Feeling Well with True Colours for community patients

INTERVENTION: Feeling Well with True Colours, will be offered to every patient in a CMHT who the clinician (doctor, nurse, psychologist, other therapist) feels would benefit from developing self‐monitoring and self‐management skills. The intervention comprises two elements: 1. self‐monitoring of symptoms via the True Colours system 2. patient education about self‐monitoring, via ?Feeling Well? materials Follow Up Length: 15 month(s); Study Entry : Single Randomisation only CONDITION: Topic: Mental Health Research Network; Subtopic: Service Delivery; Disease: Not Applicable ; Mental and Behavioural Disorders PRIMARY OUTCOME: Health of the Nation Outcome Scales (HoNOS) Score; Timepoint(s): monthly SECONDARY OUTCOME: 1. Change in DH Mental Health Clusters (derived from HoNOS) at CMHT level every month.; 2. Number of face‐to‐face‐contacts V non face‐to‐face contacts collected monthly for each CMHT.; 3. Length of stay on CMHT caseload collected monthly for each CMHT.; 4. Number of hospital admissions/discharges/length of stay on wards collected monthly and mapped to CMHTs.; 5. Number of emergency re‐admissions for each ward collected monthly and mapped to CMHTs.; 6. Number of admissions under Mental Health Act Section for each ward collected monthly and mapped to CMHTs.; 7. Missed appointments by staff collected monthly for each CMHT.; 8. Missed appointments by patients collected monthly for each CMHT.; 9. Appointments cancelled by staff collected monthly for each CMHT.; 10. Appointments cancelled by patients or staff collected monthly for each CMHT.; 11. Staff performance measures collected monthly for each CMHT, including:; 11.1. Sickness levels; 11.2. Unfilled vacancy levels; 11.3. Staff turnover; 11.4. Staff stability; 11.5. Staff costs INCLUSION CRITERIA: The unit of randomisation for this trial will be 11 adult Community Mental Health Team (CMHT) of Oxford Health NHS Foundation Trust covering the two counties of Oxfordshire and Buckinghamshire. Strictly, the study participants are, therefore, clinical teams, rather than patients. CMHTs will be included if they are: An Adults of Working Age Community Mental Health Team(CMHT) located in Oxfordshire or Buckinghamshire (and therefore part of Oxford Health NHS Foundation Trust). Clinicians working within the CMHTs will decide to which patients it is appropriate to offer FWwTC. It is likely that these patients will: 1. Have any psychiatric disorder or disorders 2. Be able, in the view of the managing clinician, to benefit from self‐monitoring and management 3. Be able to weigh the pros and cons of using FWwTC, and make a decision on what they want to do 4. Be able to use SMS (text messaging) or email/internet 5. Have reasonable written and spo