| Enabler | Barrier | Action to address barrier |
---|---|---|---|
Organisation outside group | Â | Health professional not released from other duties in post. | Negotiated temporary reduction in other duties while facilitating group. |
Delay in appointment of bipolar disorder nurse specialist. | Groups run when bipolar disorder nurse specialist in post. | ||
Organisation within groups | Â | 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 | Â | Â |