Building Care in the Heart of the Moment - Exploring the Process of Collaboration for the Making of Flexible Assertive Community Treatment.

Introduction: Professional and organisational collaboration of integrated services, like Flexible Assertive Community Treatment (FACT), plays a pivotal role in ensuring continuous and coordinated care for persons with complex mental health needs. While some research reflect team members' view of FACT or program fidelity, no research has explored the social practice of FACT and how collaboration evolve and sustain. Aim: The aim is to explore the process of collaboration for the making of the integrated service of FACT. Methods: A constructivist grounded theory design helped to collect and analyse empirical evidence of 28 interviews with multiprofessional FACT team members and managers, in 2021 (n = 14) and 2022/2023 (n = 14) in Sweden. Results: Discussion: Sustainable collaboration required organisations to support team members' transition from individual or entrapped social niches into an enabling niche, supportive team environment. Cultivating a social learning space may reduce uncertainty and enables timely, skillful action through which relationships, expertise, and performance develop.