BigMove: A Group Intervention for People with Physical and Mental Health Conditions

– 18 years and older

– Presence of a mental health condition (such as mood, anxiety, behavioural or somatisation disorders) in combination with somatic and social conditions

– Conditions have a profound impact on functioning in multiple areas of life.

– Physically capable of participating in the intervention.

– Behaviour that disrupts group processes: threats, aggression, impulse control disorder, severe contact disorder etc.

– Psychotic state (e.g. delusions, hallucinations)

– Criminal behaviour related to the psychiatric disorder.

– Physically unable to participate in the intervention.

Intake by the healthcare psychologist and the clinical psychologist or psychiatrist for the determination of a psychiatric diagnosis and the preparation of the treatment plan together with the patient (shared decision-making). Feedback to the referee about inclusion or exclusion criteria of the intervention

First session with the BigMove professional. Assessment of functioning and setting of goals.

Three to ten individual sessions with healthcare psychologist for cognitive behaviour therapy

Two to five individual sessions with the BigMove professional to discuss individual progress. Previous goals are assessed and adjusted where necessary.

Interdisciplinary consultation: Two to four consultations during the intervention between the participant, healthcare psychologist, the clinical psychologist/psychiatrist and the BigMove professional.

Final evaluation with the healthcare psychologist. Evaluation with the participant. In addition, the patient is assessed by the clinical psychologist or psychiatrist.

– Group session 1: start the group process, define group goals and discuss group rules

– Group sessions 2-5: focus on awareness, motivation and trust.

– Group session 6: intermediate evaluation and possible adjustment of group goals.

– Group session 7-11: focus on participation and social support, building relationships, inviting a participant’s close relative or friend to a group meeting, and helping others.

– Group session 12: intermediate evaluation and possible adjustment of group goals.

– Group session 13-14: focus on motivation, perseverance, and continuity of activities; trying out various activities in the neighbourhood and committing to one of these activities

– Group session 15: end meeting and evaluation