The resource group method in severe mental illness

Study protocol for a randomized controlled trial and a qualitative multiple case study

C. Tjaden*, C. L. Mulder, J. van Weeghel, P. Delespaul, R. Keet

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background
The resource group method provides a structure to facilitate patients’ empowerment and recovery processes, and to systematically engage significant others in treatment and care. A patient chooses members of a resource group (RG) that will work together on fulfilling patients’ recovery plan. By adopting shared decision-making processes and stimulating collaboration of different support systems, a broad and continuous support of patients’ chosen goals and wishes is preserved and problem solving and communication skills of the RG members are addressed.

Objective
The objectives of this study are (1) to establish the effectiveness of the RG method in increasing empowerment in patients with severe mental illnesses (SMI) in the Netherlands; (2) to investigate the cost-effectiveness and cost utility of the RG method; and (3) to qualitatively explore its dynamics and processes.

Methods/design
This multisite randomized controlled trial will compare the effects of the RG-method integrated in Flexible Assertive Community Treatment (FACT) (90 patients) with those of standard FACT (90 patients). Baseline assessments and 9-month and 18-month follow-up assessments will be conducted in face-to-face home visits. The primary outcome measure, empowerment, will be assessed using the Netherlands Empowerment List (NEL). The secondary outcomes will be quality of life (MANSA); personal, community and clinical recovery (I.ROC); general, social and community functioning (WHODAS 2.0); general psychopathological signs and symptoms (BSI-18); and societal costs (TiC-P). An economic evaluation of the cost-effectiveness and cost utility of the RG method will also be conducted. A qualitative multiple case-study will be added to collect patients’, RG members’ and professionals’ perspectives by in-depth interviews, observations and focus groups.

Discussion
This trial will be the first to study the effects of the RG method on empowerment in patients with SMI. By combining clinical-effectiveness data with an economic evaluation and in-depth qualitative information from primary stakeholders, it will provide a detailed overview of the RG method as a mean of improving care for patients with SMI.
Original languageEnglish
Article number15
JournalInternational Journal of Mental Health Systems
Volume13
DOIs
Publication statusPublished - 2019

Fingerprint

Patient Participation
Cost-Benefit Analysis
Community Mental Health Services
Netherlands
House Calls
Focus Groups
Communication
Interviews

Keywords

  • (Flexible) Assertive Community Treatment
  • CONCEPTUAL-MODEL
  • Care structure
  • Community mental health
  • Empowerment
  • FACT
  • Family
  • Family intervention
  • GLOBAL ASSESSMENT
  • HEALTH
  • INTEGRATED CARE
  • PSYCHOSIS
  • RACT
  • RECOVERY
  • RELIABILITY
  • Recovery
  • Resource group
  • SCHIZOPHRENIA
  • Severe mental illness
  • VERSION

Cite this

@article{df4d134c4fe54499bb67d001a1870b9b,
title = "The resource group method in severe mental illness: Study protocol for a randomized controlled trial and a qualitative multiple case study",
abstract = "BackgroundThe resource group method provides a structure to facilitate patients’ empowerment and recovery processes, and to systematically engage significant others in treatment and care. A patient chooses members of a resource group (RG) that will work together on fulfilling patients’ recovery plan. By adopting shared decision-making processes and stimulating collaboration of different support systems, a broad and continuous support of patients’ chosen goals and wishes is preserved and problem solving and communication skills of the RG members are addressed.ObjectiveThe objectives of this study are (1) to establish the effectiveness of the RG method in increasing empowerment in patients with severe mental illnesses (SMI) in the Netherlands; (2) to investigate the cost-effectiveness and cost utility of the RG method; and (3) to qualitatively explore its dynamics and processes.Methods/designThis multisite randomized controlled trial will compare the effects of the RG-method integrated in Flexible Assertive Community Treatment (FACT) (90 patients) with those of standard FACT (90 patients). Baseline assessments and 9-month and 18-month follow-up assessments will be conducted in face-to-face home visits. The primary outcome measure, empowerment, will be assessed using the Netherlands Empowerment List (NEL). The secondary outcomes will be quality of life (MANSA); personal, community and clinical recovery (I.ROC); general, social and community functioning (WHODAS 2.0); general psychopathological signs and symptoms (BSI-18); and societal costs (TiC-P). An economic evaluation of the cost-effectiveness and cost utility of the RG method will also be conducted. A qualitative multiple case-study will be added to collect patients’, RG members’ and professionals’ perspectives by in-depth interviews, observations and focus groups.DiscussionThis trial will be the first to study the effects of the RG method on empowerment in patients with SMI. By combining clinical-effectiveness data with an economic evaluation and in-depth qualitative information from primary stakeholders, it will provide a detailed overview of the RG method as a mean of improving care for patients with SMI.",
keywords = "(Flexible) Assertive Community Treatment, CONCEPTUAL-MODEL, Care structure, Community mental health, Empowerment, FACT, Family, Family intervention, GLOBAL ASSESSMENT, HEALTH, INTEGRATED CARE, PSYCHOSIS, RACT, RECOVERY, RELIABILITY, Recovery, Resource group, SCHIZOPHRENIA, Severe mental illness, VERSION",
author = "C. Tjaden and Mulder, {C. L.} and {van Weeghel}, J. and P. Delespaul and R. Keet",
year = "2019",
doi = "10.1186/s13033-019-0270-2",
language = "English",
volume = "13",
journal = "International Journal of Mental Health Systems",
issn = "1752-4458",
publisher = "BioMed Central",

}

The resource group method in severe mental illness : Study protocol for a randomized controlled trial and a qualitative multiple case study. / Tjaden, C. ; Mulder, C. L. ; van Weeghel, J.; Delespaul, P.; Keet, R.

In: International Journal of Mental Health Systems, Vol. 13, 15, 2019.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - The resource group method in severe mental illness

T2 - Study protocol for a randomized controlled trial and a qualitative multiple case study

AU - Tjaden, C.

AU - Mulder, C. L.

AU - van Weeghel, J.

AU - Delespaul, P.

AU - Keet, R.

PY - 2019

Y1 - 2019

N2 - BackgroundThe resource group method provides a structure to facilitate patients’ empowerment and recovery processes, and to systematically engage significant others in treatment and care. A patient chooses members of a resource group (RG) that will work together on fulfilling patients’ recovery plan. By adopting shared decision-making processes and stimulating collaboration of different support systems, a broad and continuous support of patients’ chosen goals and wishes is preserved and problem solving and communication skills of the RG members are addressed.ObjectiveThe objectives of this study are (1) to establish the effectiveness of the RG method in increasing empowerment in patients with severe mental illnesses (SMI) in the Netherlands; (2) to investigate the cost-effectiveness and cost utility of the RG method; and (3) to qualitatively explore its dynamics and processes.Methods/designThis multisite randomized controlled trial will compare the effects of the RG-method integrated in Flexible Assertive Community Treatment (FACT) (90 patients) with those of standard FACT (90 patients). Baseline assessments and 9-month and 18-month follow-up assessments will be conducted in face-to-face home visits. The primary outcome measure, empowerment, will be assessed using the Netherlands Empowerment List (NEL). The secondary outcomes will be quality of life (MANSA); personal, community and clinical recovery (I.ROC); general, social and community functioning (WHODAS 2.0); general psychopathological signs and symptoms (BSI-18); and societal costs (TiC-P). An economic evaluation of the cost-effectiveness and cost utility of the RG method will also be conducted. A qualitative multiple case-study will be added to collect patients’, RG members’ and professionals’ perspectives by in-depth interviews, observations and focus groups.DiscussionThis trial will be the first to study the effects of the RG method on empowerment in patients with SMI. By combining clinical-effectiveness data with an economic evaluation and in-depth qualitative information from primary stakeholders, it will provide a detailed overview of the RG method as a mean of improving care for patients with SMI.

AB - BackgroundThe resource group method provides a structure to facilitate patients’ empowerment and recovery processes, and to systematically engage significant others in treatment and care. A patient chooses members of a resource group (RG) that will work together on fulfilling patients’ recovery plan. By adopting shared decision-making processes and stimulating collaboration of different support systems, a broad and continuous support of patients’ chosen goals and wishes is preserved and problem solving and communication skills of the RG members are addressed.ObjectiveThe objectives of this study are (1) to establish the effectiveness of the RG method in increasing empowerment in patients with severe mental illnesses (SMI) in the Netherlands; (2) to investigate the cost-effectiveness and cost utility of the RG method; and (3) to qualitatively explore its dynamics and processes.Methods/designThis multisite randomized controlled trial will compare the effects of the RG-method integrated in Flexible Assertive Community Treatment (FACT) (90 patients) with those of standard FACT (90 patients). Baseline assessments and 9-month and 18-month follow-up assessments will be conducted in face-to-face home visits. The primary outcome measure, empowerment, will be assessed using the Netherlands Empowerment List (NEL). The secondary outcomes will be quality of life (MANSA); personal, community and clinical recovery (I.ROC); general, social and community functioning (WHODAS 2.0); general psychopathological signs and symptoms (BSI-18); and societal costs (TiC-P). An economic evaluation of the cost-effectiveness and cost utility of the RG method will also be conducted. A qualitative multiple case-study will be added to collect patients’, RG members’ and professionals’ perspectives by in-depth interviews, observations and focus groups.DiscussionThis trial will be the first to study the effects of the RG method on empowerment in patients with SMI. By combining clinical-effectiveness data with an economic evaluation and in-depth qualitative information from primary stakeholders, it will provide a detailed overview of the RG method as a mean of improving care for patients with SMI.

KW - (Flexible) Assertive Community Treatment

KW - CONCEPTUAL-MODEL

KW - Care structure

KW - Community mental health

KW - Empowerment

KW - FACT

KW - Family

KW - Family intervention

KW - GLOBAL ASSESSMENT

KW - HEALTH

KW - INTEGRATED CARE

KW - PSYCHOSIS

KW - RACT

KW - RECOVERY

KW - RELIABILITY

KW - Recovery

KW - Resource group

KW - SCHIZOPHRENIA

KW - Severe mental illness

KW - VERSION

U2 - 10.1186/s13033-019-0270-2

DO - 10.1186/s13033-019-0270-2

M3 - Article

VL - 13

JO - International Journal of Mental Health Systems

JF - International Journal of Mental Health Systems

SN - 1752-4458

M1 - 15

ER -