# Fostering Behavioural Change Towards Integrated Care – a Multi-Team Case Study in Specialised Youth Services

## TL;DR

This study explores how to help organizations adopt integrated care by examining the behavioral changes in youth services during a complex transition.

## Contribution

The paper introduces a multi-team case study approach to understand how behavioral interventions can successfully foster integrated care practices.

## Key findings

- Support interventions successfully fostered four pre-defined integrated care behaviors across five regional teams.
- The study highlights the role of behavioral adjustments in the transition to integrated care delivery.
- The pandemic presented challenges but also unexpected benefits to the implementation process.

## Abstract

Integrated care is crucial in delivering coherent and coordinated support to families with multiple and complex problems. Reorienting care organisations towards integrated care is a complex organisational change process. It requires both structural and behavioural adjustments. To learn about effective practice, it is useful to study implementation between contexts.

This mixed methods case study provides a comparison over time of five regional teams simultaneously implementing an integrated care delivery mode. Group interviews identified whether and how different elements in the change approach helped or hindered the change progress.

We describe and discuss how the teams were guided and supported in learning to make the behavioural switches associated with their new integrated mode of operation.

Our support-interventions appeared to be largely successful in fostering four pre-defined integrated care behaviours. This research took place during the Covid-19 pandemic, which was challenging but also brought unexpected benefits.