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Implementation of individual placement and support in a first‐episode psychosis unit: A new way of working
Umeå University, Faculty of Social Sciences, Department of Social Work. Department of Health Sciences/Centre for Evidence Based Psychosocial Interventions (CEPI), Medical Faculty, Lund University, Lund, Sweden; Research and Development Unit, Sundsvall hospital, Region Västernorrland, Sundsvall, Sweden.ORCID iD: 0000-0001-9708-5159
Umeå University, Faculty of Social Sciences, Department of Social Work. Department of Health Sciences/Centre for Evidence Based Psychosocial Interventions (CEPI), Medical Faculty, Lund University, Lund, Sweden.ORCID iD: 0000-0001-8802-133x
Department of Health Sciences/Centre for Evidence Based Psychosocial Interventions (CEPI), Medical Faculty, Lund University, Lund, Sweden; Department of Health Sciences/Mental Health, Activity and Participation, Medical Faculty, Lund University, Lund, Sweden.
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. Vol. 55, no 1, p. 51-64
Keywords [en]
early intervention, individual placement and support, integrated teams, interorganizational collaboration, supported employment, vocational rehabilitation
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-170760DOI: 10.1111/spol.12611ISI: 000531800200001Scopus ID: 2-s2.0-85084497391OAI: oai:DiVA.org:umu-170760DiVA, id: diva2:1430482
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

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Hillborg, HeleneBergmark, Magnus

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