Current projects

My Voice Matters

Project Manager: Juni Raak Høiseth

Project Team Members: Christina Kildal, Johanne Bakken Moe, Liva Elvira Myrvold Nynes and Ellinor Elvrum Evensen

My Voice Matters is a three-year development project aiming to develop a method for real user involvement for children and youth as service users. The goal is to enable children and youth  to bring forward their experiences with the services with their own voice.

The project is based on User Interviews User (UIU) as a methodology, where former service users interview current users of a service. In this project, we have young people/young adults in the ages of 18 and 23 as project team members, who themselves have experience with the use of mental healthcare services. These project team members are trained in the UIU-method, and participates in designing the interview guide, conducting interviews, analysis, writing report and presenting the results in the dialogue conference with the service and participants of the projects. Here, we discuss the findings and how to work with them further on, before we incorporate these results in a final report, which is given to the service for future work. One year after the project has ended, we will meet the service to follow this up. The goal is to make sure that the services are continuously developed after children and youths experiences and views.

In 2015, we evaluated Children’s and Young People’s Psychiatric Out-Patient Clinic of St. Olavs Hospital in Trondheim, where we interviewed service users between the ages of 16 and 18. In the fall of 2017, we evaluated the out-patient offer for service users between the ages of 12 and 18 at the Children’s and Young People’s Psychiatric Out-Patient Clinic of Levanger Hospital. In the fall of 2018, we are going to evaluate Team Children and Youth at Stangehjelpa, the mental health service in Stange municipality. We are currently working on recruiting for this evaluation.

The project is funded by Extrastiftelsen through Rådet for psykisk helse.

Canada-Norway Research Collaboration on Operationalizing Experience-Drive Innovation through Integration of Peer Support in Health Systems

Project Managers: Dr. Gillian Muvale and Karl Johan Johansen

Research Team Members: Fiona Wilson, Dr. Ken Deal, Dr. Nick Kates, Shaleen Jones, Dr. Ian Arnold, Dr. Chuck Cunningham, Lee Purins, Anne Ruth Benschop, Ingvild Musdalslien Kvisle and Christina Kildal

Steering Committee Members: John Lee, Deborrah Sherman, Stella Ducklow, Frances Jewell, Patrick Mitchell, Eduardo Castro, Dagfinn Bjørgen, Torbjorn Mohn-haugen, Astrid Weber, Juni Høiseth and Ottar Ness

We propose conducting an exploratory policy case study where the case is defined as the integration of formalized/intentional peer support services within clinical services located in hospital, primary care and community settings. Formalized/intentional peer support refers to peer support services (either group or one-to-one) focusing on issues such as education, employment, mental health systems navigation, systemic/individual advocacy, supported housing, food security, internet, transportation, recovery education, and antidiscrimination work. We will examine two sub-cases: peer support in Norway and in Ontario, Canada. These jurisdictions were selected because they are comparable in terms of socioeconomic development, embrace a recovery orientation, and are actively seeking to expand peer support in mental health service delivery, yet differ in important contextual factors, such as the policy climate and levers adopted to support implementation. Our data sources will include key informant interviews, surveys and published academic and grey literature. We will purposively sample the most common approaches to engagement of PSPs in adult mental health settings.

In Ontario, our recruitment strategy will focus on St. Joseph’s Healthcare Hamilton’s (SJHH) inpatient, Assertive Community Treatment Teams (ACTT) and outpatient clinic programs. In Norway, we will identify organizations that offer similar programs, including St. Olav’s Hospital Trondheim. Using a combination of focus groups and individual interviews, we will engage PSPs (6-10 in Canada and 4-6 in Norway), and individuals and families receiving peer support (6-10 in Canada and 4-6 in Norway), 5-10 front line staff (e.g. 2 psychiatrists, nursing, allied health professionals) and supervisors associated with each program. We will also conduct individual interviews with 2-3 policy makers in each jurisdiction (e.g. in Canada the Ministry of Health and Long-Term Care, the Hamilton Niagara Haldimand Brant Local Health Integration Network). We will tailor the focus group and interview guides to capture the perspectives of each participant type, but will explore common topics including: experience of providing/receiving peer support, barriers and facilitators to effective integration of PSPs (e.g. regulatory, funding, payment, organizational policies, team climate, information sharing, peer support and service delivery model) and change management approaches and implementation frameworks adopted. The survey (approx. 30 participants per sub-case) will focus on the influence of team climate on integration and functioning of PSPs.

The availability project

Project Manager: Heidi Westerlund

Project Team Member: Dagfinn Bjørgen

Since 1998 the User Interviews User method has been used to collect the experiences from around 2000 users of different mental health care services. In 2013 the synthesis “Hva mener brukere av psykisk helsetjenester er en god tjeneste?” [What is a good mental health service according to service users?] published in “Psykologtidsskriftet”. Now we have started a comprehensive project to summarize data from 20 User Interviews User-evaluations of mental health services. Our goal is to formulate recommendations to services and to enable service user representatives to get good documentation on the strengths and weaknesses of different approaches to meeting service users’ needs.

In 2017 our main subjects were “medication” and “meeting places”. Two workshops were held and we are currently working on summarizing these to create recommendations. This project will continue over several years.

www.brukererfaring.no

User-driven innovation process in Melhus municipality

Project Manager: Heidi Westerlund

Project Team Member: Karl-Johan Johansen

Peer panel: Sissel Smistad, Michelle Bradley Eilertsen, Nils Magne Røstum, May-Helen Erdal , Jeanette Myren and Lorentz B. Westrum

As a part of the partnership with Melhus municipality KBT is running a project called user-driven innovation process for the municipality in 2015, 2016, 2017, and a continuation in 2018. In december 2015, a peer panel were established consisting of participants from each of the three services: mental health service, substance abuse and measure service, and Idrettsveien housing unit. The goal of the peer panel and innovation workshops is to develop topics and issues relevant to the municipality`s service development, and for the employees developing an understanding of user involvement. Another goal of establishing a peer panel is to recruit and educate resource people who want to participate in the panel and in long term contribute and influence the services in the municipality.

This project are going to work with user experiences as a premise for the innovation and planning of units in the municipality. In this project, we have worked with issues that were enhanced in the User Interviews User evaluation, as a continuation and implementation of the findings. Surveys concering information routines and low-threshold services in the municipality have been conducted, and these are two of the sources forming a report from the peer panel about key areas of improvement for the mental health and substance abuse services.

User empowerment and competence development in Melhus Municipality

Project Manager: Heidi Westerlund

Project Team Members: Anne Benschop, Ingvild M. Kvisle and Dagfinn Bjørgen

Together with Malvik municipality, Melhus municipality is a part of ”good patient pathways for users with mental health problems and/or substance abise problems”. The municipality and KBT sent a application for funding a user survey and development o fuser involvement in the municipality. We have also concluded an agreement of partneship for the collaboration. In 2017, the main measure were a three day course in user involvement for employees and users. Here, the participants got an introduction to five themes: recovery and salutogenesis, personal dissemination of experiences and ”Det friske i det syke” the first day, user-driven services and research on user involvement the second day, and ”FIT Feedback Oriented Services” the final day. About 20 participants followed through the course. Also, in summer and autumn of 2017, a short user survey was carried out at ”Potten-treffet” (a low-threshold service in the municipality). An application have been applied for continuation of measures relating to user empowerment and competence development in user involvement.

Member survey in FIRE – Stiftelsen Ett skritt videre

Project Manager: Heidi Westerlund

Project Team Members: Ingvild M. Kvisle and Karl Johan Johansen

The collaboration between FIRE and KBT consists of KBT employees partaking in FIRE’s exercise program together with FIRE-members. In exchange KBT has conducted a member survey similar to User Interviews User evaluations.

A report from the member survey was completed in June 2017. KBT is now partaking in talks and presentations about the survey.

Rettighetsinngripende tiltak (RIT) – Measures that breach service users rights

Project Managers: Heidi Westerlund and Dagfinn Bjørgen

Through a 2 year period KBT and NAPHA have collaborated on mapping the use of right breaching measures in municipal houses. In June 2017 the report «Rettighetsinngripende tiltak i kommunale boliger – en nasjonal kartlegging» was published. The project continues in 2018 with the goal of writing more publications on the subject.

Collaboration on user-driven innovation and service development in the municipality of Trondheim

Project Manager: Dagfinn Bjørgen

Project Team Members: Karl Johan Johansen and Ingvild M. Kvisle

This project is a collaboration between the municipality of Trondheim and KBT. The project involves three of the municipality’s units; the unit for mental health and substance abuse, the unit for substance abuse services and the unit for meeting places and housing for people mental health problems. The goal of the project is to develop and describe new ways for services to collaborate on improving their work methods, to gain a greater focus on recovery and what feels helpful and supportive from a service user perspective. The mapping phase of the project was conducted in 2016-2017, with a User Interviews User-evaluation in the municipality.

We have established a peer panel for the municipality. The peer panel consists of people with service user experience from different mental health and substance abuse services. The panel has discussed the municipal services, hereunder subjects as the availability of the services. In addition to this internal discussion process the panel has been visited by “personlig ombud” [personal advocates] from the municipality of Östersund in Sweden, the recovery team in the municipality of Trondheim, and they have had Skype-contact with Jas Johal of Reaching Out East in London.

A dialogue conference was held the 20th of September 2017, where KBT presented the results from the User Interviews User-evaluation, and the peer panel presented their report for the municipality. The project continues with a new peer panel and continued processes and collaborations between KBT and Trondheim municipality.

Interregprosjekt: “Tjenesteinnovasjon” – “Service Innovation”

Project Manager: Karl Johan Johansen

Project Team Members: Ingvild M. Kvisle

Since the summer of 2016 KBT has contributed to an Interreg collaboration about service innovation. The project enables collaboration and experience exhanges between Norwegian and Swedish municipalities, and “Erfarenhetsforum”, a social entrepreneurship similar to KBT.  This project is especially useful and educational for KBT in regards to our work within service innovation. In 2017 a study trip to London and Wales was conducted. The project will continue throughout 2018.

Interreg: ReSeNS

Project Manager: Karl Johan Johansen

Project Team Members: Dagfinn Bjørgen and Ingvild M. Kvisle

KBT participates as a partner in the Interreg project “ReSeNS”, where Nord University and Mid Sweden University have the leading responsibility. The collaborative project started in early 2015. KBT”s role in the project is particularly related to Oppdal and Rennebu. KBT will contribute to the practical implementation of the project, as well as attending seminars, workshops and conferences.

Read more about the collaborative project (in Norwegian):

KBT in ReSeNS

Peer Supporters in municipal mental health and substance abuse services, the Municipality of Trondheim

Project Manager: Dagfinn Bjørgen

Project Team Members: Marthe Siira, Ingelin Anderssen and Ingvild M. Kvisle

This project is a collaboration between KBT and Trondheim Municipality. The goal is to strengthen the collaboration between employees in the services and service users, through better understandings of communication and recovery. Three Peer Supporters have been employed in KBT, but their day to day work is within the Municipality.

The Peer Supporters have different tasks and work areas. Marthe Siira works with following up people that receive support from the Recovery Team. She also partakes in talks and presentations about the team’s work. The last Peer Supporter Ingelin Anderssen works in municipal housing through contact with residents. This means conversations, help with practical tasks or other things that the residents need support for. The Peer Supporters also partake in office meetings and strategy work in KBT.

Recovery HUBs

Project Manager: Karl Johan Johansen

Project Team Members: Christina Kildal, Anne Ruth Benschop, Ingvild M. Kvisle and Dagfinn Bjørgen

In 2017 the regional peer driven centres started the project “Recovery HUBs” with funding from the Norwegian Health Directorate. The goal of the project is to study how the centres can develop a regional recovery hub functionality, and how the centres can collaborate on being a national recovery hub. This project will continue for two years. So far KBT has worked closely with the other centres to develop this project.

Medication-free treatment

Project Manager: Dagfinn Bjørgen

Project Team Members: Annika Alexandersen, Ingvild M. Kvisle, Christina Kildal, Anne Benschop and Juni Raak Høiseth

KBT has been commissioned by the regional health authorities to evaluate the medication-free treatment services. The goal is to gain experience from service users. We will look into whether the service has met their needs, wishes and expectations. What are good approaches, and how does the referral process, availability, treatment content and participation work in this service?

We have now published the first report in this evaluation, which contains an overview and assessment of the implementation of the drug-free units. Click here to read the report.

Children, young people and service user involvement – a feasibility study of professionals’ understandings

Project Manager: Bente Hasle

Co-researchers: Betina Haug Olson, Juni Raak Høiseth, Aida Tesfai, Rigmor Dyrnes and Christina Kildal

This is a research project in collaboration with Associate Professor of Social Sciences Bente Hasle of the Institute of Social Sciences at Høgskulen i Volda and Mental Helse Ungdom [A Mental Health Organization for young people]. We wish to enlighten different understandings and practices regarding children’s and young people’s rights to service user involvement when receiving support from child protective services, mental health care services or health services from their schools. The main goal is to develop a practice where the right to service user involvement is realized to a larger degree. Several service user organizations have contributed to developing the project due to their interest in children and young people’s rights being strenghtened.

Focus group interviews have been conducted with employees within mental health care for children and young people, child protective services and health services within schools. The interviews have been conducted with co-researchers from Mental Helse Ungdom, KBT and Vårres regional peer driven centre. KBT will continue to have a central position in the project, and will contribute to the analysis of the material and writing an article about the project.

About Anne Benschop

Works as a project team member in KBT. Works with Canada-Norway research collaboration, web page and social media.