Summary RECOVER-E Project


Objectives

The overall goal of the RECOVER-E project is to contribute to the implementation of and research on an evidence-based community-based service delivery model for recovery-oriented care in five sites in middle-income countries (Croatia, Montenegro, North Macedonia, Bulgaria, and Romania) to improve functioning, quality of life, and mental health outcomes for people with severe and enduring mental ill health (such as schizophrenia, bipolar disorder, and/or severe depression). The specific sub-goals of the RECOVER-E project are: 

  • designing, implementing, and evaluating recovery-oriented care for people with severe mental illness in community settings;
  • recognizing the value of experiential knowledge through including peer experts as members of community mental health teams;
  • identifying intervention and program elements, as well as contextual factors, which enhance sustainable implementation of community-based mental healthcare for people with severe mental illness; and
  • developing scale-up plans for regional and national decision-makers, as informed by the intervention’s implementation and impact, for sustained implementation and scale up after the research study’s funded timeline.

Partners

  • Stichting Trimbos Instituut (leading organisation) – Netherlands
  • Liga Romana pentru Sanatate Mintala – Romania
  • University Clinic of Psychiatry – Macedonia
  • Spitalul de psichiatrie Cronici Siret – Romania
  • Stichting GGZ Noord-Holland-Noord – Netherlands
  • European Psychiatric Association – France
  • Fundacion Mundo Bipolar – Spain
  • Universitätsklinikum Heidelberg – Germany
  • Health institution special psychiatric hospital “Dobrota” Kotor – Montenegro
  • Societatea Psihiatrilor, Narcologilor, Psihoterapeutilor si Psihologilor Clinicieni din Republica Moldova – Moldova
  • Universitatea de stat de medicină și farmacie Nicolae Testemițanu din Republica Moldova – Moldova
  • National Center for Public Health and Analyses – Bulgaria
  • Hrvatskis Zavod Za Javino Zdravstvo (Croatian Institute of Public Health) – Croatia
  • EFPA – European Federation of Psychologists Associations – Belgium
  • Mental Health Center Prof. N Shipkovenski Ltd. – Bulgaria
  • Zagreb University Hospital Centre – Croatia

Work Package Descriptions

WP Leader: TRIMBOS

Objective

The overall objective of WP1 is to coordinate project implementation and managing day-to-day operations. Key WP1 activities include: monitoring of scientific progress; communication between partners and the European Commission; financial management; risk and conflict management; operational reporting; organising and chairing Steering Committee meetings and Advisory Board meetings; and facilitating meetings between partners. Moreover, as the coordinating institution, Trimbos is in charge of sharing project findings and liaising with the Global Alliance for Chronic Diseases (GACD); ensuring continuous monitoring and quality control of project implementation and outcomes;  developing and providing a project management information system; and developing and maintaining the project website.

WP Leader: Special Psychiatric Hospital “Dobrota” Kotor (KPS)

Objectives

Obtaining an in-depth understanding of the current situation in mental health care provision in each of the 5 implementation sites. To ensure that project plans and activities remain relevant and responsive to the contexts and stakeholders in the 5 sites, a needs assessment and situational analysis (of service users as well as mental health professionals) was carried out at each site. Based on the outcomes of these assessments, a tailored implementation plan for community mental health care was developed for each of the 5 implementation sites.

WP Leader: TRIMBOS

Objectives

  • To establish a peer-to-peer capacity building partnership in community mental health by linking European mental health professionals and trainers with stakeholders in 5 implementation sites to co-create community mental health services for people with severe mental illness.
  • To implement recovery-oriented care by recognising the value of experiential knowledge through including peer experts as members of multidisciplinary community mental health teams.

WP Leader: University Hospital Heidelberg (UKL-HD)

Objective

To investigate the extent to which the intervention introduced in the 5 implementation sites has had any changes on patient outcomes (i.e. personal and social functioning and quality of life) and service use outcomes (i.e. health care uptake, associated costs, hospital (re)admission and length of stay). The project will also evaluate the implementation of the intervention (reach, effectiveness, adoption, implementation and sustainability), using the RE-AIM Framework as a guiding conceptual framework.

WP Leader: Croatian Institute of Public Health (CIPH)

Objective

The objective of WP5 is to carry out an economic evaluation of the of the intervention in the 5 implementation sites and build these costs and benefits into sustainability plans for decision-makers in each site.

WP Leader: Romanian League for Mental Health (RLMH)

Objective

The objective of this WP is to engage with decision-makers in the 5 implementation sites and prepare a pathway for transition to scale, for potential continued implementation of the intervention after the project’s life span in 2021.

WP Leader: Fundacion Mundo Bipolar (FMB)

Objectives

  • To enhance the reach and relevance of RECOVER-E’s mission, activities and findings to benefit a broad range of stakeholders in mental health at national and European levels. The aims of WP7 are to:
  • Develop a dissemination plan to raise awareness about project findings and  discuss the translatability and applicability of findings for other contexts and Member States in Europe.
  • To disseminate country-specific evidence on the effectiveness and the implementation process of the intervention.
  • To cultivate an implementation and implementation science  hub in Eastern and Southern parts of Europe for researchers, decision makers and health professionals.