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Table 1 Progress per region: Description of progress—Collaboration, intervention, and agreement development per region

From: A roadmap for sustainable implementation of vocational rehabilitation for people with mental disorders and its outcomes: a qualitative evaluation

 

Region 1

Region 2

Region 3

Region 4

Starting point characteristics (step 1)

Stakeholders from both fields were already working together in a project group on mental health and work participation. Collaboration was perceived as good

Gathering relevant representatives from every stakeholder group was organized easily and the project group remained stable

Two collaboration projects on vocational rehabilitation based on temporary partnership agreements were running, which regional stakeholders developed prior to the experiment

Stakeholders from both fields were already working together on a pilot level

Agreements on the pilot were running and monitored

Gathering relevant representatives from every stakeholder group was organized relatively easily and the project group remained stable

Professionals from both fields already knew each other from some previous collaboration initiatives that had run, but no specific collaborative agreements were active at the beginning of the roadmap sessions

Still, gathering relevant representatives from most of the stakeholder groups was organized relatively easily and the project group remained stable

Stakeholders from both sectors were working together in this region, though separately by one-on-one agreements

Gathering relevant representatives from most of the stakeholder groups was relatively difficult as it was unclear which representatives were needed

The experimental project group was not stable and stakeholder representatives were inconsistently present during meetings

Collaboration needs & Developed intervention (step 2–3)

Two interventions were running in a pilot phase: the Developmental Labour-related day care (LDD) and Job oriented integrated treatment approach (JIT) are found in Box 1

Needs for improvement and sustainability for the in-progress collaborations were mentioned

Three collaboration initiatives were started:

First, an individual placement and support (IPS) professional from the health care provider was added to the neighbourhood teams

Second, structural interagency meetings to discuss job (re-)integration possibilities for the neighbourhood clients were introduced. Details of these work-focused interagency meetings (WIM) are found in Box 1

Third, the implementation of the job oriented integrated treatment (JIT) approach (adopted from in region 1) was proposed

Needs for improvement of the in-progress collaboration were mentioned

The project group participants developed a pilot of work-focussed interagency meetings (WIM). Details of this intervention (3) are found in Box 1

Needs for collaboration improvements were indicated by the experimental project group

No specific intervention was developed during the roadmap sessions, though some wishes were expressed

Needs for collaboration improvements were related to the extension of in-progress one-on-one agreements

Agreements on collaboration and funding (step 4–5)

Intervention 1 was embedded in local policy by funding based on fee for service and intervention 2 was supported by pilot funding and embedded in organizational structure, after the region went through the roadmap steps

Adding the IPS professional to the multidisciplinary teams was formalized by the mental health care provider. By the end of the roadmap sessions, a regional steering board gave a positive recommendation for implementing the two interventions (2 and 3) but no decision was made yet

Stakeholders started with their developed intervention on a small-scale base, the municipality decided to support this with small-scale pilot funding (need-based payment) and organizational assistance, based on the alderman’s decision

By the end of the roadmap session no specific collaboration or funding agreements were made by the stakeholders but the intention to set up a broader regional collaboration initiative was expressed