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Implementing an occupational therapy specific mental health intervention in a multi-professional context–the case of Balancing Everyday Life (BEL)

Eklund, Mona LU orcid and Argentzell, Elisabeth LU (2023) In Scandinavian Journal of Occupational Therapy 30(2). p.182-194
Abstract

Background: The occupation-based intervention Balancing Everyday Life (BEL) was found effective under controlled conditions but should also be studied in a natural clinical practice context. Aim: The aim was to study the implementation process of BEL when provided in a multi-professional mental health team. The focus was particularly on how BEL was received and functioned. Methods: This qualitative study was based on manifest content analysis and used semi-structured telephone interviews with 13 occupational therapists and three managers. Results: Three themes were identified: ‘1–Conditions and opportunities in the setting’, ‘2–Putting the BEL intervention into practice’ and ‘3–Experiences of practicing BEL’. BEL was a welcomed... (More)

Background: The occupation-based intervention Balancing Everyday Life (BEL) was found effective under controlled conditions but should also be studied in a natural clinical practice context. Aim: The aim was to study the implementation process of BEL when provided in a multi-professional mental health team. The focus was particularly on how BEL was received and functioned. Methods: This qualitative study was based on manifest content analysis and used semi-structured telephone interviews with 13 occupational therapists and three managers. Results: Three themes were identified: ‘1–Conditions and opportunities in the setting’, ‘2–Putting the BEL intervention into practice’ and ‘3–Experiences of practicing BEL’. BEL was a welcomed alternative, as stated by managers and occupational therapists. The team helped to recruit BEL participants, but the occupational therapists had to give rigorous information to team members and prospective participants for this to work. The social, physical and political contexts were essential for the implementation. Conclusions: Successful implementation of an occupational therapy-specific intervention such as BEL requires a reasonable match between existing team policies and the underpinnings of the intervention. It is crucial to repeat information to all stakeholders and make the intervention a matter of urgency for the whole team.

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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Implementation, intervention, occupation, outcomes, psychiatry, qualitative research, recovery, teamwork
in
Scandinavian Journal of Occupational Therapy
volume
30
issue
2
pages
182 - 194
publisher
Taylor & Francis
external identifiers
  • pmid:34739360
  • scopus:85118549008
ISSN
1103-8128
DOI
10.1080/11038128.2021.1998608
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
id
6b841267-a225-4d66-b9d8-51b6973d140e
date added to LUP
2021-12-02 11:46:20
date last changed
2024-06-15 21:52:23
@article{6b841267-a225-4d66-b9d8-51b6973d140e,
  abstract     = {{<p>Background: The occupation-based intervention Balancing Everyday Life (BEL) was found effective under controlled conditions but should also be studied in a natural clinical practice context. Aim: The aim was to study the implementation process of BEL when provided in a multi-professional mental health team. The focus was particularly on how BEL was received and functioned. Methods: This qualitative study was based on manifest content analysis and used semi-structured telephone interviews with 13 occupational therapists and three managers. Results: Three themes were identified: ‘1–Conditions and opportunities in the setting’, ‘2–Putting the BEL intervention into practice’ and ‘3–Experiences of practicing BEL’. BEL was a welcomed alternative, as stated by managers and occupational therapists. The team helped to recruit BEL participants, but the occupational therapists had to give rigorous information to team members and prospective participants for this to work. The social, physical and political contexts were essential for the implementation. Conclusions: Successful implementation of an occupational therapy-specific intervention such as BEL requires a reasonable match between existing team policies and the underpinnings of the intervention. It is crucial to repeat information to all stakeholders and make the intervention a matter of urgency for the whole team.</p>}},
  author       = {{Eklund, Mona and Argentzell, Elisabeth}},
  issn         = {{1103-8128}},
  keywords     = {{Implementation; intervention; occupation; outcomes; psychiatry; qualitative research; recovery; teamwork}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{182--194}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Occupational Therapy}},
  title        = {{Implementing an occupational therapy specific mental health intervention in a multi-professional context–the case of Balancing Everyday Life (BEL)}},
  url          = {{http://dx.doi.org/10.1080/11038128.2021.1998608}},
  doi          = {{10.1080/11038128.2021.1998608}},
  volume       = {{30}},
  year         = {{2023}},
}