Table 8.

CMO configuration “Implementing structural change”

Contextual factors	Mechanisms	Outcomes
Level of insight or awareness of difficulties faced by other service providers	The desire to bring about positive change	“Systems thinking” among professionals
Service provider resistance to collaboration		Creative problem solving
Acknowledgement by professionals of systemic barriers to care		Actively seeking to connect with unknown service providers
Extent of buy-in from managers regarding integrated care		Strengthening and simplifying of referral processes
Siloing of funding sources		Enhanced staff knowledge of other services’ roles
		Shared training opportunities for staff from different agencies