{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:13:35Z","timestamp":1788779615188,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100009776","name":"Region\u00a0G\u00e4vleborg","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009776","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006450","name":"H\u00f6gskolan i G\u00e4vle","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006450","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Adolescent substance use frequently co\u2010occurs with mental\u2010health difficulties and social adversity. Existing research highlights heterogeneous risk profiles and a paucity of integrated service models that bridge health\u2010 and social\u2010care sectors. A qualitative case study was undertaken at the newly established MiniMaria treatment centre in Sweden. Data were gathered through participant observation of 18 steering\u2010, project\u2010 and operative\u2010group meetings, four workplace meetings, and semi\u2010structured interviews with five staff members. Reflexive thematic analysis was applied iteratively, guided by a conceptual framework of collaborative advantage (power, trust, organizational culture, leadership, goal management). This study adheres to the Standards for Reporting Qualitative Research (SRQR) checklist. Four overarching themes emerged: (1) divergent organizational cultures and power; (2) fragmented goal management; (3) fluctuating trust and leadership; and (4) operational\u2010level impact on staff. Middle\u2010management pragmatism compensated for strategic indecision, sustaining service delivery despite resource constraints (for instance absence of a dedicated physician). The MiniMaria project demonstrates that clear, enforceable governance structures are vital for integrated youth services. When senior\u2010level alignment falters, empowered front\u2010line managers can preserve continuity of care, but the sustainability of such models hinges on explicit memoranda, shared information systems and ongoing cultural monitoring.<\/jats:p>","DOI":"10.1111\/inm.70347","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:00:11Z","timestamp":1788778811000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Service Held Together in Practice: A Qualitative Study of Interorganizational Collaboration in a Swedish Youth Mental Health and Substance Use Service"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7057-1031","authenticated-orcid":false,"given":"Jofen","family":"Kihlstr\u00f6m","sequence":"first","affiliation":[{"name":"Faculty of Health and Occupational Studies, Department of Caring Science University of G\u00e4vle  G\u00e4vle Sweden"},{"name":"Centre for Research and Development Region G\u00e4vleborg\/Uppsala University  G\u00e4vle Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2610-8998","authenticated-orcid":false,"given":"Martin","family":"Salzmann\u2010Erikson","sequence":"additional","affiliation":[{"name":"Faculty of Health and Occupational Studies, Department of Caring Science University of G\u00e4vle  G\u00e4vle Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Hylander","sequence":"additional","affiliation":[{"name":"Faculty of Health and Occupational Studies, Department of Caring Science University of G\u00e4vle  G\u00e4vle Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6738-6102","authenticated-orcid":false,"given":"Maria","family":"Lindberg","sequence":"additional","affiliation":[{"name":"Faculty of Health and Occupational Studies, Department of Caring Science University of G\u00e4vle  G\u00e4vle Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"issue":"3","key":"e_1_2_19_2_1","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19031731","article-title":"Substance Use Among Youth in Community and Residential Mental Health Care Facilities in Ontario, Canada","volume":"19","author":"Aderibigbe O. O.","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"e_1_2_19_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1455072521995611"},{"key":"e_1_2_19_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_19_5_1","doi-asserted-by":"crossref","DOI":"10.4135\/9781036232078.n9","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun V.","year":"2021"},{"key":"e_1_2_19_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/17439760.2016.1262613"},{"key":"e_1_2_19_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fenvs.2023.1155828"},{"key":"e_1_2_19_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.888197"},{"key":"e_1_2_19_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/14550725221108792"},{"key":"e_1_2_19_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09687637.2021.1931034"},{"key":"e_1_2_19_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0091450918764128"},{"key":"e_1_2_19_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jopart\/mur011"},{"key":"e_1_2_19_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201007690\u20103"},{"key":"e_1_2_19_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010025\u201007411\u20100"},{"key":"e_1_2_19_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13651"},{"key":"e_1_2_19_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/001872678503801001"},{"key":"e_1_2_19_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13139"},{"key":"e_1_2_19_18_1","first-page":"231","volume-title":"The Oxford Handbook of Strategic Alliances","author":"Gulati R.","year":"2012"},{"key":"e_1_2_19_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.9565"},{"key":"e_1_2_19_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010021\u201006598\u20108"},{"key":"e_1_2_19_21_1","doi-asserted-by":"publisher","DOI":"10.18103\/mra.v12i8.5688"},{"key":"e_1_2_19_22_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.7730"},{"key":"e_1_2_19_23_1","doi-asserted-by":"crossref","DOI":"10.4324\/9780203010167","volume-title":"Managing to Collaborate","author":"Huxham C.","year":"2013"},{"key":"e_1_2_19_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/14550725251384006"},{"key":"e_1_2_19_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13011\u2010023\u201000580\u20109"},{"key":"e_1_2_19_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/09687637.2026.2671056"},{"key":"e_1_2_19_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010024\u201011820\u20104"},{"key":"e_1_2_19_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/smj.660"},{"key":"e_1_2_19_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/1359432X.2014.992421"},{"key":"e_1_2_19_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_19_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12954\u2010022\u201000623\u20107"},{"key":"e_1_2_19_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691457.2020.1843409"},{"key":"e_1_2_19_33_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102834.2003.00425.x"},{"key":"e_1_2_19_34_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH000201"},{"key":"e_1_2_19_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_19_36_1","doi-asserted-by":"publisher","DOI":"10.1108\/JICA\u201012\u20102023\u20100097"},{"key":"e_1_2_19_37_1","doi-asserted-by":"publisher","DOI":"10.5465\/amp.2009.43479263"},{"key":"e_1_2_19_38_1","volume-title":"Organizational Culture and Leadership","author":"Schein E. H.","year":"2010"},{"key":"e_1_2_19_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13449"},{"key":"e_1_2_19_40_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192416928"},{"key":"e_1_2_19_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/13561820400024159"},{"key":"e_1_2_19_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/0735275112457914"},{"key":"e_1_2_19_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/puar.13856"},{"key":"e_1_2_19_44_1","doi-asserted-by":"crossref","unstructured":"Vangen S. andC.Huxham.2005. \u201cAiming for Collaborative Advantage: Challenging the Concept of Shared Vision.\u201d SSRN Electronic Journal.https:\/\/doi.org\/10.2139\/ssrn.1306963.","DOI":"10.2139\/ssrn.1306963"},{"key":"e_1_2_19_45_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.7605"},{"key":"e_1_2_19_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/00491241211067508"},{"issue":"9826","key":"e_1_2_19_47_1","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1016\/S0140-6736(12)60149-4","article-title":"Adolescence and the Social Determinants of Health","volume":"379","author":"Viner R. M.","year":"2012","journal-title":"Lancet"},{"key":"e_1_2_19_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010016\u20100566\u20103"},{"key":"e_1_2_19_49_1","volume-title":"Closing the Health Gap in a Generation Health Equity Through Action on the Social Determinants of Health","author":"World Health Organization","year":"2008"},{"key":"e_1_2_19_50_1","first-page":"257","volume-title":"Qualitative Psychology: A Practical Guide to Research Methods","author":"Yardley L.","year":"2015"}],"container-title":["International Journal of Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inm.70347","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/inm.70347","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inm.70347","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:00:16Z","timestamp":1788778816000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/inm.70347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":49,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/inm.70347"],"URL":"https:\/\/doi.org\/10.1111\/inm.70347","archive":["Portico"],"relation":{},"ISSN":["1445-8330","1447-0349"],"issn-type":[{"value":"1445-8330","type":"print"},{"value":"1447-0349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]},"assertion":[{"value":"2026-05-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70347"}}