Implementation of Illness Management and Recovery in Mental Health Services

Not Applicable

Completed

• Conditions: Mood Disorders; Bipolar Disorder; Schizophrenia; Affective Disorders, Psychotic; Mental Disorders
• Interventions: Behavioral: Illness Management and Recovery

• Registration Number: NCT02077829
• Lead Sponsor: University Hospital, Akershus

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.

Study Timeline

• Study First Submitted: 2014-02-25
• Study Start: 2014-03
• Study First Submitted QC: 2014-03-03
• Study First Posted: 2014-03-04
• Primary Completion: 2015-06
• Study Completion: 2015-06
• Status Verified: 2016-01
• Last Update Submitted: 2016-01-11
• Last Update Posted: 2016-01-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
IMR therapists, IMR patients	Illness Management and Recovery	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.

Primary Outcome Measures

Name	Time	Method
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

Name	Time	Method
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

Trial Locations

Locations (1)

Ahus R&D Mental Health Services; 🇳🇴 Lørenskog, Norway