Clinical trial NCT02077829: Implementation of Illness Management and Recovery in Mental Health Services
Official title: Implementation of Illness Management and Recovery in Mental Health Services: Facilitators and Barriers in the Implementation Process.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Bipolar Disorder
Schizophrenia
Affective Disorders, Psychotic
Mood Disorders
Mental Disorders
Keywords: Implementation process
implementation strategy
Implementation research
evidence based practice
recovery
Illness management and recovery
Lead sponsor: University Hospital, Akershus
Sponsor class: OTHER
Collaborators: name: Romeriksprosjektet
name: Helse Sor-Ost
First posted: 2014-03-04
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

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.

Eligibility criteria: 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

Primary outcomes:
measure: The Illness Management Fidelity Scale (SAMHSA, 2009)
timeFrame: 12 months
Secondary outcomes:
measure: The Illness Management & Recovery Treatment Integrity Scale (IT-IS) (McGuire et al., 2012
timeFrame: 12 months
measure: The Adult State Hope Scale (Snyder et al., 1996)
timeFrame: 12 months
measure: The Illness Management and Recovery Scale (SAMHSA, 2009)
timeFrame: About 11 months after start of intervention
measure: General Organizational Index (SAMHSA, 2009)
timeFrame: 12 months
Other outcomes:
Locations:
city: Lørenskog
country: Norway
facility: Ahus R&D Mental Health Services
Study officials:
affiliation: Akershus University Hospital, Research & Development, Mental Health Services
name: Kristin S. Heiervang, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Egeland KM, Hauge MI, Ruud T, Ogden T, Heiervang KS. Significance of Leaders for Sustained Use of Evidence-Based Practices: A Qualitative Focus-Group Study with Mental Health Practitioners. Community Ment Health J. 2019 Nov;55(8):1344-1353. doi: 10.1007/s10597-019-00430-8. Epub 2019 Jun 12.
citation: Egeland KM, Ruud T, Ogden T, Fardig R, Lindstrom JC, Heiervang KS. How to implement Illness Management and Recovery (IMR) in mental health service settings: evaluation of the implementation strategy. Int J Ment Health Syst. 2017 Jan 23;11:13. doi: 10.1186/s13033-017-0120-z. eCollection 2017.