Implementation of Illness Management and Recovery in Mental Health Services

Sponsor

University Hospital, Akershus (Other)

Overall Status

Completed

CT.gov ID

NCT02077829

Collaborator

Romeriksprosjektet (Other), Helse Sor-Ost (Other)

Enrollment

Location

Arm

Duration (Months)

2.7

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Bipolar Disorder Schizophrenia Affective Disorders, Psychotic Mood Disorders Mental Disorders	Behavioral: Illness Management and Recovery	N/A

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.

Study Design

Study Type:

Interventional

Actual Enrollment :

40 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

Implementation of Illness Management and Recovery in Mental Health Services: Facilitators and Barriers in the Implementation Process.

Study Start Date :

Mar 1, 2014

Actual Primary Completion Date :

Jun 1, 2015

Actual Study Completion Date :

Jun 1, 2015

Arms and Interventions

Arm	Intervention/Treatment
Other: IMR therapists, IMR patients 30 voluntary therapists from 9 mental health services will be trained and coached in IMR. 40 patients from the 9 mental health services will receive Illness Management and Recovery from the therapists in training.	Behavioral: Illness Management and Recovery Evidence-based practice given individually or in groups, weekly for 10-12 months. Other Names: IMR

Arm

Intervention/Treatment

Other: IMR therapists, IMR patients

30 voluntary therapists from 9 mental health services will be trained and coached in IMR. 40 patients from the 9 mental health services will receive Illness Management and Recovery from the therapists in training.

Behavioral: Illness Management and Recovery

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

Other Names:

IMR

Outcome Measures

Primary Outcome Measures

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 Outcome Measures

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