Outpatients in general mental health services with mental health disorders (one or multiple diagnosis of mood-, personality-, substance abuse-, post traumatic stress-, attention deficit disorders). Mental and Behavioural Disorders
Conditions
Interventions
This is a randomised, assessor-blinded, multicenter trial that will be performed. Participants will be randomly assigned to FACT and care as usual (CAU).
Randomisation and blinding:
Randomisation wil
Sponsors
Lund University
Eligibility
Sex/Gender
All
Age
18 Years to 67 Years
Inclusion criteria
Inclusion criteria: 1. Residing in Helsingborg, Lund or Malmö municipality catchment areas 2. Being assigned to and being a patient in the general Mental Health Services 3. Age between 18-67 4. Being diagnosed with a mental disorder (one or multiple diagnoses of mood-, personality-, substance abuse-, post-traumatic stress-, attention deficit disorders) 5. Expressing having low everyday functioning associated with a mental disorder 6. Expressing a need for integrated mental health and community Mental Health Services 7. Attending an information meeting (or individually) about the trial study
Exclusion criteria
Exclusion criteria: 1. Being diagnosed with a psychotic mental health disorder 2. Being assigned to mental health services for persons with psychosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Health and functioning measured using the WHO Disability Assessment Scale, WHODAS 2.0 (36-items), linked to the International Classification of Functioning, Disability and Health (ICF) theoretical framework, at baseline, 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures: Personal recovery: 1. Well-being, measured using the WHO-5 well-being index, at baseline, 6 and 12 months 2. Quality of Life, measured using the Manchester Short Assessment of Quality of Life Scale, at baseline, 6 and 12 months 3. Quality of life, measured using European Quality of Life-5 Dimensions (EQ-5D9) at baseline, 6 and 12 months (also for calculations of quality-adjusted life-years (QALYs) among persons with MHP) 4. Perception of support in relation to connectedness, hope, identity, meaningfulness, and empowerment, measured using the Brief Inspire, at baseline, 6 and 12 months 5. Status of employment, housing, friends, family/partnership roles, measured using Objective Social Outcome Index (SIX), at baseline, 6 and 12 months 6. Personal recovery process, measured using the Questionnaire about the Process of Recovery (QPR) at baseline, 6 and 12 months 7. Self-stigma, measured using the Brief Internalized Stigma of Mental Illness (ISMI) scale, at baseline, 6 and 12 months Clinical recovery: 8. Emotional regulation measured using the Difficult in Emotional Regulation Scale (DERS), at baseline, 6 and 12 months 9. Depression measured using the Montgomery-Asberg Depression Scale-Self rating, at baseline, 6 and 12 months 10. Anxiety measured using the General Anxiety Disorder (GAD), at baseline, 6 and 12 months 11. Self-harm using the Deliberate Self-Harm Inventory (DSHI), at baseline, 6 and 12 months 12. Alcohol- and drug consumption measured using the Alcohol- and Drug Use Identification Tests, at baseline, 6 and 12 months. 13. Care use will be measured using inpatient and outpatient care use indicators and will be retrospectively collected from medical journals and a complementary questionnaire at single points in time. Implementation: 14. FACT fidelity assessment measured using a Swedish version. No study participants will partake. | — |
Countries
Sweden
Contacts
Public ContactUlrika Bejerholm
Outcome results
None listed