Clinical trial NCT05824234: Implementation of REFOCUS Training Program in Mental Health Services
Official title: Multicenter Study on the Implementation of a Training Program in the Orientation of Care Towards Recovery (REFOCUS) in Mental Health Services
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Mental Disorders
Lead sponsor: Hôpital le Vinatier
Sponsor class: OTHER
First posted: 2023-04-21
Enrollment: 760
Sex: ALL
Minimum age (years): 15
Maximum age (years): 65
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Randomized controlled trial, with cluster randomization with sequential permutation or stepped wedge
Primary purpose: OTHER

Brief summary: Training of mental health service teams in the orientation of care towards recovery through a 3-day training course: REFOCUS. This training aims to orient care towards recovery. Following this training, evaluation of the effectiveness of the implementation of REFOCUS training in mental health services.

Detailed description: The primary hypothesis is that the implementation of REFOCUS will facilitate the 1-year recovery of patients managed by trained professionals. The secondary hypotheses are that the implementation of REFOCUS will facilitate improved orientation of practices towards recovery; reduced costs associated with the use of mental health services; improved perceived stigma, self-stigma, stigma-related stress, well-being, perceived coercion, and general functioning among those involved.

Eligibility criteria: Inclusion Criteria:

* Age from 15 to 65 years old.
* Diagnosis of schizophrenia, schizoaffective disorder, schizotypal disorder and schizophreniform disorder or bipolar disorder, borderline personality disorder, disabling anxiety or depressive disorder (DSM-V criteria; APA, 2013).
* Patients cared for by the team or unit benefiting from REFOCUS training
* French mother tongue.
* Patient affiliated or entitled to a social security scheme
* Patient having received information about the study and having confirmed their participation in the study by signing the consent form
* For minors (\< 18 years), information given to holders of parental authority and signature of consent.
* For patients under curatorship, form signed by the patient and information given to the curator

Exclusion Criteria:

* Age less than 15 years old
* Patients under guardianship
* Presence of an associated intellectual disability
* Neurological disorders of vascular, infectious or neurodegenerative origin.
* Taking somatic drugs with a cerebral or psychic impact (eg corticosteroids).

Primary outcomes:
measure: Questionnaire about the Process of Recovery QPR Intra- and inter-group comparison in users with severe psychiatric disorders
timeFrame: Two years
Secondary outcomes:
measure: Recovery Self-Assessment (RSA) health professional version to assess the perception of having a recovery-oriented practice
timeFrame: One year
measure: Self-stigma scale (Internalized Stigma of Mental Illness)
timeFrame: One year
measure: Warwick-Edinburgh Mental Well Being Scale (WEMWBS) for mental well-being
timeFrame: One year
measure: Qualitative component
timeFrame: Two years
Other outcomes:
Locations:
city: Lyon
country: France
facility: centre de réhabilitation - Hôpital le Vinatier
state: Rhône
Study officials:
affiliation: CHU ST ETIENNE
name: Julien DUBREUCQ, PH
role: PRINCIPAL_INVESTIGATOR
References: