Bridging the Research to Practice Gap: Feasibility of Implementing Social Rhythm Therapy for Bipolar Disorder in Specialist Mental Health Services

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Abstract
Introduction. Despite research evidence supporting adjunctive psychological treatment for bipolar disorder, there is often a failure in translation to routine clinical care. This study aimed to determine the feasibility of implementing social rhythm therapy, a brief intervention with potential for adoption within Specialist Mental Health Services for individuals with bipolar disorder. Method. Case managers from two community mental health teams were trained to deliver social rhythm therapy to clients with bipolar disorder on their case load. Feasibility was based on qualitative and quantitative data addressing acceptability of training, ability to deliver therapy as part of a caseload, and adherence and fidelity for case managers, and acceptability of therapy including recruitment and retention for case managers and clients. Descriptive analyses were used for quantitative data and thematic analysis for qualitative data. Results. Ten case managers were trained with eight delivering the therapy. Of 37potential clients with bipolar disorder, 10 began therapy (27% uptake),with five completing (50% completion). Qualitative findings demonstrated acceptability of training with implementation challenges associated with engaging clients and balancing case management requirements with high workplace demands. Limitations included the small sample size and significant gaps in data, especially reflecting the clients’ perspectives. Conclusion. The feasibility of implementing of social rhythm therapy in Specialist Mental Health Services was impacted by low level of uptake and systemic barriers, primarily related to the requirements inherent in the case manager role. Effective implementation requires addressing the systemic issues and enhancing engaging individuals with bipolar disorder in psychological treatment approaches.
Funding Information
  • University of Otago

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