Association between fidelity to the strengths model of case management and client outcomes: A quasi-experimental study

Autor: Eric Latimer, Tim Aubry, Beverley Barrett, Christiane Bergeron-Leclerc, Catherine Briand, Janet Durbin, Rick Goscha, Terry Krupa, Maryann Roebuck, Catherine Vallée, Alissa Setliff, Mamadou Yauck
Rok vydání: 2022
Předmět:
Zdroj: Psychiatric Rehabilitation Journal. 45:280-290
ISSN: 1559-3126
1095-158X
DOI: 10.1037/prj0000519
Popis: Evidence concerning strengths model of case management (SMCM) remains mixed. This study aimed to test the hypotheses that higher fidelity to SMCM is associated with improved quality of life (QoL), hope, community participation, community functioning, more days of competitive employment and of independent living, and fewer days of hospitalization.SMCM was implemented over a 3-year period, at seven sites in the Canadian provinces of Newfoundland and Labrador, Québec, and Ontario. Independent assessors visited 14 teams at the seven sites to evaluate fidelity at baseline and 6, 12, 18, 24, and 36 months later. Participants (Fidelity increased significantly, with all sites except one achieving or approaching good fidelity within 36 months. Fidelity was not significantly associated with any of the outcome measures, although all estimated directions of relationships were consistent with our hypotheses.In a pragmatic study of real-world implementation of the strengths model at seven sites, no statistically significant relationships between fidelity and outcomes were found. Low variation in fidelity across individuals, modest sample size, and limited ability to detect change over 18 months, may have contributed to these null findings. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Databáze: OpenAIRE