DiVA.org:umu-141357DiVA, id: diva2:1153564
Conference
ENMESH 2017, 12th Conference of the European Network for Mental Health Service Evaluation: CONCEPTUALIZING, MEASURING AND INFLUENCING CONTEXT IN MENTAL HEALTH CARE: FROM THE INDIVIDUAL TO SOCIETY, October 5, 6 & 7, 2017, Groningen, the Netherlands
Available from: 2017-10-30 Created: 2017-10-30 Last updated: 2018-06-09

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Bergmark, MagnusMarkström, Urban

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf