A feasibility study of expert patient and community mental health team led bipolar psychoeducation groups: implementing an evidence based practice

Table 4 Drivers, barriers and actions to address barriers to delivery of group psychoeducation in the training process

	Enabler	Barrier	Action to address barrier
Organisation outside group		Expense reclamation for patients	Advocacy for patients with health care organisation
Organisation within groups		Small mixed groups of patient and health professional inhibited discussion	Higher numbers of participants to facilitators in groups
Education of participants		Low level of knowledge about bipolar disorder in some patients	Patient becomes a participant in group before becoming a facilitator
Content of treatment		Life chart too personal and emotive	Remove life chart from content of groups- advise for individual follow up work.
Health Professional	Willingness to work with patient	Take lead too much in small groups	Higher numbers of participants to facilitators in groups
Patient	Willingness to work with health professional	Burden of training and low confidence of some patients	Increase number of facilitators from two to three and use apprentice facilitator with more experienced facilitators.

ISSN: 1471-244X