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Young people’s experiences of coherent and flexible support in youth flexible ACT in Norway

Abstract

Young people facing mental health difficulties and co-occurring challenges often receive support across multiple services, where coordination and continuity can be difficult to realize. Youth Flexible Assertive Community Treatment (Youth Flexible ACT) is a multidisciplinary, team-based model designed to provide coordinated, outreach-oriented, and flexible follow-up over time. This qualitative study explored how young people in Norway described what made the Youth Flexible ACT follow-up feel coherent and workable. Nine young people aged sixteen to twenty-two years were recruited through three Youth Flexible ACT teams and interviewed using a semi-structured guide. Data were analysed using Systematic Text Condensation. Participants described support as most helpful when it felt connected, predictable, and relationally safe. Prepared meetings, transparent communication, shared planning, and clear next steps strengthened coherence. Flexibility supported manageability when paired with reliability, but became a vulnerability when availability was unclear or changes were abrupt. The findings show that, in social work and related youth services, coordination becomes meaningful through everyday micro-situations where support is made predictable, understandable, and relationally safe.

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Posted in: Journal Article Abstracts on 06/30/2026 | Link to this post on IFP |
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