Skip to main content

Table 1 Summary of components that facilitated or hindered the implementation process according to interviews and documentation

From: Implementation of a novel return-to-work approach for persons with affective disorders in a traditional vocational rehabilitation context: a case study

Facilitating components
 ProcessPlanning: Meetings and dialogues about model fit involved all organizational levels
Engaging: Successful recruitment of opinion leaders
Executing: Continuous meetings with opinion leaders, distribution of newsletters, supportive feedback
 Intervention characteristicsRelative advantage: Appropriate support for the target group; people with affective disorders are in need of RTW support
Employment specialist competence of labour market and psychiatry
Person-centred, continuous and not time-limited support
 Inner settingNetworks and communication: Employment specialists built constructive relationships and functioning teams with engaged staff members in the mental healthcare units
Opinion leaders enhanced collaboration at the mental healthcare units, and this was important for the ongoing intervention
 Outer settingCosmopolitanism: Fruitful collaboration was developed in some PES and SIA services
Hindering components
 ProcessPlanning: Large geographic area and involvement of many organizations made implementation complex
Major reorganizations delayed implementation
Engaging: Difficulty engaging opinion leader in one mental healthcare unit
Lack of time and work overload for first line managers
 Intervention characteristicsRelative disadvantage: Staff members in mental healthcare units had divergent opinions about the IES model fit into their organization
Informants from the PES modestly questioned the IES model advantage
 Inner settingImplementation climate: Difficulty for employment specialist to integrate into existing mental healthcare teams
Compatibility: Responsibility, commission, and financing of RTW support was perceived as unclear, related to vague guidelines for vocational services and organizational boundaries
 Outer settingCosmopolitanism: Collaboration with PES and their subcontractors was complex and time-consuming
Patient needs and resources: Differing perspectives on how to design RTW support, location of internships and vocational training were proposed by the PES according to regulations