Experiences of Integrated Case Management Practitioners in Mental Health Interventions

This study aimed to deeply explore the experiences of integrated case management practitioners in the public sector who address mental health issues. Focus group interviews were conducted with ten practitioners, divided into two groups: five integrated case managers and five administrative personnel from welfare centers responsible for integrated case management. Data were analyzed using Braun and Clarke’s (2006) thematic analysis, leading to the identification of four main themes: (1) structural dilemmas, (2) recurring crises and diminished professional confidence, (3) conflict between recognizing limitations and the desire for growth, and (4) aspiration for sustainable practice. Participants reported experiencing both trust and constraints linked to their roles in public institutions when dealing with complex mental health challenges. Although they felt they lacked formal mental health specialization, they actively sought to enhance their professional competence. Additionally, they expressed a strong need for practical skills, mental health knowledge, and comprehensive support systems. Based on these findings, the study recommends: (1) structural improvements in public sector case management, (2) the development of field-oriented training systems to strengthen practitioner competencies, and (3) the establishment of institutional and psychological support mechanisms to encourage sustainable practice.