Implementation of REFOCUS Training Program in Mental Health Services (RETAFORM)

Hôpital le Vinatier

Status: Enrolling

Conditions: Mental Disorders

Treatments: Other: Implementation of a training centered around the notions of recovery with mental health services second year; Other: Implementation of a training centered around the notions of recovery with mental health services first year

Study type: Interventional

Funder types: Other

Identifiers

NCT05824234

2021-A03025-36

Details and patient eligibility

About

Training of mental health service teams in the orientation of care towards recovery through a 3-day training course: REFOCUS. This training aims to orient care towards recovery. Following this training, evaluation of the effectiveness of the implementation of REFOCUS training in mental health services.

Full description

The primary hypothesis is that the implementation of REFOCUS will facilitate the 1-year recovery of patients managed by trained professionals. The secondary hypotheses are that the implementation of REFOCUS will facilitate improved orientation of practices towards recovery; reduced costs associated with the use of mental health services; improved perceived stigma, self-stigma, stigma-related stress, well-being, perceived coercion, and general functioning among those involved.

Enrollment: 760 estimated patients

Sex: All

Ages: 15 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age from 15 to 65 years old.
• Diagnosis of schizophrenia, schizoaffective disorder, schizotypal disorder and schizophreniform disorder or bipolar disorder, borderline personality disorder, disabling anxiety or depressive disorder (DSM-V criteria; APA, 2013).
• Patients cared for by the team or unit benefiting from REFOCUS training
• French mother tongue.
• Patient affiliated or entitled to a social security scheme
• Patient having received information about the study and having confirmed their participation in the study by signing the consent form
• For minors (< 18 years), information given to holders of parental authority and signature of consent.
• For patients under curatorship, form signed by the patient and information given to the curator

Exclusion criteria

• Age less than 15 years old
• Patients under guardianship
• Presence of an associated intellectual disability
• Neurological disorders of vascular, infectious or neurodegenerative origin.
• Taking somatic drugs with a cerebral or psychic impact (eg corticosteroids).

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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760 participants in 2 patient groups

Arm number one (2023)

Other group

Description:

Arm number one: services formed the first year with the REFOCUS formation Arm number two: services formed the second year with the REFOCUS formation Stepped wedge methodology

Treatment:

Other: Implementation of a training centered around the notions of recovery with mental health services first year

Arm number two (2024)

Other group

Description:

Arm number one: services formed the first year with the REFOCUS formation Arm number two: services formed the second year with the REFOCUS formation Stepped wedge methodology

Treatment:

Other: Implementation of a training centered around the notions of recovery with mental health services second year