None listed
Conditions
Brief summary
This will be a 6 month experimental investigation on the impact and efficacy of the Strengths Model of Case Management (SMCM) in a psychiatric population. We plan to assess the psychosocial outcomes of our target participants at baseline, 3 and 6 months. We envision that the SMCM will be efficacious in improving the psychosocial well being of our participants, as well as beneficial to the caseworkers rendering care for them in terms of less burn out and a higher sense of work engagement.
Interventions
The Strengths Model of Case Management (SMCM) is the intervention used in the current trial. The SMCM consists of three primary tools that are used during session between the case manager and the client. The Strengths Assessment appraises the current personal and environmental assets (strengths) of the client. The Personal Medicine Worksheet are first-person accounts of activities that give rise to purpose and meaning to the client's life; they are also believed to be activities that could cou
The Strengths Model of Case Management (SMCM) is the intervention used in the current trial. The SMCM consists of three primary tools that are used during session between the case manager and the client. The Strengths Assessment appraises the current personal and environmental assets (strengths) of the client. The Personal Medicine Worksheet are first-person accounts of activities that give rise to purpose and meaning to the client's life; they are also believed to be activities that could counteract the symptoms that a client has. The Personal Recovery Plan, on the other hand, utilizes information from the aforementioned two assessment tools to derive a recovery plan that is meaningful for the client, and its implementation. The intervention will consist of weekly session, each lasting for 45 to 60 minutes. This intervention model is to be run for the entire course of 6 months. A typical session consists of natural conversations between the client and the case manager. During the conversation, the case manager has a responsibility to gauge, as well as elicit contents with an underlying goal to review and revise the Strengths Assessment. Sometimes, the caseworker will also have a conversation with the clients with an aim to create an agenda for recovery. This involves identifying elements that are meaningful for the clients in their own recovery, and assisting them to achieve the recovery goal by breaking the goal down to small, achievable steps, and monitor the progress periodically. In addition to the actual sessions, the intervention is also characterized by adoptions of new practices in the settings, such as weekly group supervision sessions amongst teams of case workers, a lower client-to-worker ratio, and field mentoring. Adherence to these standards (i.e. safeguarding of fidelity) will be monitored through the Fidelity checklist developed by the University of Kansas. Fidelity check will be conducted at the three settings prior to commencement of the trial. The pre-requisite scores are: an average of 4 for the structural items; an average of 4 for the supervision/supervisors items; and an average score of 3.5 for the clinical/service items is set.
Sponsors
The University of Hong Kong
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. At least 18 years of age 2. Consent to participation 3. Is able to read, and comprehend Chinese 4. Is currently a user of mental health services from one of the three participating NGOs
Exclusion criteria
Clients who are currently experience a crisis, have serious physical or mental impairments thus have difficulty participating in the research in any way, as determined by their case managers.
Outcome results
None listed