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'It's like someone is holding your hand, an invisible hand' : A grounded theory study of participation and personal recovery in Flexible Assertive Community Treatment

Borgh, Madeleine LU ; Bejerholm, Ulrika LU ; Argentzell, Elisabeth LU and Lexén, Annika LU (2024) In Scandinavian Journal of Occupational Therapy 31(1).
Abstract

BACKGROUND: Participation in everyday life and personal recovery is often adversely affected for individuals with complex mental health needs. Flexible Assertive Community Treatment (FACT) is a recovery-oriented service targeting participation in everyday life and personal recovery and is thus important to understand from the perspectives of service users.

AIM: To explore how service users experience the care and support they receive from FACT as facilitating processes of participation in everyday life and in their personal recovery process.

MATERIALS AND METHODS: A constructivist Grounded Theory approach was employed, involving 14 in-depth interviews conducted from January to November 2023 with FACT service users (9 women,... (More)

BACKGROUND: Participation in everyday life and personal recovery is often adversely affected for individuals with complex mental health needs. Flexible Assertive Community Treatment (FACT) is a recovery-oriented service targeting participation in everyday life and personal recovery and is thus important to understand from the perspectives of service users.

AIM: To explore how service users experience the care and support they receive from FACT as facilitating processes of participation in everyday life and in their personal recovery process.

MATERIALS AND METHODS: A constructivist Grounded Theory approach was employed, involving 14 in-depth interviews conducted from January to November 2023 with FACT service users (9 women, 5 men; 23-55 years) within the Swedish adult general Mental Health Services.

RESULTS: The process of Building genuine relationships between participants and FACT team members enabled Doing as a way of recovering. This was facilitated by how FACT was organised, promoting continuity and flexibility in care and support.

CONCLUSIONS AND SIGNIFICANCE: This study contributes to a greater understanding of how genuine relationships between FACT service users and team members provide opportunities for participation and doing as a means for personal recovery. The results underscore the significance of incorporating an occupational therapy perspective into recovery-oriented services.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Grounded Theory, Male, Female, Adult, Middle Aged, Community Mental Health Services, Sweden, Occupational Therapy/methods, Mental Disorders/rehabilitation, Qualitative Research, Interviews as Topic
in
Scandinavian Journal of Occupational Therapy
volume
31
issue
1
article number
2421363
publisher
Taylor & Francis
external identifiers
  • scopus:85208166128
  • pmid:39472152
ISSN
1651-2014
DOI
10.1080/11038128.2024.2421363
language
English
LU publication?
yes
id
1dfe02fa-1430-43e0-82f7-4650fbd13d05
date added to LUP
2025-01-15 11:03:31
date last changed
2025-07-03 18:20:54
@article{1dfe02fa-1430-43e0-82f7-4650fbd13d05,
  abstract     = {{<p>BACKGROUND: Participation in everyday life and personal recovery is often adversely affected for individuals with complex mental health needs. Flexible Assertive Community Treatment (FACT) is a recovery-oriented service targeting participation in everyday life and personal recovery and is thus important to understand from the perspectives of service users.</p><p>AIM: To explore how service users experience the care and support they receive from FACT as facilitating processes of participation in everyday life and in their personal recovery process.</p><p>MATERIALS AND METHODS: A constructivist Grounded Theory approach was employed, involving 14 in-depth interviews conducted from January to November 2023 with FACT service users (9 women, 5 men; 23-55 years) within the Swedish adult general Mental Health Services.</p><p>RESULTS: The process of Building genuine relationships between participants and FACT team members enabled Doing as a way of recovering. This was facilitated by how FACT was organised, promoting continuity and flexibility in care and support.</p><p>CONCLUSIONS AND SIGNIFICANCE: This study contributes to a greater understanding of how genuine relationships between FACT service users and team members provide opportunities for participation and doing as a means for personal recovery. The results underscore the significance of incorporating an occupational therapy perspective into recovery-oriented services.</p>}},
  author       = {{Borgh, Madeleine and Bejerholm, Ulrika and Argentzell, Elisabeth and Lexén, Annika}},
  issn         = {{1651-2014}},
  keywords     = {{Humans; Grounded Theory; Male; Female; Adult; Middle Aged; Community Mental Health Services; Sweden; Occupational Therapy/methods; Mental Disorders/rehabilitation; Qualitative Research; Interviews as Topic}},
  language     = {{eng}},
  month        = {{10}},
  number       = {{1}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Occupational Therapy}},
  title        = {{'It's like someone is holding your hand, an invisible hand' : A grounded theory study of participation and personal recovery in Flexible Assertive Community Treatment}},
  url          = {{http://dx.doi.org/10.1080/11038128.2024.2421363}},
  doi          = {{10.1080/11038128.2024.2421363}},
  volume       = {{31}},
  year         = {{2024}},
}