| Enabler | Barrier | Action to address barrier |
---|---|---|---|
Organisation outside group | Â | Expense reclamation for patients | Advocacy for patients with health care organisation |
Organisation within groups | Â | Small mixed groups of patient and health professional inhibited discussion | Higher numbers of participants to facilitators in groups |
Education of participants | Â | Low level of knowledge about bipolar disorder in some patients | Patient becomes a participant in group before becoming a facilitator |
Content of treatment | Â | 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. |