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

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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.

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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’.

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Correspondence to Melissa Petrakis.

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Petrakis, M., Wilson, M. & Hamilton, B. Implementing the Strengths Model of Case Management: Group Supervision Fidelity Outcomes. Community Ment Health J 49, 331–337 (2013). https://doi.org/10.1007/s10597-012-9546-6

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