What matters when implementing Flexible Assertive Community Treatment in a Swedish healthcare context: A two-year implementation study

Svensson, Bengt; Hansson, Lars; Markström, Urban; Lexén, Annika

doi:10.1080/00207411.2017.1345041

Cited by 23 publications

(36 citation statements)

References 19 publications

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“…These elements relate to the components found in the SIS sub-scale ‘Components at the organisational level’, and the importance of those is in line with the results of previously conducted implementation studies of integrated models in the selected sectored CMHS system. For example, a study of 14 “Individual Placement and Support” programmes for vocational rehabilitation of people with mental illness pointed out the preparation of the programmes as critical for the programmes’ sustainability [8], and according to a study of seven “flexible ACT” programmes, good SIS results could be explained by an active national initiative and the team’s access to implementation support [41]. …”

Section: Discussionmentioning

confidence: 99%

Complex Interventions and Interorganisational Relationships: Examining Core Implementation Components of Assertive Community Treatment

Bergmark¹,

Bejerholm²,

Svensson³

et al. 2018

International Journal of Integrated Care

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Introduction:There 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.Methods:Interviews 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.Results:High-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 Conclusions:Reducing 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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Section: Discussionmentioning

confidence: 99%

Complex Interventions and Interorganisational Relationships: Examining Core Implementation Components of Assertive Community Treatment

Bergmark¹,

Bejerholm²,

Svensson³

et al. 2018

International Journal of Integrated Care

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show abstract

“…An intention-to-treat analysis using the Last Observation Carried Forward (ITT-LOCF) method [24] was performed to impute missing data for participants who dropped out of the study. An exploratory subgroup analysis was done to determine how two teams that deviated in organization, target group, and staff turnover in the Flexible ACT fidelity assessments [1] affected the change in number of inpatient hospital days. Median and range for the number of times and days on the Flexible ACT board were also calculated.…”

Section: Discussionmentioning

confidence: 99%

“…A quasi-experimental longitudinal naturalistic observational study [20] was designed to evaluate whether organizing the mental healthcare with the Flexible ACT model was helpful for clients. The study was conducted in six Swedish psychosis teams in the southern part of Sweden between 2014-2016, in connection with an implementation study of the Flexible ACT [1].…”

Section: Designmentioning

confidence: 99%

“…They were located in urban areas and had full responsibility for treatment services. More details on the included teams, the study setting, and the Flexible ACT fidelity scale assessments are found in Svensson et al's study [1]. One hundred seven clients were eligible; 96 gave informed consent and 11 declined.…”

Section: Eligibility and Participantsmentioning

confidence: 99%

“…Flexible Assertive Community Treatment (Flexible ACT) has been recently implemented in Sweden because of increased interest in integrated teams and outreach community treatment as ways to better meet the needs of persons with severe mental illness [1]. To date, few studies on the effectiveness of the Flexible ACT model have been done.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of clients in need of intensive team care in Flexible Assertive Community Treatment in Sweden

Svensson

Hansson

Lexén

2018

Nordic Journal of Psychiatry

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Towards Augmenting Mental Health Personnel with LLM Technology to Provide More Personalized and Measurable Treatment Goals for Patients with Severe Mental Illnesses

James,

Maessen,

Genga

et al. 2024

Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering

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What matters when implementing Flexible Assertive Community Treatment in a Swedish healthcare context: A two-year implementation study

Cited by 23 publications

References 19 publications

Complex Interventions and Interorganisational Relationships: Examining Core Implementation Components of Assertive Community Treatment

Complex Interventions and Interorganisational Relationships: Examining Core Implementation Components of Assertive Community Treatment

Outcomes of clients in need of intensive team care in Flexible Assertive Community Treatment in Sweden

Towards Augmenting Mental Health Personnel with LLM Technology to Provide More Personalized and Measurable Treatment Goals for Patients with Severe Mental Illnesses

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