Implementation of REFOCUS Training Program in Mental Health Services

Multicenter Study on the Implementation of a Training Program in the Orientation of Care Towards Recovery (REFOCUS) in Mental Health Services

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.

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.

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).