Effectiveness of an intervention for managing victimization risks related to societal participation for persons with severe mental illness: A cluster RCT study protocol

W.M.M. Albers, D.P.K. Roeg, Y.A.M. Nijssen, I.M.B. Bongers, J. van Weeghel

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Abstract

Background
People with severe mental illness (SMI) are more likely to experience criminal victimization than other community members. In addition, (self-) stigma and perceived discrimination are highly prevalent in this group. These adversities in the social context often have major adverse effects on the rehabilitation and recovery of these persons. Current practice, however, lacks instruments to address these issues. As a reaction, the Victoria intervention was developed and pilot-tested with client representatives, professionals, trainers and researchers. The Victoria intervention is a method for community mental health care workers to expand their awareness of this topic and support them in assessing victimization and incorporate appropriate services, including trauma screening and rehabilitation services, in their health care planning. For clients, the Victoria intervention aims to increase their awareness, active management of possible victimization risks and promote safe social participation. As a new intervention, little is known about its use in real practice and its effects on client outcomes.

Methods/design
To determine the feasibility and effectiveness of this intervention, a process evaluation and a first cluster randomized controlled trial (RCT) will be carried out. Outpatients from eight Flexible Assertive Community Treatment (F-ACT) teams from two mental health care (MHC) organizations in the Netherlands are included in the study. Teams in the intervention group will receive three half-day training sessions, and bi-monthly supervision meetings for 18 months. Teams in the control group provide care as usual. For the process evaluation, a multi-method design is used. To assess effects on client outcomes, clients will be interviewed about their experiences on victimization and societal participation using validated questionnaires at baseline, and after 9 and 18 months.

Discussion
This study is the first to evaluate an intervention aiming at recognition of victimization, (self-) stigma and perceived discrimination, and targeting outpatients’ insights into possible risks and coping skills to tackle these risks to enhance safe societal participation. Results of this study may validate the Victoria intervention as a practice to better manage risk for adversities related to societal participation.
Original languageEnglish
Article number247
Number of pages11
JournalBMC Psychiatry
Volume18
Issue number1
DOIs
Publication statusPublished - 2018

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Crime Victims
Victoria
Mental Health
Outpatients
Community Mental Health Services
Delivery of Health Care
Community Health Services
Health Planning
Netherlands
Organizations
Wounds and Injuries

Keywords

  • COMMUNITY
  • CRIMINAL VICTIMIZATION
  • HEALTH
  • MANAGEMENT
  • MODEL
  • PEOPLE
  • PSYCHOTIC DISORDERS
  • RECOVERY
  • Recovery
  • Rehabilitation
  • Risk management
  • SELF-STIGMA
  • Severe mental illness
  • Societal participation
  • Stigma
  • VIOLENT VICTIMIZATION
  • Victimization

Cite this

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title = "Effectiveness of an intervention for managing victimization risks related to societal participation for persons with severe mental illness: A cluster RCT study protocol",
abstract = "BackgroundPeople with severe mental illness (SMI) are more likely to experience criminal victimization than other community members. In addition, (self-) stigma and perceived discrimination are highly prevalent in this group. These adversities in the social context often have major adverse effects on the rehabilitation and recovery of these persons. Current practice, however, lacks instruments to address these issues. As a reaction, the Victoria intervention was developed and pilot-tested with client representatives, professionals, trainers and researchers. The Victoria intervention is a method for community mental health care workers to expand their awareness of this topic and support them in assessing victimization and incorporate appropriate services, including trauma screening and rehabilitation services, in their health care planning. For clients, the Victoria intervention aims to increase their awareness, active management of possible victimization risks and promote safe social participation. As a new intervention, little is known about its use in real practice and its effects on client outcomes.Methods/designTo determine the feasibility and effectiveness of this intervention, a process evaluation and a first cluster randomized controlled trial (RCT) will be carried out. Outpatients from eight Flexible Assertive Community Treatment (F-ACT) teams from two mental health care (MHC) organizations in the Netherlands are included in the study. Teams in the intervention group will receive three half-day training sessions, and bi-monthly supervision meetings for 18 months. Teams in the control group provide care as usual. For the process evaluation, a multi-method design is used. To assess effects on client outcomes, clients will be interviewed about their experiences on victimization and societal participation using validated questionnaires at baseline, and after 9 and 18 months.DiscussionThis study is the first to evaluate an intervention aiming at recognition of victimization, (self-) stigma and perceived discrimination, and targeting outpatients’ insights into possible risks and coping skills to tackle these risks to enhance safe societal participation. Results of this study may validate the Victoria intervention as a practice to better manage risk for adversities related to societal participation.",
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author = "W.M.M. Albers and D.P.K. Roeg and Y.A.M. Nijssen and I.M.B. Bongers and {van Weeghel}, J.",
year = "2018",
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Effectiveness of an intervention for managing victimization risks related to societal participation for persons with severe mental illness : A cluster RCT study protocol. / Albers, W.M.M.; Roeg, D.P.K.; Nijssen, Y.A.M.; Bongers, I.M.B.; van Weeghel, J.

In: BMC Psychiatry, Vol. 18, No. 1, 247, 2018.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Effectiveness of an intervention for managing victimization risks related to societal participation for persons with severe mental illness

T2 - A cluster RCT study protocol

AU - Albers, W.M.M.

AU - Roeg, D.P.K.

AU - Nijssen, Y.A.M.

AU - Bongers, I.M.B.

AU - van Weeghel, J.

PY - 2018

Y1 - 2018

N2 - BackgroundPeople with severe mental illness (SMI) are more likely to experience criminal victimization than other community members. In addition, (self-) stigma and perceived discrimination are highly prevalent in this group. These adversities in the social context often have major adverse effects on the rehabilitation and recovery of these persons. Current practice, however, lacks instruments to address these issues. As a reaction, the Victoria intervention was developed and pilot-tested with client representatives, professionals, trainers and researchers. The Victoria intervention is a method for community mental health care workers to expand their awareness of this topic and support them in assessing victimization and incorporate appropriate services, including trauma screening and rehabilitation services, in their health care planning. For clients, the Victoria intervention aims to increase their awareness, active management of possible victimization risks and promote safe social participation. As a new intervention, little is known about its use in real practice and its effects on client outcomes.Methods/designTo determine the feasibility and effectiveness of this intervention, a process evaluation and a first cluster randomized controlled trial (RCT) will be carried out. Outpatients from eight Flexible Assertive Community Treatment (F-ACT) teams from two mental health care (MHC) organizations in the Netherlands are included in the study. Teams in the intervention group will receive three half-day training sessions, and bi-monthly supervision meetings for 18 months. Teams in the control group provide care as usual. For the process evaluation, a multi-method design is used. To assess effects on client outcomes, clients will be interviewed about their experiences on victimization and societal participation using validated questionnaires at baseline, and after 9 and 18 months.DiscussionThis study is the first to evaluate an intervention aiming at recognition of victimization, (self-) stigma and perceived discrimination, and targeting outpatients’ insights into possible risks and coping skills to tackle these risks to enhance safe societal participation. Results of this study may validate the Victoria intervention as a practice to better manage risk for adversities related to societal participation.

AB - BackgroundPeople with severe mental illness (SMI) are more likely to experience criminal victimization than other community members. In addition, (self-) stigma and perceived discrimination are highly prevalent in this group. These adversities in the social context often have major adverse effects on the rehabilitation and recovery of these persons. Current practice, however, lacks instruments to address these issues. As a reaction, the Victoria intervention was developed and pilot-tested with client representatives, professionals, trainers and researchers. The Victoria intervention is a method for community mental health care workers to expand their awareness of this topic and support them in assessing victimization and incorporate appropriate services, including trauma screening and rehabilitation services, in their health care planning. For clients, the Victoria intervention aims to increase their awareness, active management of possible victimization risks and promote safe social participation. As a new intervention, little is known about its use in real practice and its effects on client outcomes.Methods/designTo determine the feasibility and effectiveness of this intervention, a process evaluation and a first cluster randomized controlled trial (RCT) will be carried out. Outpatients from eight Flexible Assertive Community Treatment (F-ACT) teams from two mental health care (MHC) organizations in the Netherlands are included in the study. Teams in the intervention group will receive three half-day training sessions, and bi-monthly supervision meetings for 18 months. Teams in the control group provide care as usual. For the process evaluation, a multi-method design is used. To assess effects on client outcomes, clients will be interviewed about their experiences on victimization and societal participation using validated questionnaires at baseline, and after 9 and 18 months.DiscussionThis study is the first to evaluate an intervention aiming at recognition of victimization, (self-) stigma and perceived discrimination, and targeting outpatients’ insights into possible risks and coping skills to tackle these risks to enhance safe societal participation. Results of this study may validate the Victoria intervention as a practice to better manage risk for adversities related to societal participation.

KW - COMMUNITY

KW - CRIMINAL VICTIMIZATION

KW - HEALTH

KW - MANAGEMENT

KW - MODEL

KW - PEOPLE

KW - PSYCHOTIC DISORDERS

KW - RECOVERY

KW - Recovery

KW - Rehabilitation

KW - Risk management

KW - SELF-STIGMA

KW - Severe mental illness

KW - Societal participation

KW - Stigma

KW - VIOLENT VICTIMIZATION

KW - Victimization

U2 - 10.1186/s12888-018-1831-7

DO - 10.1186/s12888-018-1831-7

M3 - Article

VL - 18

JO - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

IS - 1

M1 - 247

ER -