Towards network-based care: a three-phase study to explore the Networkintake as an entry point into network-oriented mental health services

Background A systemic transformation toward recovery-oriented, network-based care is essential to address persistent challenges in mental health services. To catalyze this transformation, the Networkintake approach has been developed to support a participatory approach to a comprehensive problem analysis, personal recovery goals and engagement with the broad patient's support network. This three-phased study explores the feasibility and potential value of this social innovation. Methods First, a survey among mental health professionals across diverse organizations and disciplines examined professionals' perceptions of the Networkintake's potential. Second, an observational study captured initial experiences from professionals applying the approach in practice. Third, to assess feasibility, a mixed-methods, naturalistic action-based case study was conducted among patients on a psychiatric High Intensive Care unit for youth. Results In the survey among professionals, 85.4% of respondents rated the Networkintake as (highly) innovative, identifying 212 opportunities and 91 challenges. In the observational study, 16 multidisciplinary teams reported 159 positive and 116 negative experiences. In both studies among professionals, positive feedback aligned with recovery-oriented principles (e.g., empowerment), while negative feedback primarily concerned operational aspects. Patients reported a sense of being genuinely heard and involved. Professionals applied the approach effectively, recognized the benefits, and appreciated the training and tools that facilitated its use. Conclusion The Networkintake holds promise for driving the transition toward more recovery-oriented, network-based care as a social innovation. Its implementation appears feasible across various contexts, provided it is introduced thoughtfully and with the recognition that it requires a shift in both thinking and practice.