Källmén Håkan, Hed Anders, Elgán Tobias H
STAD, Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm County Council, Sweden.
Nordisk Alkohol Nark. 2017 Apr;34(2):119-130. doi: 10.1177/1455072517691059. Epub 2017 Apr 5.
Well-functioning care of people with substance use and psychiatric disorders presumes collaboration between different parties such as psychiatric care and substance use treatment centres, as well as social services. According to Swedish law, a collaborative individual plan, i.e., a written action plan to support structured inter-organisational collaboration, should be established. However, there are indications that such action plans are not used to a satisfactory extent.
To explore current inter-organisational collaboration and use of collaborative individual plans among healthcare units and social services in Stockholm County.
The study uses a cross-sectional design. Participants ( = 797) in a course specifically aimed at improving the knowledge and use of collaborative individual plans were invited to take part in the study prior to attending the course. A total of 705 participants accepted. Data were collected through an electronic questionnaire sent to each participant's workplace. Non-respondents were offered a paper version to fill out.
Respondents reported participating in one to two collaborative individual plans per month and about 70% reported using a particular template. Respondents perceived mainly positive consequences of establishing a collaborative individual plan, for instance that it clarifies what measures are to be performed and who is responsible.
Although respondents were generally positive about establishing a collaborative individual plan and the consequences thereof, they reported low use of such action plans.
对患有物质使用障碍和精神疾病的患者进行良好的护理需要不同各方之间的协作，如精神科护理机构、物质使用障碍治疗中心以及社会服务机构。根据瑞典法律，应制定一份协作个人计划，即一份支持结构化组织间协作的书面行动计划。然而，有迹象表明，此类行动计划的使用程度并不令人满意。
探讨斯德哥尔摩郡医疗单位和社会服务机构之间当前的组织间协作情况以及协作个人计划的使用情况。
本研究采用横断面设计。在一个专门旨在提高协作个人计划知识和使用的课程中，邀请了参与者（n = 797）在参加课程之前参与研究。共有705名参与者接受邀请。通过向每位参与者的工作场所发送电子问卷收集数据。未回复者可获得纸质版问卷进行填写。
受访者报告每月参与一到两个协作个人计划，约70%的受访者报告使用特定模板。受访者认为制定协作个人计划主要带来积极影响，例如它明确了要采取的措施以及谁负责。
尽管受访者总体上对制定协作个人计划及其后果持积极态度，但他们报告此类行动计划的使用频率较低。
