title: Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.
abstract: The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back--evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.
authors.affiliation: The Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping (Dr Andersson), Centre for Innovation and Improvement (CII), Region Skåne, Malmö (Dr Ainalem), School of Health and Society, Kristianstad University, Kristianstad (Drs Berg and Janlöv), and University West, Trollhättan (Dr Berg), Sweden.
authors.forename: Ann-Christine
authors.initials: AC
authors.lastname: Andersson
authors.forename: Ingrid
authors.initials: I
authors.lastname: Ainalem
authors.forename: Agneta
authors.initials: A
authors.lastname: Berg
authors.forename: Ann-Christin
authors.initials: AC
authors.lastname: Janlöv
mesh_terms: D000328:Adult; D003299:Cooperative Behavior; D005260:Female; D017144:Focus Groups; D006798:Housing; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D008875:Middle Aged; D010348:Patient Care Team; D019989:Persons with Intellectual Disabilities; D011320:Primary Health Care / Q000458:organization & administration; D058996:Quality Improvement / Q000458:organization & administration; D012947:Social Work / Q000458:organization & administration* / Q000592:standards; D013548:Sweden