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Publications (10 of 17) Show all publications
Bergmark, M. (2023). Den kunskapsbaserade arbetsplatsen. In: : . Paper presented at Fokus: forskning i socialtjänsten, Växjö, Sverige, 7 mars, 2023.
Open this publication in new window or tab >>Den kunskapsbaserade arbetsplatsen
2023 (Swedish)Conference paper, Oral presentation only (Other academic)
Abstract [sv]

Presentation av ett projekt som har undersökt erfarenheter av att införa vetenskapligt förankrade arbetsmetoder på området psykisk ohälsa i svensk glesbygd. Bland annat har en kartläggning av 10 glesbygdskommuner genomförts, samt ett utvecklingsarbete där forskare och praktik tillsammans har utformat strategier för att stärka det lokala implementeringsarbetet. Med Magnus Bergmark, socionom och fil.dr. i socialt arbete. Tillsammans med två representanter från Åre kommun, Marie Vackermo, projektledare och Andreas Backlund, arbetsmarknadskoordinator.

National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-222597 (URN)
Conference
Fokus: forskning i socialtjänsten, Växjö, Sverige, 7 mars, 2023
Available from: 2024-03-21 Created: 2024-03-21 Last updated: 2024-03-22Bibliographically approved
Grim, K., Bergmark, M., Argentzell, E. & Rosenberg, D. (2023). Managing Peer Support Workers in Swedish Mental Health Services: A Leadership Perspective on Implementation and Sustainability. Journal of Psychosocial Rehabilitation and Mental Health, 10, 313-329
Open this publication in new window or tab >>Managing Peer Support Workers in Swedish Mental Health Services: A Leadership Perspective on Implementation and Sustainability
2023 (English)In: Journal of Psychosocial Rehabilitation and Mental Health, ISSN 2198-9834, E-ISSN 2198-963X, Vol. 10, p. 313-329Article in journal (Refereed) Published
Abstract [en]

Even though it has been demonstrated that peer support contributes to positive outcomes for service users, organizational implementation issues remain. The aim of the current study was to examine an implementation of peer support from the perspective of managers in order to develop knowledge of factors influencing sustainability of this initiative. Eighteen managers were interviewed in connection with the introduction of peer support in sixteen mental health settings. Interviews were analyzed utilizing inductive and deductive approaches. The results suggested that managers were predominantly positive in their evaluation of peer support as a recovery-oriented addition to their services, but noted developmental issues regarding role, professional identity, supervision and financing in relation to other traditional personnel. The involvement of the user movement, especially with regard to training and supervision helped prepare staff and support peer workers, yet there was some apprehension attached to the critical scrutiny that this `outsider’ perspective might imply. The results confirm previously noted uncertainties regarding peer support as an integrated component of mental health systems and illuminate a number of culturally conditioned challenges that may hamper peer support from being implemented with the same approach as other interventions. In response, the present study suggests a number of focus areas that should be attended to in future implementation efforts, including issues related to staff roles, power dynamics, connection to the user movement and reconsideration of the value of experience-based knowledge. In the Swedish context, a government level commitment was identified as critical to ensure stable funding.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Peer support, Manager perspectives, Sustainable implementation, Mental health services
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-200329 (URN)10.1007/s40737-022-00311-6 (DOI)2-s2.0-85139936854 (Scopus ID)
Funder
Karlstad University
Available from: 2022-10-15 Created: 2022-10-15 Last updated: 2023-09-04Bibliographically approved
Snellman, M.-L., Svenlin, A.-R., Burén, L., Jägerving Isaksson, C., Snellman, F., Bergmark, M. & Blom, B. (2023). What needs must be met for older people to be able to stay at home longer?: A scoping review by multi-professional collaborators. In: : . Paper presented at FORSA 2023 Conference – Social work in changing times- challenges and new opportunities. Bodø, Norway, June 14-16, 2023.
Open this publication in new window or tab >>What needs must be met for older people to be able to stay at home longer?: A scoping review by multi-professional collaborators
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2023 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

Background: In Sweden and in many other countries, the proportion of older people will increase dramatically over the next ten years. Resources such as residential care will not be sufficient for the needs within the target group to the same extent as today. Organizations responsible for care needs to initiate new solutions to promote older people’s independence, active participation to extend the age of onset for elderly care interventions. This societal challenge was investigated through a scoping review with an overarching research question: What needs must be met for older people to be able to stay at home longer?

Review: Sub-questions were designed informed by Maslow’s hierarchy of needs. Which conditions make it possible for older people to stay at home longer regarding: 1) the person her/himself?, 2) the housing?, 3) the social relations?, 4) the surroundings? Several databases and search engines were used to search for a range of literature published 2000-2021, in English and Scandinavian languages. The search resulted in approx. 2500 abstracts of which 386 publications were selected.

Results: A preliminary assessment indicates that:

- the research area is heterogeneous (many different disciplines, target groups, questions, designs and theories).

- the publications include person-related factors (73%), environment-related factors (19%) and housing factors (8%).

- person-related factors include physical conditions (35%), psychological conditions (24%) and social relationships (13%).

We will present a compilation of preconditions that enable older people to stay at home longer, as well as demonstrate a model of how these preconditions are interrelated.

National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-213011 (URN)
Conference
FORSA 2023 Conference – Social work in changing times- challenges and new opportunities. Bodø, Norway, June 14-16, 2023
Available from: 2023-08-18 Created: 2023-08-18 Last updated: 2023-08-18Bibliographically approved
Bergmark, M., Richter Sundberg, L., Markström, U. & Rosenberg, D. (2022). Evidence-based Methods in Rural Areas – Knowledge and National Guideline Utilization in Mental Health Service Development. Journal of Evidence-Based Social Work, 19(2), 161-184
Open this publication in new window or tab >>Evidence-based Methods in Rural Areas – Knowledge and National Guideline Utilization in Mental Health Service Development
2022 (English)In: Journal of Evidence-Based Social Work, ISSN 1543-3714, E-ISSN 1543-3722, Vol. 19, no 2, p. 161-184Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To examine how rural municipalities develop services to people with serious mental illness in relation to evidence-based practice and national guidelines. Additional sources of knowledge and strategies used by the municipalities in relation to their development needs were explored as well.

METHOD: Qualitative multiple-case approach, with 43 deep-interviews involving 84 informants representing selected social psychiatric services from 11 sites.

RESULTS: National guidelines and evidence-based practices have a limited impact on how rural municipalities develop services to the target group. The municipalities favor other sources of knowledge, including regional networks, pragmatic problem-solving approaches and community-based knowledge.

DISCUSSION AND CONCLUSION:  Most of the informants expressed a need for more systematic and evidence-based knowledge in order to meet their clients’ needs. A major challenge to improve the utilization of these methods, is to make adaptions to match the rural municipalities’ needs and actual resources without risking the quality of these evidence-based services.

Place, publisher, year, edition, pages
Routledge, 2022
Keywords
Rural, evidence-based, mental health services, guidelines, knowledge
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-190161 (URN)10.1080/26408066.2021.2001401 (DOI)000728761500001 ()2-s2.0-85121370954 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-01344
Available from: 2021-12-07 Created: 2021-12-07 Last updated: 2023-09-05Bibliographically approved
Hillborg, H., Bergmark, M. & Bejerholm, U. (2021). Implementation of individual placement and support in a first‐episode psychosis unit: A new way of working. Social Policy & Administration, 55(1), 51-64
Open this publication in new window or tab >>Implementation of individual placement and support in a first‐episode psychosis unit: A new way of working
2021 (English)In: Social Policy & Administration, ISSN 0144-5596, E-ISSN 1467-9515, Vol. 55, no 1, p. 51-64Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to explore the IPS implementation process in a first‐episode psychosis (FEP) mental health service team in Sweden. More specifically, the study explores how integration processes and critical situations are perceived over time by team members who originated from two diverse welfare organizations. A serial interview design was used (initially, at 6 and 12 months) to describe experiences of 16 team members. Material was analyzed using a constant comparison grounded theory approach. Team members dealt with the ambivalence of sharing mental health information, and whether the new way of working was a risk or benefit for users. They gradually learned new perspectives and knowledge, built trust and shared common views. After a year, the team workload perceived reduced and became person‐centred. Some members described remaining unclear roles and requested further support. Negotiated goals for integration and early knowledge transfer are critical. Organizational change and trusting team relationships have to be facilitated. Anticipated gains of integration should be clearly described and discussed early on, and continuous support for sustainability should be considered. This study confirmed the importance and potential of integrating IPS into FEP teams.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
early intervention, individual placement and support, integrated teams, interorganizational collaboration, supported employment, vocational rehabilitation
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-170760 (URN)10.1111/spol.12611 (DOI)000531800200001 ()2-s2.0-85084497391 (Scopus ID)
Funder
Stockholm County Council
Note

Stöd av en donation av MISA.

Available from: 2020-05-15 Created: 2020-05-15 Last updated: 2023-03-23Bibliographically approved
Bergmark, M., Bejerholm, U. & Markström, U. (2019). Implementation of evidence-based interventions: analyzing critical components for sustainability in community mental health services. Social Work in Mental Health, 17(2), 129-148
Open this publication in new window or tab >>Implementation of evidence-based interventions: analyzing critical components for sustainability in community mental health services
2019 (English)In: Social Work in Mental Health, ISSN 1533-2985, E-ISSN 1533-2993, Vol. 17, no 2, p. 129-148Article in journal (Refereed) Published
Abstract [en]

This study analyses the implementation and sustainability of evidence-based community mental health services in the form of publicly financed Individual Placement and Support programs. Critical implementation components and program fidelity were assessed after one year. After two years, program fidelity was assessed once again. After three years, the programs’ sustainability was assessed and semi-structured interviews performed, in order to deepen the understanding of implementation. Interviews and documents provided the quantitative and qualitative data, which were analyzed by the use of the Supported Employment Fidelity Scale, the Sustainable Implementation Scale (which was developed in a connecting study), and qualitative content analysis. Despite promising fidelity results after one year, eight out of 14 programs were terminated within three years. Implementation of integrated evidence-based programs in community-based settings is a delicate undertaking. Implementing agencies can benefit from rigorous preparation before program start, especially concerning the circumstances at the organizational level, such as making plans for collaboration, financing and assessments of program fidelity.

Place, publisher, year, edition, pages
Routledge, 2019
Keywords
Community mental health, evidence-based, implementation, IPS, practice, Psychosocial
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-143118 (URN)10.1080/15332985.2018.1511500 (DOI)000469988700001 ()2-s2.0-85053301348 (Scopus ID)
Funder
Swedish National Board of Health and Welfare, 33716/2011
Note

Originally included in thesis in manuscript form.

Available from: 2017-12-18 Created: 2017-12-18 Last updated: 2019-06-20Bibliographically approved
Bergmark, M., Bejerholm, U., Svensson, B. & Markström, U. (2018). Complex Interventions and Interorganisational Relationships: Examining Core Implementation Components of Assertive Community Treatment. International Journal of Integrated Care, 18(4), 1-11
Open this publication in new window or tab >>Complex Interventions and Interorganisational Relationships: Examining Core Implementation Components of Assertive Community Treatment
2018 (English)In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 18, no 4, p. 1-11Article in journal (Other academic) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Ubiquity Press, 2018
Keywords
Integrated Care, Mental Health Services, Evidence-based Practice, Assertive Community Treatment, Implementation, Case Management
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-143121 (URN)10.5334/ijic.3547 (DOI)2-s2.0-85062000833 (Scopus ID)
Funder
Swedish National Board of Health and Welfare, 33716/2011
Note

Originally included in thesis in manuscript form 

Available from: 2017-12-18 Created: 2017-12-18 Last updated: 2023-03-24Bibliographically approved
Bergmark, M., Bejerholm, U. & Markström, U. (2018). Critical Components in Implementing Evidence-based Practice: A Multiple Case Study of Individual Placement and Support for People with Psychiatric Disabilities. Social Policy & Administration, 52(3), 790-808
Open this publication in new window or tab >>Critical Components in Implementing Evidence-based Practice: A Multiple Case Study of Individual Placement and Support for People with Psychiatric Disabilities
2018 (English)In: Social Policy & Administration, ISSN 0144-5596, E-ISSN 1467-9515, Vol. 52, no 3, p. 790-808Article in journal (Refereed) Published
Abstract [en]

When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence-based practice (EBP). Individual Placement and Support (IPS) is an evidence-based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, we have followed three IPS demonstration sites for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research (Damschroder et al. 2009). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
Community mental health, Implementation, Evidence-based practice, Individual placement and support, Severe mental illness, Organizational settings
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-124616 (URN)10.1111/spol.12243 (DOI)000430084700014 ()2-s2.0-84994574735 (Scopus ID)
Available from: 2016-08-17 Created: 2016-08-17 Last updated: 2023-03-24Bibliographically approved
Markström, U., Svensson, B., Bergmark, M., Hansson, L. & Bejerholm, U. (2018). What influences a sustainable implementation of evidence-based interventions in community mental health services?: development and pilot testing of a tool for mapping core components. Journal of Mental Health, 395-401
Open this publication in new window or tab >>What influences a sustainable implementation of evidence-based interventions in community mental health services?: development and pilot testing of a tool for mapping core components
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2018 (English)In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, p. 395-401Article in journal (Refereed) Published
Abstract [en]

Background: An important aspect of research regarding the implementation of evidence-based practice is the sustainability and long-term stability of a programme. There is a need to measure these critical components for establishing successful programmes.

Aim: The aim was to develop and pilot test the sustainable implementation scale (SIS) for measuring the critical components in the sustainable implementation of community mental health services.

Method: The scale was based on implementation research and consisted of three subscales regarding (1) the organisational level, (2) the team level and (3) continuous support. Data from interviews and documents were collected from 14 programmes implementing the Individual Placement and Support model of supported employment.

Results: Internal consistency was acceptable for all subscales and for the scale as a whole. Regarding the scale, an analysis of the differences between fully established programmes and the programmes that were not established or were or only partially established after three years showed statistically significant differences, indicating that a greater number of implementation components were present in the fully established programmes.

Conclusions: SIS showed both good reliability and acceptable internal consistency as well as the ability to predict programme survival.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Community mental health services, implementation, individual placement and support, sustainability
National Category
Social Work
Research subject
caring sciences in social sciences
Identifiers
urn:nbn:se:umu:diva-143211 (URN)10.1080/09638237.2017.1417544 (DOI)000451258600003 ()29252043 (PubMedID)2-s2.0-85038385495 (Scopus ID)
Funder
Swedish National Board of Health and Welfare
Available from: 2017-12-19 Created: 2017-12-19 Last updated: 2023-03-24Bibliographically approved
Bergmark, M., Bejerholm, U., Svensson, B. & Markström, U. (2017). Facilitators and Barriers for Sustainable Implementation of Integrated Support in a Sectored Community Mental Health Service System: Experiences from a Swedish Project. In: ENMESH - The context of mental health care: Groningen 2017 - Abstractbook. Paper presented at ENMESH 2017, 12th Conference of the European Network for Mental Health Service Evaluation, October 5-7, 2017, Groningen, the Netherlands (pp. 134).
Open this publication in new window or tab >>Facilitators and Barriers for Sustainable Implementation of Integrated Support in a Sectored Community Mental Health Service System: Experiences from a Swedish Project
2017 (English)In: ENMESH - The context of mental health care: Groningen 2017 - Abstractbook, 2017, p. 134-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.

Keywords
psychosocial interventions, implementation, community mental health services
National Category
Social Sciences
Identifiers
urn:nbn:se:umu:diva-141357 (URN)
Conference
ENMESH 2017, 12th Conference of the European Network for Mental Health Service Evaluation, October 5-7, 2017, Groningen, the Netherlands
Available from: 2017-10-30 Created: 2017-10-30 Last updated: 2020-11-25Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8802-133x

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