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Barriers against implementing assertive community treatment teams in Spain: a qualitative exploration of the staff, users and general population experiences

Published online by Cambridge University Press:  26 August 2025

J. J. M. Jambrina ,
A. D. Rivas ,
J. M. Vela  and
C. O. Roldán
J. J. M. Jambrina*
Affiliation:
Mental Health, Hospital Universitario San Agustín, Avilés
A. D. Rivas
Affiliation:
Mental Health, Hospital Universitario Arquitecto Marcide, Ferrol
J. M. Vela
Affiliation:
Mental Health, Hospital Universitario Central de Asturias, Oviedo, Spain
C. O. Roldán
Affiliation:
Mental Health, Hospital Universitario San Agustín, Avilés
*
*Corresponding author.

Abstract

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Introduction

Three years after having been approved the Spanish Strategy for Mental Health, the creation of Assertive Community treatment teams is getting slower.

Objectives

The current study seeks to investigate the reasons of and barriers to implementation of this approach. Findings will aim at serving to inform mental health policy about legislative changes.

Methods

Qualitative expert interviews and focus groups were led with team members and users, families and general population from the cities where four of this teams have been developing theirs activities, at least during 15 years A thematic analysis was developed.

Results

Four main topics were identified: 1. Stigma: when economical situation is not good enough, people with psychiatric severe illnesses are not the first in the queue 2. Fear and distrust about breaking the CMHCenters policies; 2. Team development: a hard task more than a challenge; 3. Regardless of profession, finding well trained staff is difficult;

Conclusions

Further research is needed to convince politicians and health authorities. Randomized controlled trials examining the efficacy and efficiency of ACT teams are needed

Disclosure of Interest

None Declared

Information

Type
Abstract
Information
European Psychiatry , Volume 68 , Special Issue S1: Abstracts of the 33rd European Congress of Psychiatry , April 2025 , pp. S1073 - S1074
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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