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Community Mental Health Journal

, Volume 49, Issue 3, pp 331–337 | Cite as

Implementing the Strengths Model of Case Management: Group Supervision Fidelity Outcomes

  • Melissa Petrakis
  • Mick Wilson
  • Bridget Hamilton
Original Paper

Abstract

To evaluate group supervision implementation fidelity in the Strengths Model of case management within one adult mental health service. A fidelity audit was undertaken to analyse data across three service settings—residential and community—during the initial three months, utilising instruments developed by Rapp and Goscha (The Strengths Model: Case management with people with psychiatric disabilities, vol 2. Oxford University Press, New York, 2006). Very high fidelity for group supervision was achieved for group interaction (74.8 %), client work (77 %) and by case managers (90 %). A standardised approach to group supervision process and documentation greatly supported fidelity in implementation. The Rapp and Goscha tools had utility as both learning aids and audit instruments.

Keywords

Implementation fidelity Recovery Strengths Model Case management Mental illness 

Notes

Acknowledgments

We thank our colleagues for their input during the implementation of group supervision, members of the St Vincent’s Mental Health Service Strengths Model Implementation Group. Thanks to Tony Pinzone for assisting with design of the database for monitoring group supervision. Thanks to David Castle and Bella Anderson for reviewing an earlier version of this paper. Thank you to the clients, clinicians and management of St Vincent’s Mental Health Service. This research was conducted through the allocation of clinical time and management support over the 3 month pilot period, and a 0.2 EFT researcher position over a later 3 months to analyse data collected. The preparation of this paper for publication was supported by the Victorian Department of Health ‘Health System and Practice Improvement Grants—positive culture and leadership grant’.

References

  1. Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2010). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research.Google Scholar
  2. Barry, K. L., Zeber, J. E., Blow, F. C., & Valenstein, M. (2003). Effect of Strengths Model versus assertive community treatment model on participant outcomes and utilization: Two-year follow-up. Psychiatric Rehabilitation Journal, 26(3), 268–278.PubMedCrossRefGoogle Scholar
  3. Benton, D. C. (1999). Clinical effectiveness. In S. Hamer & G. Collinson (Eds.), Achieving evidence-based practice: A handbook for practitioners. London: Balliere Tindall, an imprint of Harcourt Publishers Limited.Google Scholar
  4. Björkman, T., Hansson, L., & Sandlund, M. (2002). Outcome of case management based on the Strengths Model compared to standard care. A randomised controlled trial. Social Psychiatry and Psychiatric Epidemiology, 37(4), 147–152.PubMedCrossRefGoogle Scholar
  5. Bond, G. R., Evans, L., Salyers, J., Williams, M. P., & Kim, H. (2000). Measurement of fidelity in psychiatric rehabilitation. Mental Health Services Research, 2(2), 75–87.PubMedCrossRefGoogle Scholar
  6. Brun, C., & Rapp, R. C. (2001). Strengths-based case management: Individuals’ perspectives on strengths and the case manager relationship. Social Work, 46(3), 278–288.PubMedCrossRefGoogle Scholar
  7. Brunero, S., & Stein-Parbury, J. (2008). The effectiveness of clinical supervision in nursing: An evidence based literature review. Australian Journal of Advanced Nursing, 25(3), 86–94.Google Scholar
  8. Chopra, P., Hamilton, B., Castle, D., Smith, J., Mileshkin, C., Deans, M., et al. (2009). Implementation of the Strengths Model at an area mental health service. Australasian Psychiatry, 17(3), 202–206.PubMedCrossRefGoogle Scholar
  9. Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Services Research, 7, 5–20.PubMedCrossRefGoogle Scholar
  10. Commonwealth Government. (2003). National Mental Health Plan 2003–2008. Canberra: Australian Government Publishing Service.Google Scholar
  11. Deane, F. P., Crowe, T. P., King, R., Kavanagh, D. J., & Oades, L. G. (2006). Challenges in implementing evidence- based practices into mental health services. Australian Health Review, 30(3), 305–309.PubMedCrossRefGoogle Scholar
  12. Deegan, P. E. (1988). Recovery: The lived experience of rehabilitation. Psychosocial Rehabilitation Journal, 11(4), 11–19.Google Scholar
  13. Dickerson, F. B. (1998). Strategies that foster empowerment. Cognitive and Behavioral Practice, 5(2), 255–275.CrossRefGoogle Scholar
  14. Duncan, B. L., Miller, S. D., & Sparks, J. A. (2004). The heroic client: a revolutionary way to improve effectiveness through client-directed, outcome-informed therapy. San Francisco, CA: Wiley.Google Scholar
  15. Farkas, M., Gagne, C., Anthony, W., & Chamberlin, J. (2005). Implementing recovery oriented evidence based programs: Identifying the critical dimensions. Community Mental Health, 41(2), 141–158.CrossRefGoogle Scholar
  16. Hamilton, J. (1999). Quality according to QISMC. In K. Coughlin (Ed.), Medicaid managed behavioral care sourcebook: Strategies and opportunities for providers and purchasers (pp. 368–370). New York: Faulkner & Gray.Google Scholar
  17. Hawkins, P., & Shohet, R. (2003). Supervision in the helping professions. Maidenhead: Open University Press.Google Scholar
  18. Hodges, J. Q., Hardiman, E. R., & Segal, S. P. (2004). Predictors of hope among members of mental health self-help agencies. Social Work in Mental Health, 2(1), 1–16.CrossRefGoogle Scholar
  19. Lehman, A. F., Steinwachs, D. M., Dixon, L. B., Postrado, L., & Scott, J. E. (1998). Patterns of usual care for schizophrenia: Initial results from the Schizophrenia Patient Outcomes Research Team (PORT) client survey. Schizophrenia Bulletin, 24(1), 11–23.PubMedCrossRefGoogle Scholar
  20. Osborn, A. F. (1963). Applied imagination: Principles and procedures of creative problem solving (3rd revised ed.). New York, NY: Charles Scribner’s Sons.Google Scholar
  21. Rapp, C. A., Bond, G. R., Becker, D. R., Carpinello, S. E., Nikkel, R. E., et al. (2005). The role of state mental health authorities in promoting improved client outcomes through evidence-based practice. Community Mental Health Journal, 41(3), 347–363.PubMedCrossRefGoogle Scholar
  22. Rapp, C. A., & Chamberlain, R. (1985). Case management services to the chronically mentally ill. Social Work, 30(5), 417–422.PubMedGoogle Scholar
  23. Rapp, C. A., & Goscha, R. J. (2006). The Strengths Model: Case management with people with psychiatric disabilities (2nd ed.). New York: Oxford University Press.Google Scholar
  24. Rickards, T. (1999). Brainstorming. In M. Runco & S. Pritzker (Eds.), Encyclopedia of creativity (Vol. 1, pp. 219–228). San Diego: Academic Press.Google Scholar
  25. Schoenwald, S. K., Garland, A. F., Chapman, J. E., Frazier, S. L., Sheidow, A. J., & Southam-Gerow, M. A. (2010). Toward the effective and efficient measurement of implementation fidelity. Administration and Policy in Mental Health. Google Scholar
  26. Torrey, W. C., Rapp, C. A., Van Tosh, L., McNabb, C. R. A., & Ralph, R. O. (2005). Recovery principles and evidence-based practice: Essential ingredients of service improvement. Community Mental Health, 41(1), 91–100.CrossRefGoogle Scholar
  27. Waskett, C. (2010a). Clinical supervision using the 4S model 1: Considering the structure and setting it up Nursing Times, 106(16).Google Scholar
  28. Waskett, C. (2010b). Clinical supervision using the 4S model 3: How to support supervisors and sustain schemes. Nursing Times, 106(17).Google Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Melissa Petrakis
    • 1
    • 2
  • Mick Wilson
    • 3
  • Bridget Hamilton
    • 1
    • 4
  1. 1.St Vincent’s Mental Health Service, Hawthorn Community Mental Health ServiceHawthorn EastAustralia
  2. 2.Department of Social Work, Faculty of Medicine, Nursing and Health SciencesMonash UniversityMelbourneAustralia
  3. 3.Footbridge Community Care UnitsSt Vincent’s Mental Health ServiceNorth FitzroyAustralia
  4. 4.Department of Nursing, Melbourne School of Health SciencesUniversity of MelbourneMelbourneAustralia

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