Evidence map›Paper›PMID 34689733›Full record

Observational studyBMC psychiatry2021

Experiences of healthcare staff providing community-based mental healthcare as a multidisciplinary community mental health team in Central and Eastern Europe findings from the RECOVER-E project: an observational intervention study.

Catharina Roth, Michel Wensing, Martina Rojnic Kuzman, Sarah Bjedov, Sara Medved, Ana Istvanovic, Danijela Stimac Grbic, Ivana Pavic Simetin, Aleksandar Tomcuk, Jovo Dedovic and 12 more

5 registry-linked trialsOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03837340 naunknown statusnot on this map

Large-scale Implementation of Community-based Mental Health Care for People With Severe and Enduring Mental Ill Health in Europe

TypeinterventionalSponsorSpecial Psychiatric Hospital KotorRan2018 to 2022Enrolled160ConditionsSevere Mental Disorders, Schizophrenia, Bipolar Disorder, Severe DepressionArmsCMHT, CAU
NCT03862209 naunknown statusnot on this map

Large-scale Implementation of Community-based Mental Health Care for People With Severe and Enduring Mental Ill Health in Europe

TypeinterventionalSponsorKlinički Bolnički Centar ZagrebRan2018 to 2021Enrolled200ConditionsSevere Mental Disorder, Schizophrenia, Bipolar Disorder, Severe DepressionArmsCommunity mental health team
NCT03884933 naunknown statusnot on this map

Large Scale Implementation of Community Based Mental Health Care for People With Severe and Enduring Mental Ill Health in Europe

TypeinterventionalSponsorLiga Romana pentru Sanatate MintalaRan2019 to 2020Enrolled180ConditionsMental Disorders, SevereArmsMobile team community mental health services
NCT03892473 naunknown statusnot on this map

Large-scale Implementation of Community-based Mental Health Care for People With Severe and Enduring Mental III Health in Europe

TypeinterventionalSponsorUniversity of SkopjeRan2018 to 2022Enrolled160ConditionsSevere Mental Disorder, Schizophrenia, Bipolar Disorder, Severe DepressionArmsCommunity mental health teams (CMHT), Care as usual (CAU)
NCT03922425 naunknown statusnot on this map

Large Scale Implementation of Community Based Mental Health Care for People With Severe and Enduring Mental Ill Health in Europe

TypeinterventionalSponsorThe National Center for Public Health and Analyzes, BulgariaRan2018 to 2022Enrolled180ConditionsBipolar Disorder, Schizophrenia, Severe DepressionArmsCommunity mental health team
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 7 institutions in 5 countries.

Catharina RothDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Marsilius Arcades, West Tower, Im Neuenheimer Feld 130, 69120, Heidelberg, Germany.
Michel WensingDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Marsilius Arcades, West Tower, Im Neuenheimer Feld 130, 69120, Heidelberg, Germany. michel.wensing@med.uni-heidelberg.de.ORCID 0000-0001-6569-8137
Martina Rojnic KuzmanClinic for Psychiatry and Psychological Medicine, Zagreb University Hospital Centre, Kišpatićeva ul. 12, 10000, Zagreb, Croatia.
Sarah BjedovClinic for Psychiatry and Psychological Medicine, Zagreb University Hospital Centre, Kišpatićeva ul. 12, 10000, Zagreb, Croatia.
Sara MedvedClinic for Psychiatry and Psychological Medicine, Zagreb University Hospital Centre, Kišpatićeva ul. 12, 10000, Zagreb, Croatia.
Ana IstvanovicCroatian Institute of Public Health, Rockefellerova ul. 7, 10000, Zagreb, Croatia.
Danijela Stimac GrbicCroatian Institute of Public Health, Rockefellerova ul. 7, 10000, Zagreb, Croatia.
Ivana Pavic SimetinCroatian Institute of Public Health, Rockefellerova ul. 7, 10000, Zagreb, Croatia.
Aleksandar TomcukHealth Institution Special Psychiatric Hospital Dobrota Kotor, Dobrota bb, 85330, Kotor, Montenegro.
Jovo DedovicHealth Institution Special Psychiatric Hospital Dobrota Kotor, Dobrota bb, 85330, Kotor, Montenegro.
Tatijana DjurisicPublic Health Institute of Montenegro, Dzona Dzeksona bb, 81000, Podgorica, Montenegro.
Raluca Ileana NicaInstitute Liga Romana pentru Sanatate Mintala, Sos. Mihai Bravu 90-96, Bucuresti-Sector 2, Romania.
Tiberiu RotaruSiret Psychiatric Hospital, Strada 9 Mai 5, 725500, Siret, Romania.
Antoni NovotniUniversity Clinic of Psychiatry, Мајка Тереза 17, Mother Teresa 17, Skopje, 1000, North Macedonia.
Stojan BajraktarovUniversity Clinic of Psychiatry, Мајка Тереза 17, Mother Teresa 17, Skopje, 1000, North Macedonia.
Milos MilutinovicUniversity Clinic of Psychiatry, Мајка Тереза 17, Mother Teresa 17, Skopje, 1000, North Macedonia.
Vladimir NakovNational Centre of Public Health and Analyses, Directorate Mental Health and Prevention of Addictions, Acad. Ivan Evst. Geshov 15 blvd., 1431, Sofia, Bulgaria.
Zahari ZarkovNational Centre of Public Health and Analyses, Directorate Mental Health and Prevention of Addictions, Acad. Ivan Evst. Geshov 15 blvd., 1431, Sofia, Bulgaria.
Roumyana DinolovaNational Centre of Public Health and Analyses, Directorate Mental Health and Prevention of Addictions, Acad. Ivan Evst. Geshov 15 blvd., 1431, Sofia, Bulgaria.
Bethany Hipple WaltersDutch Institute for Mental Health and Addiction/Trimbos Institute, Da Costakade 45, 3521, Utrecht, VS, Netherlands.
Laura Shields-ZeemanDutch Institute for Mental Health and Addiction/Trimbos Institute, Da Costakade 45, 3521, Utrecht, VS, Netherlands.
Ionela PetreaDutch Institute for Mental Health and Addiction/Trimbos Institute, Da Costakade 45, 3521, Utrecht, VS, Netherlands.
Hrvatski zavod za javno zdravstvo · HRNational Center of Public Health and Analyses · BGUniversity Hospital Centre Zagreb · HRHeidelberg University · DETrimbos Institute · NLNetherlands Center for Occupational Diseases · NLUniversity of Montenegro · ME

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity Mental Health Teams (CMHTs) deliver healthcare that supports the recovery of people with mental illness. The aim of this paper was to explore to what extent team members of five CMHTs newly implemented in five countries perceived that they had introduced aspects of the recovery-oriented, strength-based approach into care after a training week on recovery-oriented practice. In addition, it evaluated what the team members' perceptions on their care roles and their level of confidence with this role were.

methodAn observational intervention study using a quantitative survey that was administered among 52 health professionals (21 Nurses, 13 Psychiatrists, 9 Psychologists, 8 Social Workers) and 14 peer workers including the Recovery Self-Assessment Tool Provider Version (RSA-P), the Team Member Self-Assessment Tool (TMSA), and demographic questions was conducted. The measures were self-reported. Descriptive statistics were used to calculate the means and standard deviations for continuous variables and frequencies and percentages for categorical variables (TMSA tool and demographic data). The standard technique to calculate scale scores for each subscale of the RSA-P was used. Bivariate linear regression analyses were applied to explore the impact of predictors on the subscales of the RSA-P. Predictors with significant effects were included in multiple regression models.

resultThe RSA-P showed that all teams had the perception that they provide recovery-oriented practice to a moderately high degree after a training week on recovery-oriented care (mean scores between 3.85-4.46). Health professionals with fewer years of professional experience perceived more frequently that they operated in a recovery-oriented way (p = 0.036, B = - 0.268). Nurses and peer workers did not feel confident or responsible to fulfil specific roles.

conclusionThe findings suggest that a one-week training session on community-based practices and collaborative teamwork may enhance recovery-oriented practice, but the role of nurses and peer workers needs further attention.

trial registrationEach trial was registered before participant enrolment in the clinicaltrials.gov database: Croatia, Zagreb (Trial Reg. No. NCT03862209 ); Montenegro, Kotor (Trial Reg. No. NCT03837340 ); Romania, Suceava (Trial Reg. No. NCT03884933 ); Macedonia, Skopje (Trial Reg. No. NCT03892473 ); Bulgaria, Sofia (Trial Reg. No. NCT03922425 ).

Indexed as

Mental DisordersMental Health ServicesDelivery of Health CareHealth PersonnelHumansMental HealthCollaborative Teamwork, Role perceptionsCommunity mental health servicesImplementation

Identifiers

PMID34689733
PMCPMC8543797
OpenAlexW3209906754

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.