Table 1.

Program: collaborative pathways to recovery, resilience and independence, utilising MHRS framework

Client priorities	Assessment a	In situ and individual interventions	Client and family/carer groups	Community support linkages
• Mental health & self-reliance • Physical health & self-care • Daily living skills & self-management • Social networking & community participation • Access to education & employment • Healthy meaningful relationships • Coping strategies to reduce risk of addictive behaviours • Skills to self-manage daily responsibilities • More satisfying sense of self • Improved sense of hope & trust	• Insight, coping skills, situational factors/capacity • Stage-of-change • Physical health/status • Personal self-care skills (eg, diet, lifestyle, dental, podiatry & medical) • Domestic self-care & community skills • Social skills • Vocational & educational support needs • Sexual health • Cognitive functioning • Psychological health • Comorbidity issues • Addictive behaviours • Adherence skills • Quality of relationships • Day-to-day functioning	• Positive recovery focus reinforces strengths • Encourages coping strategies, self-advocacy & positive risk taking • Service provision promotes self-reliance, self-care & positive role modelling • Milieu encourages self-respect & maintenance • Supportive culture reflects individual & social values • Facilitates trusting relationships with staff • Motivational interviewing • Cognitive behaviour therapy & counselling • Skills development & cognitive remediation • Behavioural interventions • Relapse prevention • Self-esteem building • Social activities • Education: mental health, medication & lifestyle	• Managing mental health b • Medication • Goal setting/review b • Shopping/meal planningb • Healthy lifestyles • Budgeting • Relaxation/stress management b • Social skills, community access BBQ, hobby startersb • Wellness plan • Drug & alcohol education • QUIT interventions • Vocational education training & employment • Recovery Star discussion • Discharge planning • Family connection c • Mental health education c	• Accommodation services (eg, supported housing) • Education & employment services • Community, family & welfare services (eg, Community access, Centrelink, relationship & financial counselling, meals on wheels, ARAFMI, clubs, volunteer programs) • Mental health & substance use services (eg, Supported Recovery, Community Managed and Non-government Organisations, community mental health, early psychosis, psychiatrists, allied health) • Health services (eg, GP, dietary, dental, sexual health, recreational & cultural) • Internet services (eg, SANE Australia, Black Dog Institute)

Note: MHRS Mental Health Recovery Star, ARAFMI Association of Relatives And Friends of the Mentally Ill

^aConducted to assist in building a comprehensive recovery plan

^bGroup programs offered on repeat occasions per week

^cGroup programs offered outside of usual business hours to facilitate optimal carer/family involvement