Experiences and Expectations of Information and Communication Technologies in Flexible Assertive Community Treatment Teams: Qualitative Study

Abstract

Background Flexible Assertive Community Treatment (FACT) is a model of integrated care for patients with long-term serious mental illness. FACT teams deliver services using assertive outreach to treat patients who can be hard to reach by the health care service, and focus on both the patient’s health and their social situation. However, in Norway, FACT team members have challenges with their information and communication (ICT) solutions. Objective The aim of this study was to explore Norwegian FACT teams’ experiences and expectations of their ICT solutions, including electronic health records, electronic whiteboards, and calendars. Methods We gathered data in two phases. In the first phase, we conducted semistructured interviews with team leaders and team coordinators, and made observations in FACT teams targeting adults. In the second phase, we conducted semistructured group interviews in FACT teams targeting youth. We performed a thematic analysis of the data in a theoretical manner to address the specific objectives of the study. Results A total of 8 teams were included, with 5 targeting adults and 3 targeting youth. Due to the COVID-19 pandemic, we were not able to perform observations in 2 of the teams targeting adults. Team leaders and coordinators in all 5 teams targeting adults were interviewed, with a total of 7 team members participating in the teams targeting youth. We found various challenges with communication, documentation, and organization for FACT teams. The COVID-19 pandemic was challenging for the teams and changed the way they used ICT solutions. There were issues with some technical solutions used in the teams, including electronic health records, electronic whiteboards, and calendars. Lack of integration and access to data were some of the main issues identified. Conclusions Despite the FACT model being successfully implemented in Norway, there are several issues regarding the ICT solutions they use, mainly related to access to data and integration. Further research is required to detail how improved ICT solutions should be designed. While FACT teams targeting adults and youth differ in some ways, their needs for ICT solutions are largely similar.

Patients’ experiences with coercive mental health treatment in Flexible Assertive Community Treatment: a qualitative study

“…This study has a qualitative, explorative, participatory design, and is part of a larger project, which investigates the implementation of the FACT model in Norway. Other sub-studies of the project have investigated adaptation of the FACT model in the Norwegian service system from the perspectives of staff and collaborating services [ 35 – 37 ], and e-health and Information and Communication Technologies in FACT [ 38 ], while the current sub-study explores service user experiences with the FACT model. In a previous publication on the same material, we have investigated experiences with how FACT may support or inhibit citizenship [ 30 ].…”