ArticleBMC health services research2025
A turning point after FACT: a qualitative study of family members' experiences and follow-up provided by flexible assertive community treatment.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Integrated care delivery in a rural Norwegian FACT team: an explanatory sequential mixed-methods study.BMC health services research · 2026Article
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3 authors.
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Abstract
backgroundService users living with severe mental illness are often in need of treatment from different health care professionals. Their family members play an important but underreported role in their treatment and care. Following the implementation of the flexible assertive community treatment (FACT) model in Norway since 2013, FACT teams have been evaluated from different perspectives. The overall aim of this study was to explore how family members of people living with SMI experience their situation and the follow-up provided by FACT teams.
methodsForty-one family members aged 31 to 78 years took part in nine focus groups representing seven FACT teams from both rural and urban areas in Norway. Most of the participants had parental roles. The data was analysed using qualitative content analysis.
resultsThe results revealed the following two main themes and five sub-themes: (1) An all-consuming and demanding role (A life of love, care and despair and A life affecting health and well-being), and (2) A turning point after FACT (From a patchwork to more integration and continuity, Family involvement as a vital part of care and Availability of support outside regular opening hours).
conclusionsBeing family members of service users with SMI are experienced as an all-consuming and demanding role. The family members experience the FACT team as an important support in their day-to-day life. However, they wish to receive more support and inclusion in the treatment than they currently do. Further strengthening the involvement and collaboration between the family members and the FACT teams is recommended. Psychoeducational interventions arranged by the FACT team could support family members' situations. To share their stories with professionals and/or peers would further contribute to their well-being. Extending the opening hours of FACT is recommended as it might mitigate family members' everyday challenges and improve their subjective well-being.
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