Effectiveness of the Comprehensive Approach to Rehabilitation (CARe) methodology: design of a cluster randomized controlled trial

摘要: There is an increasing amount of evidence for the effectiveness rehabilitation interventions people with severe mental illness (SMI). In Netherlands, a methodology that well known and often applied Comprehensive Approach to Rehabilitation (CARe) methodology. The overall goal CARe improve client’s quality life by supporting client in realizing his/her goals wishes, handling vulnerability improving social environment. strongly influenced concept ‘personal recovery’ ‘strengths case management model’. No controlled effect studies have been conducted hitherto regarding This study two-armed cluster randomized trial (RCT) will be executed teams from three organizations sheltered supported housing, which provide services long-term illness. Teams intervention group receive multiple-day training specialized institute start working according Methodology guideline. control continue their usual way. Standardized questionnaires completed at baseline (T0), 10 (T1) 20 months (T2) post baseline. Primary outcomes are recovery, functioning life. model fidelity assessed T1 T2. first on one few RCTs broad method or strength-based approach. relevant because health care become increasingly interested recovery rehabilitation-oriented care. registration number ISRCTN77355880 .