“National guideline for assessment, treatment and social rehabilitation of persons with concurrent substance use disorders and mental disorders”, launched March 2012, is aimed at a wide range of health services. It holds a separate chapter on implementation.
The National Centre for Dual Diagnosis was commissioned by the Norwegian Directorate of Health to develop a plan for implementation of the Guideline. It contains tools to strengthen management, clinicians and consumers. A clinical audit tool was made to measure research-practice-gap. The clinical audit is the start-point of the implementation-plan, followed by an action schema. The implementation-process is as follows:
Identify today’s practice assessed against recommendations in the guideline, doing a clinical audit
Identify areas of improvement based on the clinical audit
choose a goal for improvement
select initiatives based on goals
Evaluate by a new clinical audit and summarize experiences
This project aims to understand the process of using clinical audit as a basis for making choices aimed at clinical improvement in district psychiatric clinics. The objectives of the study are to describe and explore the implementation-process from the use of clinical audit to change in practice.