‘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

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 import...

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Main Authors: Madeleine Borgh, Ulrika Bejerholm, Elisabeth Argentzell, Annika Lexén
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Scandinavian Journal of Occupational Therapy
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/11038128.2024.2421363
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author Madeleine Borgh
Ulrika Bejerholm
Elisabeth Argentzell
Annika Lexén
author_facet Madeleine Borgh
Ulrika Bejerholm
Elisabeth Argentzell
Annika Lexén
author_sort Madeleine Borgh
collection DOAJ
description 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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spelling doaj-art-d11af5f7ad204ba4bde2ef5ca280104e2025-01-24T17:53:18ZengTaylor & Francis GroupScandinavian Journal of Occupational Therapy1103-81281651-20142024-12-0131110.1080/11038128.2024.2421363‘It’s like someone is holding your hand, an invisible hand’: A grounded theory study of participation and personal recovery in Flexible Assertive Community TreatmentMadeleine Borgh0Ulrika Bejerholm1Elisabeth Argentzell2Annika Lexén3Faculty of Medicine, Department of Health Sciences, Lund University, Lund, SwedenFaculty of Medicine, Department of Health Sciences, Lund University, Lund, SwedenFaculty of Medicine, Department of Health Sciences, Lund University, Lund, SwedenFaculty of Medicine, Department of Health Sciences, Lund University, Lund, SwedenBackground 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.https://www.tandfonline.com/doi/10.1080/11038128.2024.2421363Psychiatrycomplex mental health needsintegrated mental health servicesmental health recoveryoccupational therapyrecovery-oriented services
spellingShingle Madeleine Borgh
Ulrika Bejerholm
Elisabeth Argentzell
Annika Lexén
‘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
Scandinavian Journal of Occupational Therapy
Psychiatry
complex mental health needs
integrated mental health services
mental health recovery
occupational therapy
recovery-oriented services
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
title_full ‘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
title_fullStr ‘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
title_full_unstemmed ‘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
title_short ‘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
title_sort 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
topic Psychiatry
complex mental health needs
integrated mental health services
mental health recovery
occupational therapy
recovery-oriented services
url https://www.tandfonline.com/doi/10.1080/11038128.2024.2421363
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