Practical Experiences of Practitioners and Policy Implications in the Community-Based Integrated Care Pilot Project for People with Mental Disabilities

Purpose: This study explores the experiences of practitioners involved in the Community Integrated Care for Individuals with Mental Illness pilot project in A City. The project integrates healthcare, housing, rehabilitation, and welfare services to support community integration and prevent rehospitalization. Methods: A qualitative descriptive study was conducted using focus group interviews with 12 practitioners with at least six months of experience in the project. Data was analyzed using content analysis based on Downe-Wamboldt's framework. Results: Four themes emerged: (1) Integration and Maintenance, (2) Change and Advancement, (3) Communication and Connection, and (4) Need and Challenge. The project improved service continuity, enhanced multidisciplinary collaboration, and increased professional efficacy. However, challenges such as resource limitations, policy constraints, and workforce shortages were identified. Conclusion: The pilot project effectively supports mental health recovery and community integration. To ensure sustainability, service expansion, policy reinforcement, and workforce development are needed. Strengthening inter-agency collaboration and public awareness will further promote community-based mental health care.