| 1. |
- Egeland, Karina Myhren, et al.
(författare)
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How to implement Illness Management and Recovery (IMR) in mental health service settings : evaluation of the implementation strategy
- 2017
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Ingår i: International Journal of Mental Health Systems. - : BIOMED CENTRAL LTD. - 1752-4458. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Background: The purpose of this study was to evaluate the implementation strategy used in the first-phase of implementation of the Illness Management and Recovery (IMR) programme, an intervention for adults with severe mental illnesses, in nine mental health service settings in Norway. Methods: A total of 9 clinical leaders, 31 clinicians, and 44 consumers at 9 service settings participated in the implementation of IMR. Implementation was conducted by an external team of researchers and an experienced trainer. Data were gathered on fidelity to the intervention and implementation strategy, feasibility, and consumer outcomes. Results: Although the majority of clinicians scored within the acceptable range of high intervention fidelity, their participation in the implementation strategy appeared to moderate anticipated future use of IMR. No service settings reached high intervention fidelity scores for organizational quality improvement after 12 months of implementation. IMR implementation seemed feasible, albeit with some challenges. Consumer outcomes indicated significant improvements in illness self-management, severity of problems, functioning, and hope. There were nonsignificant positive changes in symptoms and quality of life. Conclusions: The implementation strategy appeared adequate to build clinician competence over time, enabling clinicians to provide treatment that increased functioning and hope for consumers. Additional efficient strategies should be incorporated to facilitate organizational change and thus secure the sustainability of the implemented practice.
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| 2. |
- Forsman, Anna K, et al.
(författare)
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Research priorities for public mental health in Europe: recommendations of the ROAMER project.
- 2015
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Ingår i: European Journal of Public Health. - : Oxford University Press (OUP). - 1101-1262 .- 1464-360X. ; 25:2, s. 249-254
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Tidskriftsartikel (refereegranskat)abstract
- The ROAdmap for MEntal health Research in Europe project aimed to create an integrated European roadmap for mental health research. Leading mental health research experts across Europe have formulated consensus-based recommendations for future research within the public mental health field.
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| 3. |
- Frøkedal, Hilde, et al.
(författare)
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Addressing the existential dimension in treatment settings : Mental health professionals' and healthcare chaplains' attitudes, practices, understanding and perceptions of value
- 2019
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Ingår i: Archive for the Psychology of Religion/ Archiv für Religionspsychologie. - : Sage Publications. - 0084-6724 .- 1573-6121. ; 41:3, s. 253-276
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Tidskriftsartikel (refereegranskat)abstract
- Research has shown that addressing and integrating the existential dimension in treatment settings reduce symptoms like anxiety, depression and substance abuse. Healthcare chaplains are key personnel in this practice. A nationwide, cross-sectional survey influenced by a mixed-methods approach was used to examine the attitudes, practices, understanding and perceptions of mental health professionals, including healthcare chaplains, regarding the value of addressing the existential dimension in treatment programmes. The existential group practice was led by the healthcare chaplains as an integrated part of specialist mental health services. A positive and open attitude towards addressing the existential dimension was identified among the informants. Despite this, a small gap between attitude and practice was reported. Existential, religious and spiritual concerns are reported as part of the existential dimension and as relevant topics to be discussed in specialist mental health services. The findings indicate that the existential group practice could have a positive influence on the co-leaders' competence to address existential, religious and spiritual concerns; however, this should be further investigated.
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| 4. |
- Frøkedal, Hilde, et al.
(författare)
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Existential group practice run by mental healthcare chaplains in Norway : A nationwide cross-sectional study
- 2017
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Ingår i: Mental Health, Religion & Culture. - : Taylor & Francis Group. - 1367-4676 .- 1469-9737. ; 20:8, s. 713-727
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Tidskriftsartikel (refereegranskat)abstract
- Existential groups run by healthcare chaplains within mental healthcare have a long tradition in Norway. By using a national cross-sectional survey design, this study explored and described both quantitatively and qualitatively these groups' characteristics. Quantitative data were analysed by descriptive statistics and content analysis inspired by Graneheim and Lundman was used to analyse the qualitative data. The current existential group practice was present in 11 of 25 Norwegian health authorities and across service levels. Five different group approaches, all addressing patients' existential, spiritual and religious needs and issues, were identified and described. The existential groups were in general eclectic and applied a variety of therapeutic strategies representing group psychotherapy, existential therapy and clinical pastoral care. The findings suggest that this Norwegian existential group practice can be regarded as a well-established and integrated part of the Norwegian mental healthcare. Researchers are challenged to further qualitatively explore this Norwegian existential group practice.
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| 5. |
- Frøkedal, Hilde, et al.
(författare)
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Participation in Existential Groups Led by Norwegian Healthcare Chaplains : Relations to Psychological Distress, Crisis of Meaning and Meaningfulness
- 2022
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Ingår i: The international journal for the psychology of religion. - : Routledge. - 1050-8619 .- 1532-7582. ; 32:1, s. 1-15
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Tidskriftsartikel (refereegranskat)abstract
- Spirituality groups led by healthcare chaplains have been found to aid patients' recovery processes in US psychiatric units. In Norway, existential groups (EGs) led by healthcare chaplains and co-led by healthcare staff members are offered at psychiatric units; these groups share commonalities with spirituality groups, group psychotherapy, existential therapy and clinical pastoral care, facilitating patients' reflections regarding existential, spiritual and religious issues. The study aimed to examine associations between patients' participation and topics discussed in the EGs and their experiences of psychological distress, crisis of meaning and meaningfulness. A cross-sectional design was applied among 157 patients attending EGs led by healthcare chaplains across Norway. Multivariate regression analyses assessed the strength of possible associations, adjusted for relevant demographical variables. Significant association was found between lengthier EG participation and lower levels of psychological distress, while discussion topics concerning religious and spiritual issues were significantly associated with the experience of meaningfulness.
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