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

Table 5 Drivers, barriers and actions to address barriers to delivery of group psychoeducation from treatment group 1 to treatment group 2

	Enabler	Barrier	Action to address barrier
Organisation outside group		Health professional not released from other duties in post.	Negotiated temporary reduction in other duties while facilitating group.
Organisation outside group		Delay in appointment of bipolar disorder nurse specialist.	Groups run when bipolar disorder nurse specialist in post.
Organisation within groups		Some important issues in supervision not divulged over concerns about confidentiality of supervision.	Discussion and reaching of consensus about which information and issues that are discussed in supervision can be shared with bipolar service.
Health Professional	Willingness and positive experience of working with patient facilitator	Need to provide administrative support to facilitator role	Dedicated bipolar disorder nurse specialist planned and undertook administrative tasks instead of health professional
Patient facilitator	Willingness and positive experience of working with health professional	Lack of support, especially after health professional left and feeling unwell.	Improvements in communication of important issues raised in supervision to bipolar service. Advance agreements about discussions about arrangements if unwell introduced before group starts. Release of health professionals from other duties. Mentoring offered from former expert patient facilitator
Participants	High acceptability levels, good retention of participants through the programme

ISSN: 1471-244X