Implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centr

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(2020) 20:934

STUDY PROTOCOL

Open Access

Implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres (IFIP): protocol for a cluster randomised controlled trial Lars Hestmark1* , Maria Romøren1, Kristin Sverdvik Heiervang1,2, Bente Weimand2,3,4, Torleif Ruud1,2,5, Reidun Norvoll6, Kristiane Myckland Hansson1, Irene Norheim7, Eline Aas8, Elisabeth Geke Marjan Landeweer1,9 and Reidar Pedersen1

Abstract Background: Family involvement for persons with psychotic disorders is under-implemented in mental health care, despite its firm scientific, economic, legal and moral basis. This appears to be the case in Norway, despite the presence of national guidelines providing both general recommendations on family involvement and support in the health- and care services, and specific guidance on family interventions for patients with psychotic disorders. The aim of this project is to improve mental health services and the psychosocial health of persons with psychotic disorders and their relatives, by implementing selected recommendations from the national guidelines in community mental health centres, and to evaluate this process. (Continued on next page)

* Correspondence: [email protected] Acronym for the study’s short title: Implementation of Family Involvement for persons with Psychotic disorders. 1 Centre for Medical Ethics, University of Oslo, Kirkeveien 166 Fredrik Holsts hus, 0450 Oslo, Norway Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Hestmark et al. BMC Health Services Research

(2020) 20:934

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Methods: The trial is cluster randomised, where 14 outpatient clusters from community mental health centres undergo stratified randomisation with an allocation ratio of 1:1. The seven intervention clusters will receive implementation support for 18 months, whereas the control clusters will receive the same support af