What question did this study set out to answer?

To examine how interorganizational collaboration functions between health-care and social-care sectors within an integrated youth substance use and mental health service.

September 8, 2026International Journal of Mental Health NursingOpen Access

A Service Held Together in Practice: A Qualitative Study of Interorganizational Collaboration in a Swedish Youth Mental Health and Substance Use Service

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Authors

JKJofen KihlströmUppsala University MSMartin Salzmann‐EriksonUniversity of Gävle IHIrene HylanderUniversity of Gävle

Discussion

Member takes

Implication

Qualitative case study reveals operational pragmatism buffers strategic governance failures in integrated youth care, highlighting the necessity of formal cross-sector infrastructure.

Key Points

To examine how interorganizational collaboration functions between health-care and social-care sectors within an integrated youth substance use and mental health service.
Conducted a qualitative case study adhering to Standards for Reporting Qualitative Research (SRQR) at the MiniMaria treatment centre in Sweden.
Gathered data via participant observation across 18 steering-, project-, and operative-group meetings and four workplace meetings, alongside semi-structured interviews with five staff members (N=5).
Applied reflexive thematic analysis iteratively, structured by a collaborative advantage framework examining power, trust, organizational culture, leadership, and goal management.
Identified four core themes: divergent organizational cultures and power dynamics, fragmented goal management, fluctuating trust and leadership, and adverse operational impacts on staff.
Observed that pragmatic middle managers compensated for senior-level indecision to sustain service continuity despite key resource deficits, including the absence of a dedicated physician.

Cite This Study

Kihlström et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd7d558e84d0ff5b46e15 https://doi.org/10.1111/inm.70347

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Implication

Qualitative case study reveals operational pragmatism buffers strategic governance failures in integrated youth care, highlighting the necessity of formal cross-sector infrastructure.

A Service Held Together in Practice: A Qualitative Study of Interorganizational Collaboration in a Swedish Youth Mental Health and Substance Use Service

Discussion

Member takes

Implication

Key Points

Cite This Study

A Service Held Together in Practice: A Qualitative Study of Interorganizational Collaboration in a Swedish Youth Mental Health and Substance Use Service

Discussion

Member takes

Implication

Key Points

Cite This Study

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