CompletedNot Applicable

The Therapeutic Relationship Between the Case Manager and the Person With Severe Mental Health Disorder

Spain26 participantsStarted 2023-01-16

Plain-language summary

The first mental health case management programs appear progressively in Spain from the trend towards community mental health with the aim of caring for people with severe mental health disorders outside from hospitals, accompanying them in their recovery process. The mental health nurse case manager is an example of advanced practice in in terms of assistance to the most seriously ill in the community mental health network. The use of the therapeutic relationship as the central axis of care for the person is becomes an essential tool for patient recovery. This study aims, through participatory action, to inquire about the relationship therapy and its effect on the person's recovery. There will be a mixed methods research. First, a participatory intervention with nurses through the recording of four focus groups with the aim of understand, plan, change and maintain the practices surrounding the relationship therapy with their patients. Second, this intervention will be measured by administering scales to patients linked to the mental health case management program that provides service to different areas of the Barcelona Metropolitan Area. The variables to measure will be the quality of the therapeutic relationship, the recovery of the person and the overall functionality. These variables will be measured before and after finishing the participatory intervention. All data will be anonymized, transcribed and analyzed using the software correspondent.

Who can participate

Age range18 Years – 65 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria of subjects The following inclusion criteria have been pre-defined for professionals: * Be a case management professional with one year of seniority in the program. * To be available to carry out the PAR. Regarding participating patients: * To be treated at the Case management program (CMP). Have been diagnosed with a Severe Mental Health Disorder. * No severe intellectual disability. * Be between 18 and 65 years of age. * Remain at the CMP during the 6-month duration of the intervention. Exclusion criteria for subjects. In reference to exclusion criteria, it is not contemplated to include case managers in the study who perform a substitution of less than 1 year's duration are not included in the study. Similarly, exclusion from the study based on professional category is not contemplated. Nor is it contemplated to include patients in whom the target intervention for which they were referred to the CMP program was the CMP program is less than 6 months (e.g., social emergencies, symptom control, psychoeducation at home, etc.),

What they're measuring

Identify the meaning of the therapeutic relationship from the professional case manager's point of view.

Timeframe: 8 weeks

Identify the meaning of the therapeutic relationship from the professional case manager's point of view.

Timeframe: 8 weeks

Determine strategies to improve the therapeutic relationship from the point of view of the professional case manager through reflection and discussion about evidence on therapeutic relationship avaliable

Timeframe: 8 weeks

Qualitatively evaluation of the implementation of improvement strategies in the therapeutic relationship

Timeframe: 4 weeks

Qualitatively evaluation of the implementation of improvement strategies in the therapeutic relationship

Timeframe: 4 weeks

Trial details

NCT IDNCT05774106

SponsorFundació Sant Joan de Déu

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-02-28

View on ClinicalTrials.gov More Mental Health Disorder trials

Plain-language summary

Who can participate

Age range18 Years – 65 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

Identify the meaning of the therapeutic relationship from the professional case manager's point of view.

Timeframe: 8 weeks

Identify the meaning of the therapeutic relationship from the professional case manager's point of view.

Timeframe: 8 weeks

Qualitatively evaluation of the implementation of improvement strategies in the therapeutic relationship

Timeframe: 4 weeks

Qualitatively evaluation of the implementation of improvement strategies in the therapeutic relationship

Timeframe: 4 weeks