Table 3.

Overview of the findings

	Individual-level	Organizational-level	Themes
Barriers	Self-stigmatizationa	The fragmentation of the previously comprehensive county council primary care systema, b, c	The main barrier is the gap between the organization of the health care system and the patients’ health care needs
	The patient’s cognitive disabilityb, c	The lack of cooperation between different parts of the health care systema, b, c
	The clinician’s lack of knowledge of mental illnessc	Lack of psychiatric expertiseb, c
		Single-disease paradigmb, c
Facilitators	The relative as a spokespersonb	Access to a professional contact persona, b, c	The main facilitators are the links between the patients with SMI and the health care departments
	The clinician’s own interest in developing a better understandingc	Continuity among cliniciansa, b, c
		Annual remindersa, c

^aBarrier/facilitator reported by patients

^bBarrier/facilitator reported by relatives

^cBarrier/facilitator reported by clinicians