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Implementation of individual placement and support in a first-episode psychosis unit : A new way of working

Hillborg, Helene ; Bergmark, Magnus and Bejerholm, Ulrika LU (2021) In Social Policy and Administration 55(1). p.51-64
Abstract

The aim of this study is to explore the IPS implementation process in a first-episode psychosis (FEP) mental health service team in Sweden. More specifically, the study explores how integration processes and critical situations are perceived over time by team members who originated from two diverse welfare organizations. A serial interview design was used (initially, at 6 and 12 months) to describe experiences of 16 team members. Material was analyzed using a constant comparison grounded theory approach. Team members dealt with the ambivalence of sharing mental health information, and whether the new way of working was a risk or benefit for users. They gradually learned new perspectives and knowledge, built trust and shared common... (More)

The aim of this study is to explore the IPS implementation process in a first-episode psychosis (FEP) mental health service team in Sweden. More specifically, the study explores how integration processes and critical situations are perceived over time by team members who originated from two diverse welfare organizations. A serial interview design was used (initially, at 6 and 12 months) to describe experiences of 16 team members. Material was analyzed using a constant comparison grounded theory approach. Team members dealt with the ambivalence of sharing mental health information, and whether the new way of working was a risk or benefit for users. They gradually learned new perspectives and knowledge, built trust and shared common views. After a year, the team workload perceived reduced and became person-centred. Some members described remaining unclear roles and requested further support. Negotiated goals for integration and early knowledge transfer are critical. Organizational change and trusting team relationships have to be facilitated. Anticipated gains of integration should be clearly described and discussed early on, and continuous support for sustainability should be considered. This study confirmed the importance and potential of integrating IPS into FEP teams.

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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
early intervention, individual placement and support, integrated teams, interorganizational collaboration, supported employment, vocational rehabilitation
in
Social Policy and Administration
volume
55
issue
1
pages
14 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:85084497391
ISSN
0144-5596
DOI
10.1111/spol.12611
language
English
LU publication?
yes
id
9bb089f9-3238-45dd-95c0-f4ec57621b0a
date added to LUP
2020-06-15 09:27:02
date last changed
2022-04-18 22:48:59
@article{9bb089f9-3238-45dd-95c0-f4ec57621b0a,
  abstract     = {{<p>The aim of this study is to explore the IPS implementation process in a first-episode psychosis (FEP) mental health service team in Sweden. More specifically, the study explores how integration processes and critical situations are perceived over time by team members who originated from two diverse welfare organizations. A serial interview design was used (initially, at 6 and 12 months) to describe experiences of 16 team members. Material was analyzed using a constant comparison grounded theory approach. Team members dealt with the ambivalence of sharing mental health information, and whether the new way of working was a risk or benefit for users. They gradually learned new perspectives and knowledge, built trust and shared common views. After a year, the team workload perceived reduced and became person-centred. Some members described remaining unclear roles and requested further support. Negotiated goals for integration and early knowledge transfer are critical. Organizational change and trusting team relationships have to be facilitated. Anticipated gains of integration should be clearly described and discussed early on, and continuous support for sustainability should be considered. This study confirmed the importance and potential of integrating IPS into FEP teams.</p>}},
  author       = {{Hillborg, Helene and Bergmark, Magnus and Bejerholm, Ulrika}},
  issn         = {{0144-5596}},
  keywords     = {{early intervention; individual placement and support; integrated teams; interorganizational collaboration; supported employment; vocational rehabilitation}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{51--64}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Social Policy and Administration}},
  title        = {{Implementation of individual placement and support in a first-episode psychosis unit : A new way of working}},
  url          = {{http://dx.doi.org/10.1111/spol.12611}},
  doi          = {{10.1111/spol.12611}},
  volume       = {{55}},
  year         = {{2021}},
}