Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study

The aim of this study was to explore and describe service user experiences of how receiving services from a Flexible Assertive Community Treatment (FACT) team may support or inhibit citizenship. Within a participatory design, individual interviews with 32 service users from five Norwegian FACT teams...

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Main Authors: Eva Brekke, Hanne K. Clausen, Morten Brodahl, Annika Lexén, Rene Keet, Cornelis L. Mulder, Anne S. Landheim
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.727013/full
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author Eva Brekke
Hanne K. Clausen
Hanne K. Clausen
Morten Brodahl
Annika Lexén
Rene Keet
Cornelis L. Mulder
Anne S. Landheim
Anne S. Landheim
author_facet Eva Brekke
Hanne K. Clausen
Hanne K. Clausen
Morten Brodahl
Annika Lexén
Rene Keet
Cornelis L. Mulder
Anne S. Landheim
Anne S. Landheim
author_sort Eva Brekke
collection DOAJ
description The aim of this study was to explore and describe service user experiences of how receiving services from a Flexible Assertive Community Treatment (FACT) team may support or inhibit citizenship. Within a participatory design, individual interviews with 32 service users from five Norwegian FACT teams were analyzed using thematic, cross-sectional analysis. The findings showed that FACT may support citizenship by relating to service users as whole people, facilitating empowerment and involvement, and providing practical and accessible help. Experiences of coercion, limited involvement and authoritarian aspects of the system surrounding FACT had inhibited citizenship for participants in this study.
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spelling doaj.art-8672e50007cd4777836aa8d2059648a92022-12-21T17:15:48ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-09-011210.3389/fpsyg.2021.727013727013Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative StudyEva Brekke0Hanne K. Clausen1Hanne K. Clausen2Morten Brodahl3Annika Lexén4Rene Keet5Cornelis L. Mulder6Anne S. Landheim7Anne S. Landheim8Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Inland Hospital Trust, Brumunddal, NorwayNorwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Inland Hospital Trust, Brumunddal, NorwayDepartment of Research and Development, Division of Mental Health Services, Akershus University Hospital, Lørenskog, NorwayNorwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Inland Hospital Trust, Brumunddal, NorwayDepartment of Health Sciences, Medical Faculty, Lund University, Lund, SwedenFlexible, Innovative Top-ambulatory Academy of Community Mental Health Service, Geestelijke Gezondheidszorg Noord-Holland-Noord, Heerhugowaard, NetherlandsDepartment of Psychiatry, Erasmus Medical Center (MC), University Medical Center Rotterdam, Rotterdam, NetherlandsNorwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Inland Hospital Trust, Brumunddal, NorwayDepartment of Health and Nursing Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, NorwayThe aim of this study was to explore and describe service user experiences of how receiving services from a Flexible Assertive Community Treatment (FACT) team may support or inhibit citizenship. Within a participatory design, individual interviews with 32 service users from five Norwegian FACT teams were analyzed using thematic, cross-sectional analysis. The findings showed that FACT may support citizenship by relating to service users as whole people, facilitating empowerment and involvement, and providing practical and accessible help. Experiences of coercion, limited involvement and authoritarian aspects of the system surrounding FACT had inhibited citizenship for participants in this study.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.727013/fullflexible assertive community treatmentcitizenshipintegrated caresevere mental illnesssubstance use disorderrecovery
spellingShingle Eva Brekke
Hanne K. Clausen
Hanne K. Clausen
Morten Brodahl
Annika Lexén
Rene Keet
Cornelis L. Mulder
Anne S. Landheim
Anne S. Landheim
Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study
Frontiers in Psychology
flexible assertive community treatment
citizenship
integrated care
severe mental illness
substance use disorder
recovery
title Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study
title_full Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study
title_fullStr Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study
title_full_unstemmed Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study
title_short Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study
title_sort service user experiences of how flexible assertive community treatment may support or inhibit citizenship a qualitative study
topic flexible assertive community treatment
citizenship
integrated care
severe mental illness
substance use disorder
recovery
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.727013/full
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