Table 2.
Phase | Months | Visits | CBR activities | ||
---|---|---|---|---|---|
Assessment and family engagement | Community mobilisation | Family-level interventions | |||
1: Intensive engagement | ~1–3 | Weekly | • Developing therapeutic alliance with family • Needs assessment • Risk assessment • Goal setting for phase 1 • Rehabilitation plan |
• Resource mapping for sub-district, e.g. churches, schools, edir groups (traditional burial association), Women’s Association, literacy groups, religious groups and traditional healers • Initial awareness-raising and mobilisation, targeting health extension worker, community leaders and traditional healers • Awareness raising meeting/s with general public in sub-district |
Core modules: • Understanding schizophrenia • Improving access to health care • Dealing with human rights issues • Preparing for a crisis |
2: Stabilisation | ~4–8 | Fortnightly | • Update needs assessment • Risk assessment • Goal setting for phase 2 • Update rehabilitation plan |
• Facilitate access to relevant community resources • Consolidate mobilisation and awareness raising |
Optional modules: • Supporting individuals to take medication • Improving the family environment (coping skills, marital problems) • Improving day-to-day functioning • Taking part in community life • Getting back to work • Dealing with distressing symptoms • Dealing with stigma and discrimination • Improving physical health • Dealing with stress and anger • Improving literacy • Family support groups • Taking control of your illness (relapse prevention and management) |
3: Maintenance | ~9–12 | Monthly | • Update needs assessment • Risk assessment • Goal setting for phase 3 • Update rehabilitation plan • Prepare for termination • Continuing care assessment |
• Consolidate access to community resources • Consolidate awareness raising and mobilisation |
Core module: • Taking control of your illness (relapse prevention and management) if not completed in phase 2Optional modules • Any of the phase 2 modules |