Implementation of Illness Management and Recovery in Mental Health Services

N/ACompletedNCT02077829

University Hospital, Akershus40 enrolled

Overview

The purpose of this study is to examine the barriers and facilitators of implementing Illness Management and Recovery (IMR) in Norwegian mental health services.

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Bipolar Disorder Schizophrenia Affective Disorders, Psychotic Mood Disorders Mental Disorders

Interventions

Illness Management and RecoveryBEHAVIORAL

Evidence-based practice given individually or in groups, weekly for 10-12 months.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Ahus R&D Mental Health Services

Lørenskog, Norway

Outcomes

Primary Outcomes

The Illness Management Fidelity Scale (SAMHSA, 2009)

Assesses the degree of fidelity with 13 items on a 5-point likert scale where 5 indicates full implementation and 0 indicates no implementation

Time frame: 12 months

Secondary Outcomes

The Illness Management & Recovery Treatment Integrity Scale (IT-IS) (McGuire et al., 2012

A 16-item scale measuring clinicians' faithful replication of the model

Time frame: 12 months

The Adult State Hope Scale (Snyder et al., 1996)

A 6-item self-report scale of patients' hope and optimism

Time frame: 12 months

The Illness Management and Recovery Scale (SAMHSA, 2009)

Assessing patients' recovery outcomes in the IMR program with 15 items.

Time frame: About 11 months after start of intervention

General Organizational Index (SAMHSA, 2009)

A 12-item scale measuring organisational outcome of implementation by common agency practices that support evidence-based practices

Time frame: 12 months

Data from ClinicalTrials.gov

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