Table 1
The different groups, topics and reflections.
| Municipal interviews, front-line professionals Municipality One Municipality Two Municipality Three | Mixed interview, managers |
| Theme: Cooperation with specialist health services, especially the regional SMP and DPS units, and how they found cooperation with services at primary care level, such as GPs | Theme: Enablers and barriers for cooperation with specialist healthcare and the managers’ responses to governmental regulations. |
| Mixed group interviews, front-line professionals Group 1 Group 2 Group 3 | |
| Theme: Issues across the three local services. How they experienced the services they provided to people with dual diagnosis. |
Table 2
Codes and themes.
| CODES | THEMES | FUNCTIONAL/NORMATIVE |
|---|---|---|
| GPs play a key role in transitions. Cooperation mostly by phone. GPs have time limits. Appointments are time-consuming. | Limited cooperation with GPs on referrals to hospital | Functional |
| Questioning GPs’ knowledge of dual diagnosis patients | Normative | |
| Challenges in use of e-link. E-link is important but not integrated into patient record systems. Late or no notification of patient discharges. Previous collaboration meetings with hospital are missed. | Challenges of communication and loss of meeting points | Functional |
| SMP flexible and accessible. Allowed to refer to SMP. Close cooperation. Less cooperation with DPS. Not allowed to refer to DPS. | Close cooperation with the SMP, challenges in cooperation with the DPS | Normative Functional |
| Frustration at reduction in hospital beds. Have to relate to “untreatable” patients. Insufficient resources and facilities for providing new and advanced treatment. | Questioning hospital discharge of patients to primary care | Functional |