Implementing Mental Health Recovery Guidelines Into Services: A Pan Canadian Study

Renseignements sur le financement
Canadian Institutes of Health Research
  • Type de subvention: Partenariats pour l'amélioration du système de santé (PASS)
  • Années: 2017/18 à 2020/21
  • Financement total: $413,906
Mots clés
Chercheur(e) principal(e)

Sommaire du projet

Implementing Mental Health Recovery Guidelines Into Services: A Pan-Canadian Study (Piat, Briand, Mantler Albert, Doiron, Maillet, et al)Issue to be addressed: The aim of this project is to facilitate system transformation to a mental health recovery perspective by implementing and evaluating Canada`s new Mental Health Recovery Guidelines1 in 5 provinces. These guidelines, the first of its kind in Canada, were developed by the Mental Health Commission of Canada (MHCC) to move mental health recovery from a policy to practice in healthcare organizations.Recovery is defined as living a satisfying, hopeful, contributing life despite the limitations of mental illness. Recovery services build on strengths and resources of people with mental illness, enhancing self-determination and control. They promote collaborative relationships between service users and service providers, stigma reduction and community integration.As the dominant paradigm in mental health, recovery is the focus of national mental health plans in G8 countries including Canada’s 2012 mental health strategy, Changing Directions, Changing Lives, and provincial policies.Expertise: This project stems from a pan Canadian collaborative spearheaded by the MHCC. Our 26 knowledge users have substantial experience and are committed to implementing recovery-oriented services in their organizations.Approach: Our study is guided by implementation science research. Our research question is: (1) What is the impact (process and outcome) of implementing Recovery Guidelines in services and organizations for Implementation Teams, service providers, service users, and families? We will implement the Recovery Guidelines in 5 health organizations in British Colombia, Manitoba, Ontario, Quebec and New Brunswick. Local implementation teams will provide leadership for implementing and sustaining this initiative. Both qualitative and quantitative methods will be used to evaluate the implementation process and its outcomes on service users, their families, and on service providers and implementation teams. Group interviews will be conducted before and after implementing the guidelines. Three questionnaires will be administered pre and post implementation: Recovery Self Assessment and Recovery Assessment Questionnaire and the Recovery Promoting Relationships Scale. An Advisory Committee will oversee this project. An International Group of recovery experts from the UK and the USA will provide feedback.Project contributions: This is the first implementation study on the Canadian Recovery Guidelines. Impetus for the project comes from end-users (knowledge users, service providers, service users, families). Implementing the Canadian Recovery Guidelines will address an important quality gap and help to transform mental health services. Implementing Recovery Guidelines should improve client outcomes that support recovery, e.g. better illness self-management; involvement in treatment; collaborative relations with service providers and families; empowerment and reduced self-stigma.Project Outputs include: 1) five case studies reporting the implementation process, the results (outcomes) and lessons learned; 2) an online implementation Toolkit for managers and service providers in health organizations; and 3) local and national Communities of Practice aimed at sustaining and promoting widespread use of the Recovery Guidelines.

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