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A Qualitative Study on the Implementation of Flexible Assertive Community Treatment – an Integrated Community-based Treatment Model for Patients with Severe Mental Illness Cover

A Qualitative Study on the Implementation of Flexible Assertive Community Treatment – an Integrated Community-based Treatment Model for Patients with Severe Mental Illness

Open Access
|Apr 2021

Figures & Tables

Table 1

Major themes organised within a frame of implementation theory.

Theme 1: Reactions to the organisational change
This theme concerns the beliefs and attitudes of FACT held by the interviewed practitioners, which involves perceptions related to the need for and potential benefits of FACT.a
Theme 2: The integration of two organisational cultures
This theme describes the integration of ACT and CMHT to establish FACT and the organisational cultures underlying the practitioners’ behaviour.b
Theme 3: FACT model characteristics – implementation strategies and challenges
This theme refers to characteristics of the FACT model and how applicable they were with daily practice, as seen from the perspective of the practitioners. We also identified adaptation processes to fit the practitioners’ preferences or organisational capacity.c

[i] a Based on the concept “mental models” described by Nielsen and Randall.

b Based on the concept “organisational culture” described by Nielsen and Randall.

c Based the concept “model characteristics” and “adaptations” described by Durlak and Dupré.

ijic-21-2-5540-g1.png
Figure 1

Example of FACT practitioners’ descriptions of benefits, challenges and adaptations of shared caseload.

ijic-21-2-5540-g2.png
Figure 2

Example of FACT practitioners’ descriptions of benefits and challenges of outreach work.

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Figure 3

Example of FACT practitioners’ descriptions of perceived benefits, challenges and strategies regarding the integration of FACT and inpatient services.

DOI: https://doi.org/10.5334/ijic.5540 | Journal eISSN: 1568-4156
Language: English
Submitted on: May 15, 2020
Accepted on: Feb 23, 2021
Published on: Apr 29, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Camilla Munch Nielsen, Carsten Hjorthøj, Merete Nordentoft, Ulla Christensen, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.