Experiences of healthcare staff providing community-based mental healthcare as a multidisciplinary community mental health team in Central and Eastern Europe findings from the RECOVER-E project: an observational intervention study.
Collaborative Teamwork, Role perceptions
Community mental health services
Implementation
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
24 10 2021
24 10 2021
Historique:
received:
20
12
2020
accepted:
14
10
2021
entrez:
25
10
2021
pubmed:
26
10
2021
medline:
15
12
2021
Statut:
epublish
Résumé
Community Mental Health Teams (CMHTs) deliver healthcare that supports the recovery of people with mental illness. The aim of this paper was to explore to what extent team members of five CMHTs newly implemented in five countries perceived that they had introduced aspects of the recovery-oriented, strength-based approach into care after a training week on recovery-oriented practice. In addition, it evaluated what the team members' perceptions on their care roles and their level of confidence with this role were. An observational intervention study using a quantitative survey that was administered among 52 health professionals (21 Nurses, 13 Psychiatrists, 9 Psychologists, 8 Social Workers) and 14 peer workers including the Recovery Self-Assessment Tool Provider Version (RSA-P), the Team Member Self-Assessment Tool (TMSA), and demographic questions was conducted. The measures were self-reported. Descriptive statistics were used to calculate the means and standard deviations for continuous variables and frequencies and percentages for categorical variables (TMSA tool and demographic data). The standard technique to calculate scale scores for each subscale of the RSA-P was used. Bivariate linear regression analyses were applied to explore the impact of predictors on the subscales of the RSA-P. Predictors with significant effects were included in multiple regression models. The RSA-P showed that all teams had the perception that they provide recovery-oriented practice to a moderately high degree after a training week on recovery-oriented care (mean scores between 3.85-4.46). Health professionals with fewer years of professional experience perceived more frequently that they operated in a recovery-oriented way (p = 0.036, B = - 0.268). Nurses and peer workers did not feel confident or responsible to fulfil specific roles. The findings suggest that a one-week training session on community-based practices and collaborative teamwork may enhance recovery-oriented practice, but the role of nurses and peer workers needs further attention. Each trial was registered before participant enrolment in the clinicaltrials.gov database: Croatia, Zagreb (Trial Reg. No. NCT03862209 ); Montenegro, Kotor (Trial Reg. No. NCT03837340 ); Romania, Suceava (Trial Reg. No. NCT03884933 ); Macedonia, Skopje (Trial Reg. No. NCT03892473 ); Bulgaria, Sofia (Trial Reg. No. NCT03922425 ).
Sections du résumé
BACKGROUND
Community Mental Health Teams (CMHTs) deliver healthcare that supports the recovery of people with mental illness. The aim of this paper was to explore to what extent team members of five CMHTs newly implemented in five countries perceived that they had introduced aspects of the recovery-oriented, strength-based approach into care after a training week on recovery-oriented practice. In addition, it evaluated what the team members' perceptions on their care roles and their level of confidence with this role were.
METHOD
An observational intervention study using a quantitative survey that was administered among 52 health professionals (21 Nurses, 13 Psychiatrists, 9 Psychologists, 8 Social Workers) and 14 peer workers including the Recovery Self-Assessment Tool Provider Version (RSA-P), the Team Member Self-Assessment Tool (TMSA), and demographic questions was conducted. The measures were self-reported. Descriptive statistics were used to calculate the means and standard deviations for continuous variables and frequencies and percentages for categorical variables (TMSA tool and demographic data). The standard technique to calculate scale scores for each subscale of the RSA-P was used. Bivariate linear regression analyses were applied to explore the impact of predictors on the subscales of the RSA-P. Predictors with significant effects were included in multiple regression models.
RESULT
The RSA-P showed that all teams had the perception that they provide recovery-oriented practice to a moderately high degree after a training week on recovery-oriented care (mean scores between 3.85-4.46). Health professionals with fewer years of professional experience perceived more frequently that they operated in a recovery-oriented way (p = 0.036, B = - 0.268). Nurses and peer workers did not feel confident or responsible to fulfil specific roles.
CONCLUSION
The findings suggest that a one-week training session on community-based practices and collaborative teamwork may enhance recovery-oriented practice, but the role of nurses and peer workers needs further attention.
TRIAL REGISTRATION
Each trial was registered before participant enrolment in the clinicaltrials.gov database: Croatia, Zagreb (Trial Reg. No. NCT03862209 ); Montenegro, Kotor (Trial Reg. No. NCT03837340 ); Romania, Suceava (Trial Reg. No. NCT03884933 ); Macedonia, Skopje (Trial Reg. No. NCT03892473 ); Bulgaria, Sofia (Trial Reg. No. NCT03922425 ).
Identifiants
pubmed: 34689733
doi: 10.1186/s12888-021-03542-2
pii: 10.1186/s12888-021-03542-2
pmc: PMC8543797
doi:
Banques de données
ClinicalTrials.gov
['NCT03884933', 'NCT03892473', 'NCT03922425', 'NCT03837340', 'NCT03862209']
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
525Informations de copyright
© 2021. The Author(s).
Références
Psychiatr Serv. 2014 Apr 1;65(4):442-53
pubmed: 24487405
Eval Health Prof. 2017 Dec;40(4):505-516
pubmed: 27765886
BMJ. 1999 Jul 3;319(7201):13-6
pubmed: 10390451
BMC Psychiatry. 2019 Jun 10;19(1):174
pubmed: 31182058
Br J Psychiatry. 2017 Feb;210(2):119-124
pubmed: 27908899
Acad Psychiatry. 2016 Jun;40(3):461-7
pubmed: 26586616
Int J Environ Res Public Health. 2018 Jun 16;15(6):
pubmed: 29914185
BJPsych Int. 2019 Feb;16(1):4-6
pubmed: 30747157
J Evid Based Soc Work (2019). 2020 May-Jun;17(3):300-316
pubmed: 32420832
Croat Med J. 2008 Jun;49(3):298-306
pubmed: 18581608
Int Psychiatry. 2012 Feb 01;9(1):6-8
pubmed: 31508109
Epidemiol Psychiatr Sci. 2019 Apr;28(2):210-223
pubmed: 28918762
J Ment Health. 2016 Aug;25(4):379-384
pubmed: 27461844
Lancet. 2015 Aug 22;386(9995):743-800
pubmed: 26063472
J Psychiatr Ment Health Nurs. 2018 Nov;25(9-10):569-581
pubmed: 30411432
Bull World Health Organ. 2004 Nov;82(11):858-66
pubmed: 15640922
Int J Ment Health Syst. 2020 Apr 22;14:30
pubmed: 32336984
Patient Educ Couns. 2015 Jan;98(1):61-8
pubmed: 25455795
Community Ment Health J. 2012 Jun;48(3):352-62
pubmed: 21617994
Br J Psychiatry. 2001 Jun;178:497-502; discussion 503-5
pubmed: 11388964
Ment Health Rev (Brighton). 2018;23(3):185-196
pubmed: 30464703
Int J Nurs Stud. 2016 Aug;60:234-50
pubmed: 27297384
Br J Psychiatry. 2000 Mar;176:217-23
pubmed: 10755067
Borderline Personal Disord Emot Dysregul. 2020 Sep 2;7:20
pubmed: 32884819
Aust N Z J Psychiatry. 2006 Nov-Dec;40(11-12):972-80
pubmed: 17054565
Cochrane Database Syst Rev. 2007 Jul 18;(3):CD000270
pubmed: 17636625
Adm Policy Ment Health. 2017 May;44(3):413-429
pubmed: 27037701
Soc Psychiatry Psychiatr Epidemiol. 2012 Nov;47(11):1827-35
pubmed: 22322983
Psychiatr Q. 2017 Dec;88(4):755-767
pubmed: 28150089
Community Ment Health J. 2007 Aug;43(4):421-33
pubmed: 17514502
Int J Ment Health Syst. 2011 Nov 18;5(1):30
pubmed: 22099582
Lancet. 2007 Sep 8;370(9590):841-50
pubmed: 17826169
Psychiatr Rehabil J. 2015 Mar;38(1):88-95
pubmed: 25559078
Front Psychiatry. 2019 Aug 13;10:560
pubmed: 31616321
Lancet. 2013 Jun 8;381(9882):1970-1
pubmed: 23746771
Psychiatr Serv. 2006 May;57(5):640-5
pubmed: 16675756
Nord J Psychiatry. 2018 Apr;72(3):226-231
pubmed: 29373933
Br J Psychiatry. 2009 Jun;194(6):491-9
pubmed: 19478286
J Ment Health. 2019 Dec;28(6):627-632
pubmed: 28682640
Psychiatr Rehabil J. 2005 Spring;28(4):378-86
pubmed: 15895922
Community Ment Health J. 2016 Nov;52(8):898-907
pubmed: 25648552
Lancet Psychiatry. 2021 Jan;8(1):27-35
pubmed: 33091344