Table 4 Key characteristics of SMCM intervention and control groups
Dimensions | SMCM Group | Control Group |
|---|---|---|
Participants in both groups will attend psychiatric outpatient appointment (if any) and regular programs in the Community Mental Health Centre e.g., community meeting, exercise class | ||
Intervention Integrity & Infrastructure | Ensures a supportive strengths model context through the Fidelity Scale, which was designed to assess the adequacy of SMCM implementation in three core areas: structure, supervision/supervisor, and clinical/service. | No routine fidelity assessment for the implementation of recovery-oriented services. |
1. Structure | Has specifications about caseload ratios and percentage of community contacts. | No specific requirement. |
2. Strengths-based Supervision | Field mentoring and group supervision: provide support and affirmation, ideas and learning. Group supervision following specific steps: ✓ The presenting staff hand out service users’ strengths assessments and specify the help needed from the group. ✓ The team are to clarify the assessment and brainstorm ideas. ✓ The presenting staff review the ideas and state the next steps. | Adopt the existing supervision arrangements. |
3. Clinical/ Service a. Strengths Assessments | Collects information on personal and environmental strengths using the Strength Assessment tool as the basis of work. Assessment is an ongoing process. Domains in daily living, assets, employment/education, supportive relations, wellness/health, leisure, spirituality/ culture. | No specific tool for conducting initial assessments. Unclear how it will focus on assessing people’s strengths. |
b. Personal Recovery Plans | Creates a mutual agenda for work, focusing on achieving the goals that the person has set. Writes down the person’s goals (passion statement) and plan specific steps (short-term goals) to achieve the goals in the Personal Recovery Plan. | Work on specific goals. No specific tool. |