Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

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

Bejerholm, Ulrika LU ; Lindqvist, Daniel LU ; Westling, Sofie LU orcid ; Argentzell, Elisabeth LU orcid ; Lexén, Annika LU and Knutagård, Marcus LU orcid (2026) In International Journal of Integrated Care 26(2). p.1-13
Abstract

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.... (More)

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: Building care in the heart of the moment was constructed as the core category reflecting the timely process of FACT, while the sub-categories of 1) Embracing empathy and holistic view with users’ best interest at heart, 2) Openness, curiosity and genuine interest for each other, 3) Borders across disciplines and services get erased yet sharpened, and 4) Orchestration of the team and leadership underpins sustainable collaboration reflected critical ingredients and passages of collaboration. 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.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
integrated care, mental illness, person-centered, recovery
in
International Journal of Integrated Care
volume
26
issue
2
article number
19
pages
1 - 13
publisher
Ubiquity Press Ltd.
external identifiers
  • pmid:42369593
  • scopus:105043169059
ISSN
1568-4156
DOI
10.5334/ijic.9832
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2026 The Author(s).
id
114765fa-f896-47cc-9c58-4a2378e5e6f3
date added to LUP
2026-09-29 17:11:19
date last changed
2026-10-01 03:05:20
@article{114765fa-f896-47cc-9c58-4a2378e5e6f3,
  abstract     = {{<p>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: Building care in the heart of the moment was constructed as the core category reflecting the timely process of FACT, while the sub-categories of 1) Embracing empathy and holistic view with users’ best interest at heart, 2) Openness, curiosity and genuine interest for each other, 3) Borders across disciplines and services get erased yet sharpened, and 4) Orchestration of the team and leadership underpins sustainable collaboration reflected critical ingredients and passages of collaboration. 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.</p>}},
  author       = {{Bejerholm, Ulrika and Lindqvist, Daniel and Westling, Sofie and Argentzell, Elisabeth and Lexén, Annika and Knutagård, Marcus}},
  issn         = {{1568-4156}},
  keywords     = {{integrated care; mental illness; person-centered; recovery}},
  language     = {{eng}},
  month        = {{04}},
  number       = {{2}},
  pages        = {{1--13}},
  publisher    = {{Ubiquity Press Ltd.}},
  series       = {{International Journal of Integrated Care}},
  title        = {{Building Care in the Heart of the Moment – Exploring the Process of Collaboration for the Making of Flexible Assertive Community Treatment}},
  url          = {{http://dx.doi.org/10.5334/ijic.9832}},
  doi          = {{10.5334/ijic.9832}},
  volume       = {{26}},
  year         = {{2026}},
}