title: Enhancing systematic implementation of skills training modules for persons with schizophrenia: three steps forward and two steps back?
abstract: OBJECTIVE
  This brief report addresses the systematic implementation of skills training modules for persons with schizophrenia or related disorders in three Dutch mental health agencies.
  
  
  METHODS
  Information on barriers, strategies and integration into routine daily practice was gathered at 0, 12 and 24 months through interviews with managers, program leaders, trainers, practitioners and clients.
  
  
  RESULTS
  Overall implementation of the skills training modules for 74% of the persons with schizophrenia or related disorders was not feasible. Implementation was impeded by an incapable program leader, organizational changes, disappointing referrals and loss of trainers. The agencies made important steps forward to integrate the modules into routine daily practice.
  
  
  CONCLUSIONS
  A reach percentage of 74% in two years time is too ambitious and needs to be adjusted. Systematic integration of the modules into routine daily practice is feasible, but requires solid program management and continuous effort to involve clients and practitioners.
authors: Trimbos Institute, Netherlands Institute of Mental Health and Addiction Research Unit of Reintegration, Utrecht, Netherlands. nerp@trimbos.nl
authors: Nicole H J
authors: NH
authors: van Erp
authors: Maaike
authors: M
authors: van Vugt
authors: Dorien
authors: D
authors: Verhoeven
authors: Hans
authors: H
authors: Kroon
mesh_terms: D015928:Cognitive Behavioral Therapy; D003156:Community Mental Health Services / Q000458:organization & administration; D005240:Feasibility Studies; D006284:Health Plan Implementation; D006801:Humans; D007318:Inservice Training; D007857:Leadership; D055118:Medication Adherence / Q000523:psychology*; D009426:Netherlands; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D012017:Referral and Consultation; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012648:Self Care / Q000523:psychology*