Implementation of Illness Management and Recovery in Mental Health Services

Schizophrenia Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02077829
• Other study ID #: IMR 01/2014
• Secondary ID: 2013/2035b
• Status: Completed
• Phase: N/A
• First received: February 25, 2014
• Last updated: January 11, 2016
• Start date: March 2014
• Est. completion date: June 2015

Study information

• Verified date: January 2016
• Source: University Hospital, Akershus
• Contact: n/a
• Is FDA regulated: No
• Health authority: Norway:National Committee for Medical and Health Research Ethics
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: June 2015
• Est. primary completion date: June 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Affective Disorders, Psychotic
• Bipolar Disorder
• Disease
• Mental Disorders
• Mood Disorders
• Psychotic Disorders
• Schizophrenia

Intervention

Behavioral:
• Illness Management and Recovery
Evidence-based practice given individually or in groups, weekly for 10-12 months.

Locations

Country	Name	City	State
Norway	Ahus R&D Mental Health Services	Lørenskog

Sponsors (3)

Lead Sponsor	Collaborator
University Hospital, Akershus	Helse Sor-Ost, Romeriksprosjektet

Country where clinical trial is conducted

Norway, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	12 months	No
Secondary	The Illness Management & Recovery Treatment Integrity Scale (IT-IS) (McGuire et al., 2012	A 16-item scale measuring clinicians' faithful replication of the model	12 months	No
Secondary	The Adult State Hope Scale (Snyder et al., 1996)	A 6-item self-report scale of patients' hope and optimism	12 months	No
Secondary	The Illness Management and Recovery Scale (SAMHSA, 2009)	Assessing patients' recovery outcomes in the IMR program with 15 items.	About 11 months after start of intervention	No
Secondary	General Organizational Index (SAMHSA, 2009)	A 12-item scale measuring organisational outcome of implementation by common agency practices that support evidence-based practices	12 months	No