ArticleInternational journal of integrated care2018
Complex Interventions and Interorganisational Relationships: Examining Core Implementation Components of Assertive Community Treatment.
Article in International journal of integrated care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Turning to Service Users for the Understanding of Current and Future Mental Health Services in the Development Process of Research and Practice: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Article
- Stories of taking part in Everyday Life Rehabilitation - A narrative inquiry of residents with serious mental illness and their recovery pathway.AIMS public health · 2024Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Implementation of the Recovery Guide in inpatient mental health services in Sweden-A process evaluation study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Flexible assertive community treatment teams can change complex and fragmented service systems: experiences of service providers.International journal of mental health systems · 2021Article
- Defining Optimal Post-prison Care for Those With Psychosis: A Delphi Study.Frontiers in psychiatry · 2021Article
- An integrated mental health and vocational intervention: A longitudinal study on mental health changes among young adults.Nursing open · 2020Article
- From Model to Everyday Practice: A Qualitative Observational Study of Daily Fact Team Board Meetings.International journal of integrated careArticle
- A systematic review of measures of implementation players and processes: Summarizing the dearth of psychometric evidence.Implementation research and practiceReview
- Building Care in the Heart of the Moment - Exploring the Process of Collaboration for the Making of Flexible Assertive Community Treatment.International journal of integrated careArticle
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Authors and funding
4 authors.
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Abstract
introductionThere 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.
methodsInterviews 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.
resultsHigh-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
conclusionsReducing 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.
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