Critical Components for Participation and Personal Recovery in the Flexible Assertive Community Treatment (FACT) Model: A Case Study of the Delivery Process

TL;DR

This study explores key elements of the FACT model that help people with complex mental health needs engage in daily life and recover.

Contribution

The study identifies critical components of the FACT model that support personal recovery and participation in mental health services.

Findings

An integrated multiprofessional team is critical for placing service users at the center.

Continuity and flexibility in addressing service users' needs are essential components.

Empowerment in everyday life is a key outcome of the FACT model's delivery.

Abstract

Flexible Assertive Community Treatment (FACT) is implemented in Swedish general Mental Health Services. While FACT focuses on supporting the participation and personal recovery of individuals with complex mental health needs, critical components enabling these aspects are poorly understood. The aim of this study was to understand the critical components of FACT delivery supporting participation in everyday life and personal recovery in general Mental Health Services, and to understand how these critical components relate to the focus areas in FACT.

A single-case study design with two embedded units of analysis was conducted. Data was collected through two focus groups, ten fidelity assessments and eight interviews between 2020 to 2024. The data was analysed using qualitative content analysis and pattern matching.

Critical components were related to Placing service users at the centre through an integrated multiprofessional team, Targeting service users’ needs through continuity and flexibility and Empowering service users in their everyday life. Most critical components included several focus areas in FACT.

An integrated multiprofessional team providing individualised and flexible care and support can support service users in participating in everyday life and promoting their personal recovery.

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