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Davies EL, Gordon AL, Hooper KJ, Laing RE, Lynch EA, Pelentsov LJ, Esterman AJ, Harvey G. Introducing the Needs in Recovery Assessment (NiRA) into clinical practice: protocol for a pilot study investigating the formal and systematic assessment of clinical and social needs experienced by service users at a tertiary, metropolitan mental health service. Pilot Feasibility Stud 2021; 7:181. [PMID: 34593044 PMCID: PMC8482663 DOI: 10.1186/s40814-021-00919-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 09/17/2021] [Indexed: 11/14/2022] Open
Abstract
Background The Needs in Recovery Assessment (NiRA) is a newly developed needs assessment tool, designed to identify the needs of people recovering from mental illness. This tool has been evaluated outside of the clinical context for validity and reliability. The aim of this study is to introduce the NiRA into clinical practice and to evaluate the value of the NiRA as an adjunct to service delivery from the perspectives of stakeholders and to evaluate the barriers and facilitators of embedding the NiRA in a mental health service. Methods The establishment of the NiRA in a tertiary mental health unit over a 6-month period will be evaluated using a multi-methods approach. Quantitative data will be collected using the NiRA itself and the Recovery Self-Assessment (RSA). Face-to-face interviews with service users and clinicians will be conducted following the initial completion of the NiRA, with a follow-up interview for service users on discharge from the service. Regular informal follow-up with clinicians throughout the study will support the introduction of the NiRA. Descriptive statistics will be used to analyse quantitative data, and descriptive qualitative methods will be used to analyse data from interviews. Discussion Aligning mental health services with recovery-oriented frameworks of care is imperative. The NiRA is a tool that has been designed in accordance with recovery principles and may assist services to be more recovery-oriented. If the NiRA is able to achieve the aims and objectives of this project, a larger implementation study will be conducted. Trial registration Australian and New Zealand Clinical Trial Registry (ANZCTR), ACTRN12621000316808 Supplementary Information The online version contains supplementary material available at 10.1186/s40814-021-00919-8.
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Affiliation(s)
- Ellen L Davies
- Adelaide Nursing School, The University of Adelaide, Level 4 AHMS Building, 5 North Terrace, Adelaide, South Australia, 5001, Australia.
| | - Andrea L Gordon
- School of Biomedicine, The University of Adelaide, Level 3 Helen Mayo South, Frome Street, Adelaide, South Australia, 5001, Australia
| | - Kenneth J Hooper
- Youth Mental Health Service, SALHN, GP Plus Marion, 10 Milham St., Oaklands Part, South Australia, 5046, Australia
| | - Robert E Laing
- Adelaide Nursing School, The University of Adelaide, Level 4 AHMS Building, 5 North Terrace, Adelaide, South Australia, 5001, Australia
| | - Elizabeth A Lynch
- Caring Futures Institute, Flinders University, Sturt Rd, Bedford Park, South Australia, 5042, Australia
| | - Lemuel J Pelentsov
- Clinical and Health Services, University of South Australia, Centenary Building, North Terrace, Adelaide, South Australia, 5001, Australia
| | - Adrian J Esterman
- Clinical and Health Services, University of South Australia, Centenary Building, North Terrace, Adelaide, South Australia, 5001, Australia
| | - Gillian Harvey
- Caring Futures Institute, Flinders University, Sturt Rd, Bedford Park, South Australia, 5042, Australia
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