Affective Disorders, Psychotic, Bipolar Disorder, Mental Disorders, Mood Disorders, Schizophrenia
Conditions
Keywords
Implementation process, implementation strategy, Implementation research, evidence based practice, recovery, Illness management and recovery
Brief summary
The purpose of this study is to examine the barriers and facilitators of implementing Illness Management and Recovery (IMR) in Norwegian mental health services.
Detailed description
IMR is an evidence-based practice developed for people with severe mental illnesses. It is based on the principles of recovery to help people set individual meaningful goals for their lives and gain illness self-management skills and thereby contribute to their individual recovery-process. IMR can be given individually or in groups, once a week for 10-12 months. In this project the investigators will implement Illness Management and Recovery (IMR) in mental health services. The implementation strategy are carried out according to the IMR toolkits which include informational and training materials, implementation recommendations, and fidelity scales to facilitate use of the model in routine practices. The implementation process and outcome will be of main focus. The study has an observational prospective cohort design. 30 therapists from 9 different mental health services will be trained and supervised in IMR. The investigators aim to enrol 40 patients. The primary outcome is therapists' fidelity to the model and organisational implementation outcome. Secondary outcomes are patients' level of functioning and hope.
Interventions
BEHAVIORALIllness Management and Recovery
Evidence-based practice given individually or in groups, weekly for 10-12 months.
Sponsors
Romeriksprosjektet
Helse Sor-Ost
University Hospital, Akershus
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Therapists: * Voluntary recruited therapists in the participating mental health services * trained and consulted in IMR Inclusion Criteria Patients: * Adults (18+) * Associated with one of the participating mental health services * symptoms on or diagnosis of severe mental illness with or without drug abuse * giving informed consent verbally and in writing
Exclusion criteria
Patients: * Patients with acute risk of suicidal behaviour * not able to communicate in Norwegian
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Illness Management Fidelity Scale (SAMHSA, 2009) | 12 months | Assesses the degree of fidelity with 13 items on a 5-point likert scale where 5 indicates full implementation and 0 indicates no implementation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Illness Management & Recovery Treatment Integrity Scale (IT-IS) (McGuire et al., 2012 | 12 months | A 16-item scale measuring clinicians' faithful replication of the model |
| The Adult State Hope Scale (Snyder et al., 1996) | 12 months | A 6-item self-report scale of patients' hope and optimism |
| The Illness Management and Recovery Scale (SAMHSA, 2009) | About 11 months after start of intervention | Assessing patients' recovery outcomes in the IMR program with 15 items. |
| General Organizational Index (SAMHSA, 2009) | 12 months | A 12-item scale measuring organisational outcome of implementation by common agency practices that support evidence-based practices |
Countries
Norway
Outcome results
None listed