Implementation of National Guidelines for Treatment of Psychoses

Summary

The study is a combined health services research study and a clinical patient outcomes sub-study.

The aims of the study are to give new knowledge on (RQ1) current implementation in mental health services of four evidence based practices for treatment of psychoses, (RQ2) how and to what degree implementation support affects the implementation, and (RQ3) whether improved implementation is associated with better clinical course and higher patient satisfaction.

Pairwise randomized study in six health trusts on implementation of the four evidence based practices physical health care, antipsychotic medication, family psychoeducation, and illness management and recovery. Data on model fidelity and patient course/experience are collected at baseline and after 6, 12 and 18 months. 39 clinical units (CMHCs/departments) choose two practices and receive implementation support on one for 18 months after randomization. RQ1 is answered from baseline data, and RQ2 and RQ3 from data after 6-18 months.

Conditions

• Psychotic Disorders

Interventions

OTHER

Systematic implementation support

Implementation support is offered by implementation trainers visiting each clinical unit every two weeks for 6 months and then monthly for 12 months. Support is given only for the practice randomly assigned to support. The aim is to engage leaders and clinicians in identifying and overcoming implementation barriers, and in building systems to support and sustain implementation. Implementation trainers from all sites are trained together and meet every 2-3 month with leaders of the implementation training for supervision, mutual discussion, and exchange of experiences. At the start of the implementation, leaders and clinicians were also invited to a workshop on the practice they have been randomly assigned to receive support for. Toolkits are made available on a website.

OTHER

No implementation support

No implementation support is offered to clinical units for the practice randomly assigned to no implementation support, of the two practices (of the four practices in the project) that unit has chosen to implement.

Sponsors & Collaborators

• University Hospital of North Norway

  collaborator OTHER

• Helse Fonna

  collaborator OTHER

• Helse Stavanger HF

  collaborator OTHER_GOV

• Sorlandet Hospital HF

  collaborator OTHER_GOV

• Sykehuset Innlandet HF

  collaborator OTHER

• Westat

  collaborator OTHER

• Mental helse

  collaborator UNKNOWN

• University Hospital, Akershus

  lead OTHER

Principal Investigators

• Torleif Ruud, MD, PhD · University Hospital, Akershus

Eligibility

Min Age

16 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-06-22

Primary Completion

2018-12-31

Completion

2018-12-31