Sammanfattning Bakgrund: Tidigare forskning visar att personer med allvarlig psykisk ohälsa är mindre fysiskt aktiva än resterande befolkning. De är som grupp i riskzonen för drabbas av fysiska hälsoproblem samt att dö i förtid av somatiska sjukdomar. Vårdpersonal har observerat samband mellan fysisk aktivitet och mindre besvär av symtom och lägre läkemedelsbehov. Utbudet av forskning som svarar på hur fysisk aktivitet kan upplevas främja återhämtning hos personer med allvarlig psykisk ohälsa är däremot begränsat.  Syfte: Syftet med studien är att med utgångspunkt i tidigare forskning beskriva hur personer med allvarlig psykisk ohälsa erfar att fysisk aktivitet främjar återhämtning. Metod: Metasyntes, en induktiv och kvalitativ analysmetod. Resultat: Utifrån analysen presenteras fyra teman Att få en starkare tro på sig själv och framtiden, Att uppleva mening och gemenskap, Att få struktur i livet och Att kontrollera och minska psykiska symtom som i sin tur tillsammans ledde fram till nyckelmetaforen en positiv spiral. Slutsats: Sjuksköterskan, eller vårdaren, kan genom att stödja patienten till fysisk aktivitet främja såväl allians som en start som ger fart åt patientens återhämtningsprocess. Nyckelord: allvarlig psykisk ohälsa, fysisk aktivitet, gemenskap, mening, patienters upplevelse, positiv spiral, återhämtning / abstract Background: Previous research shows that people with severe mental illness are less physically active than the remaining population. As a group, they are in risk of physical problems and premature death. Health professionals have observed a connection between physical activity and less discomfort caused by symptoms as well as a lower need of medical treatment. The amount of available research regarding experiences of physical activity and what it means for recovery amongst people with severe mental illness is limited. Aim: The aim of the study based on previous research is to describe how people with serious mental illness experience that physical activity promotes recovery. Method: Metasynthesis, an inductive and qualitative method of analysis. Results: the analysis provided four themes To have a stronger belief in oneself and the future, To experience meaning and community, To get structure in life and To control and reduce mental symtoms wich in turn together led to the key metaphor as a positive spiral. Conclusion: The nurse, or the caregiver, can, through supporting the patient to physical activity, promote both an alliance and a start that gives momentum to the patient's recovery process. Keywords: severe mental illness, physical activity, community, meaning, patient experience, positive spiral, recovery

The aim of this qualitative study was to explore hospital-counselors view on collaboration in thedischarge-process from inpatient psychiatric care regarding individuals with comorbidity in form ofserious mental illness and substance abuse. Six hospital-counselors from different psychiatric in-patient wards in Stockholms county participated in the study. All participants had a degree in socialwork and five of them had earlier experience working in the municipality as social workers. Theresearch process was conducted using qualitative interviews, further applying a systemic view oncollaboration which consisted of three levels: structural-, organizational- and individual, which wasbased on the core concepts of integrated care and person-centered care. The results showed that thehospital-counselors acted as a “link” between the health care, municipality, and patient duringcollaboration. Collaboration itself was described as a process involving different actors andorganizations within the two main principal sectors. The complexity of the differences in economicinterests, view on support needs and responsibilities regarding treatment and further care seemed to becentral aspects influencing collaboration. Although the results largely confirm previous research, it hasbrought attention to specific claims on what facilitates collaboration and what undermines it.