Service User Experiences of How Flexible Assertive Community Treatment May Support or Inhibit Citizenship: A Qualitative Study
Open accessAbstract
The aim of this study was to explore and describe service user experiences of how receiving services from a Flexible Assertive Community Treatment (FACT) team may support or inhibit citizenship. Within a participatory design, individual interviews with 32 service users from five Norwegian FACT teams were analyzed using thematic, cross-sectional analysis. The findings showed that FACT may support citizenship by relating to service users as whole people, facilitating empowerment and involvement, and providing practical and accessible help. Experiences of coercion, limited involvement and authoritarian aspects of the system surrounding FACT had inhibited citizenship for participants in this study.
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Qualitative research has reported that previous experiences of coercion may be a barrier to community participation as well as involvement in treatment and follow-up for service users in FACT.
“Qualitative research has reported that previous experiences of coercion may be a barrier to community participation as well as involvement in treatment and follow-up for service users in FACT [30].”
From Patients’ experiences with coercive mental health treatment in Flexible Assertive Community Treatment: a qualitative study (2023) · cites this paper as [30]
Being two interviewers with different backgrounds helped us complement each other's perspectives during the interviews, and to reflect on the interview situation and content after each interview.
“Being two interviewers with different backgrounds also helped us complement each other’s perspectives during the interviews, and to reflect on the interview situation and content after each interview [30].”
From Patients’ experiences with coercive mental health treatment in Flexible Assertive Community Treatment: a qualitative study (2023) · cites this paper as [30]
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Brekke, E., Clausen, H., Brodahl, M., & Landheim, A. S. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05264-z · Cited by 10 · see citing works
“In a previous publication on the same material, we have investigated experiences with how FACT may support or inhibit citizenship [30].”
BackgroundMethodInfluentialSelf-citation
- Authors
- Brekke, E., Clausen, H. K., Brodahl, M., Lexén, A., Keet, R., Mulder, C. L., & Landheim, A. S.
- Affiliations
- Innlandet Hospital Trust (NO)
- Lund University (SE)
- Erasmus MC (NL)
- Corresponding author
- Brekke, Eva
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2021-09-08
- Volume
- 12
- Pages
- 727013-727013
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC8457351
- OpenAlex
- W3198664080
- Cited by
- 20
- References
- 66
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 6
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, cc-by)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, cc-by)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Norges Forskningsråd
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Keywords
- flexible assertive community treatment, citizenship, service user experiences, mental health services, empowerment, coercion, authoritarianism, participation, community mental health
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