'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.

Madeleine Borgh, Ulrika Bejerholm, Elisabeth Argentzell, Annika Lex��n
Author Information
  1. Madeleine Borgh: Faculty of Medicine, Department of Health Sciences, Lund University, Lund, Sweden. ORCID
  2. Ulrika Bejerholm: Faculty of Medicine, Department of Health Sciences, Lund University, Lund, Sweden. ORCID
  3. Elisabeth Argentzell: Faculty of Medicine, Department of Health Sciences, Lund University, Lund, Sweden. ORCID
  4. Annika Lex��n: Faculty of Medicine, Department of Health Sciences, Lund University, Lund, Sweden. ORCID

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, 5 men; 23-55���years) within the Swedish adult general Mental Health Services.
RESULTS: The process of between participants and FACT team members enabled . 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 as a means for personal recovery. The results underscore the significance of incorporating an occupational therapy perspective into recovery-oriented services.

Keywords

MeSH Term

Grounded Theory
Community Mental Health Services
Social Participation
Mental Health Recovery
Interviews as Topic
Humans
Male
Female
Young Adult
Adult
Middle Aged
Qualitative Research
Sweden
Mental Health

Word Cloud

Created with Highcharts 10.0.0recoveryFACTpersonalservicementalhealthparticipationuserseverydayliferecovery-orientedservicescomplexneedsFlexibleAssertiveCommunityTreatmentcaresupportprocessANDteammembersstudyoccupationaltherapyBACKGROUND:ParticipationoftenadverselyaffectedindividualstargetingthusimportantunderstandperspectivesAIM:exploreexperiencereceivefacilitatingprocessesMATERIALSMETHODS:constructivistGroundedTheoryapproachemployedinvolving14in-depthinterviewsconductedJanuaryNovember20239women5men23-55���yearswithinSwedishadultgeneralMentalHealthServicesRESULTS:participantsenabledfacilitatedorganisedpromotingcontinuityflexibilityCONCLUSIONSSIGNIFICANCE:contributesgreaterunderstandinggenuinerelationshipsprovideopportunitiesmeansresultsunderscoresignificanceincorporatingperspective'It'slikesomeoneholdinghandinvisiblehand':groundedtheoryPsychiatryintegrated

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