Bitter 2015.

Trial name or title	Effectiveness of the Comprehensive Approach to Rehabilitation (CARe) methodology: design of a cluster randomized controlled trial
Methods	Cluster‐RCT
Participants	People with severe mental illness from participating organisation for sheltered and supported housing facilities
Interventions	Teams in the intervention group receive the CARe methodology training. The aims of this training are: training workers in the principles of rehabilitative and recovery‐supportive care and to support clients' rehabilitation process in a methodical way. The study will give special attention to the process of implementation. The CARe methodology consists of 6 steps: (1) building and maintaining a constructive relationship; (2) collecting information and making a personal profile with the client; (3) helping the client with formulating wishes, making choices and setting goals; (4) helping the client to making a Personal Plan; (5) helping the client execute the plan and (6) following the process, learn, evaluate and adjust. After the training programme the workers will be supported in working according to the CARe methodology by means of CARe coaching meetings (once every 4‐6 weeks). The teams in the control group do not receive the CARe methodology training. The workers in those teams will maintain work according to the (narrowly implemented) outdated CARe methodology.
Outcomes	Primary outcomes: recovery, social functioning (including employment status) and quality of life. Other outcomes are empowerment, hope, self‐efficacy beliefs and need for care. Model fidelity audit will be performed
Starting date	May 2012
Contact information	n.a.bitter@uvt.nl
Notes	Unclear if competitive employment outcomes will be presented