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Review
. 2022 Nov;58(8):1535-1543.
doi: 10.1007/s10597-022-00968-0. Epub 2022 Apr 9.

Implementing the Strengths Model of Case Management: Assessing Practice Three Years After Initial Implementation

Janet Durbin  1 , Tim Aubry  2 , Beverley Barrett  3 , Christiane Bergeron-Leclerc  4 , Catherine Briand  5 , Rick Goscha  6 , Terry Krupa  7 , Jennifer Rae  8 , Maryann Roebuck  2 , Alissa Setliff  3 , Jonathan Scaccia  9 , Catherine Vallée  10 , Eric Latimer  11
Affiliations
Review

Implementing the Strengths Model of Case Management: Assessing Practice Three Years After Initial Implementation

Janet Durbin et al. Community Ment Health J. 2022 Nov.

Abstract

While strengths approaches are important to recovery-oriented practice, implementation can be challenging. This study implemented the strengths model of case management (SMCM) in 11 CM teams and assessed the fidelity of delivery and staff perceptions of the model after 36 months using the SMCM fidelity scale and the Readiness Monitoring Tool. Paired sample t-tests assessed change in fidelity from baseline to 36 months. Adjusted regression analyses compared survey responses of direct and management staff. While fidelity ratings significantly improved across all domains, at 36 months they remained suboptimal in supervision practices and use of model tools. Staff perceptions were generally positive but consistently lower for front-line than management staff. Implementing SMCM into existing case management practice with good fidelity is feasible. However, clear support from management may strengthen staff motivation and delivery. A review of practice later in implementation can flag challenges for sustainability and guide implementation support.

Keywords: Case management; Fidelity; Implementation; Strengths approach.

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