Myraunet Ingunn, Strøm Anita, Gjersøe Heidi Moen
VID Specialized University, Oslo, Postbox 184, Vinderen, 0319 Oslo, NO.
Int J Integr Care. 2023 Oct 10;23(4):1. doi: 10.5334/ijic.7555. eCollection 2023 Oct-Dec.
The Flexible Assertive Community Treatment (FACT) model has rapidly become a way of organising services for people with severe mental illness. FACT describes the integrated approach of interprofessional teams.
A qualitative study of interprofessional collaboration in three FACT teams was conducted. Thirty observations of the teams' board meetings were conducted, and field notes were thematically analysed.
This study generated three themes in interprofessional collaboration in FACT teams. The first theme reflects the challenges of working in line with the model, the second suggests an unclear understanding of a shared caseload, and the third shows different approaches to working with a shared caseload.
The themes suggest that there is increased opportunity for the shared caseload in the FACT team board meeting. The findings reflect that there is a lack of either the resources necessary for working with a shared caseload or an understanding of the intention of a shared caseload.
The potential of the shared caseload in FACT team board meetings are dependent on sufficient resources and a collective understanding of the FACT model and the shared caseload among professionals. Further research on how a shared caseload is experienced and facilitated in FACT teams can provide insight into their practices.
灵活主动社区治疗（FACT）模式已迅速成为一种为严重精神疾病患者组织服务的方式。FACT描述了跨专业团队的综合方法。
对三个FACT团队中的跨专业协作进行了定性研究。对团队的董事会会议进行了30次观察，并对现场记录进行了主题分析。
本研究在FACT团队的跨专业协作中产生了三个主题。第一个主题反映了按照该模式工作的挑战，第二个主题表明对共享病例负担的理解不明确，第三个主题展示了处理共享病例负担的不同方法。
这些主题表明，在FACT团队董事会会议中，共享病例负担的机会增加。研究结果反映出，要么缺乏处理共享病例负担所需的资源，要么对共享病例负担的意图缺乏理解。
FACT团队董事会会议中共享病例负担的潜力取决于足够的资源以及专业人员对FACT模式和共享病例负担的集体理解。进一步研究FACT团队中共享病例负担的体验和促进方式，可以深入了解他们的实践。
