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Complex Interventions and Interorganisational Relationships: Examining Core Implementation Components of Assertive
Magnus Bergmark1, Ulrika Bejerholm2, Bengt Svensson2
1Department of Social Work, Umeå University, Umeå, SE.
International Journal of Integrated Care
|December 12, 2018
Summary
Implementing high-fidelity Assertive Community Treatment (ACT) in community mental health services is achievable. Success hinges on aligning organizational goals and resources, overcoming challenges in existing structures.
Area of Science:
- Mental Health Services Research
- Healthcare Management
- Community Psychology
Background:
- Growing interest in integrated care models within community mental health.
- Assertive Community Treatment (ACT) presents implementation challenges in sectored settings.
Purpose of the Study:
- To investigate the implementation process of Assertive Community Treatment (ACT) in a sectored community mental health setting.
- To identify facilitators and barriers to high-fidelity ACT implementation.
Main Methods:
- Qualitative interviews with ACT team members, process leaders, steering group, and partners.
- Utilized the Sustainable Implementation Scale and the Tool for Measuring Assertive Community Treatment.
- Assessed program fidelity and initiative sustainability.
Main Results:
- High-fidelity ACT implementation is feasible in sectored settings.
- Facilitators included thorough preparation, team characteristics, and leadership support for networking.
- Barriers involved conflicting goals and misalignment with organizational traditions/regulations.
Conclusions:
- Aligning goals, regulations, and resources horizontally and vertically is crucial for ACT implementation.
- Reducing goal-related uncertainty is key to improving ACT adoption in community mental health.
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