Severe and persistant mental illness Mental and Behavioural Disorders Mental disorder, not otherwise specified
Conditions
Interventions
Intervention group: CARe methodology
Teams in the intervention group receive the CARe methodology training. The aims of this training are: training workers in the principles of rehabilitative and reco
to map the strengths of a client and his/her environment
determining goals for the future
and to draw up a personal plan and a supporting plan. The training consists of seven meetings (three theoretical and four methodical work support) and is taught by trainers from a specialized training
(2) collecting information and making a personal profile with the client
(3) helping the client with formulating wishes, making choices and setting goals
(4) helping the client making a Personal Plan
(5) helping the client execute the plan and (6) following the process, learn, evaluate and adjust.
After the training program the workers will be supported in working according to the CARe methodolog
Sponsors
Kwintes (Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All mature clients of the participating organizations who are able to fill in the questionnaires (with help if necessary)
Exclusion criteria
Exclusion criteria: 1. Age below 18 years 2. No personal/key worker 3. Too little knowledge of the Dutch language to fill in the questionnaire 4. An IQ below 50
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Recovery: will be measured by use of the Mental Health Recovery Measure (MHRM). The MRHM is a self-report instrument with 30 items. All items are rated using a five-point Likert scale that ranges from 'strongly disagree' to 'strongly agree'. 2. Social Functioning: the Social Functioning Scale (Birchwood) will be used to measure social functioning. The scale consists of 19 items (with different scales) and 4 checklists with activities. 3. Quality of life: will be assessed by the Manchester Short Appraisal (MANSA). The MANSA consists of 12 items with a seven-point Likert scale ('could not be worse' to 'could not be better'). 4. Empowerment: for the measurement of empowerment the Dutch Empowerment Scale will be used. This scale consists of 40 items on a five-point Likert scale ranges from 'strongly disagree' to 'strongly agree'. 5. Hope: will be assessed by the Herth Hope Index, consisting of 12 four-point Likert scale items ranging from 'strongly disagree' to 'strongly agree'. 6. Confidence: the Mental Health Confidence Scale (MHCS) will be used to measure confidence . This scale has 16 items with a six-point Likert scale ('totally no confidence' to 'full confidence'). 7. Need for care will be measured by use of The Camberwell Assessment of Needs (CANSAS) consisting of 22 items. 8. Goal achievement: the goals of the participating clients will be registered. All primary outcome measures will be measured at baseline (T0), after 10 months (T1) and 20 months (T2). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Psychiatric symptoms: will be measured by use of the Brief Symptom Index (BSI), 52 items with a five-point scale from 'not at all' to 'very much'. 2. Relationship between client and worker: the Recovery Promoting Relationship Scale (RPRS) will be used to measure the way the client experiences the relationship with his or her key worker. This measure has 24 items on a four-point Likert scale ranging from 'disagree' to 'agree' The key workers of the participating clients will be asked to answer questions regarding the diagnosis and care consumption, psychiatric diagnosis (DSM IV) of the client and the amount of contact they have with the client. Besides that, care consumption in general and use of work/recreation facilities will be questioned. 3. Workers' knowledge of recovery will be measured by use of the Recovery Knowledge Inventory (RKI) consisting of 20 items on a five-point Likert scale ranging from 'strongly disagree' to 'strongly agree'. All secondary outcome measures will be measured at baseline (T0), after 10 months (T1) and 20 months (T2). | — |
Countries
Netherlands
Outcome results
None listed