The Integrated Approach Integrated Care: a Swedish 2011 position paper*

In Swedish
Berglund N, Borell P, Erdner L, Ivarsson B, Lundin L, Malm U, Nilsson S, Rutz W, Rydell P

Ulf Malm, editor


The practice of the integrated approach, the Integrated Care program model has built upon the evidence and strengths of the orthodox US ACT model, it’s revised UK Assertive Outreach model and is similar to the Dutch flexible ACT (FACT) - augmented by resource groups implementing the ACT model core ingredients. The implementor (professional health worker/client user) level is characterized by intensive and assertive clinical case management. Some original ACT key components have been further developed in the Integrated Care practice: 'assertive engagement mechanisms' by shared decision making procedures for optimal clinical management, 'the support system' is included in the clinical management by the resource group teamwork, 'the role of the consumer' has become well defined as being an empowered collaborative partner to professional providers. Furthermore residential housing social workers are added to program.

The resource groups acts on an ACT-level whenever needed. It is managed by a triad of the client user, a clinical case manager and a psychiatrist, in close collaboration with a social welfare aid officer. The program model Integrated Care, comprising treatment, illness management, support and disability management, as well as promoting personal recovery, is delivered by community mental health teams through a resource group for each client user.


*Excerpt from A Review on Integrated Care practice 2011

Berglund N, Borell P, Casacchia M, Economou M, Erdner L, Falloon IRH†, Geday R, Grawe R, Harangozo J, Ivarsson B, Lundin L, Malm U, Mastroeni A, Mizuno M, Montero M, Morosino PL†, Murakami M, Nilsson S, Palli A, Rancone R, Rutz W, Rydell P, Sakuma K, Sungur M, Veltro F, and the OTP Collaborative Group.