Table 2.

CIMO Propositions.

Theorised Contextual Conditions (Figure 2)[C]	Present contextual mechanisms activated [CM]	Proposed Intervention Design Elements (Table 1)[I]	Postulated Intervention Programme Mechanisms(Table 1)[MP]	Postulated psychological, motivational and behavioural Outcomes [O]
Self – Self-identity and individuals experience
Lack of partner and family support, Distrust of services, Limited treatment access	Stress mechanism activated causing anxiety and depression	Friendship and family support, Professional support, Medication, Treatment	Activate mediating mechanisms of family, peer and professional support to strengthen and build trusting relationships with peers, family and clinicians through SHV and FCISD Design Components.	Decreased depression and anxiety
Lifetime trauma, Loss, Being alone, Isolation	Stress mechanism activated arising from mismatched expectations, and loneliness	Family and peer support, Home visiting, Telephone support		Increased perceived support
Situated Activity – Face to Face activity
Services unavailable or poor access, Services not trusted, Services not skilled	Absence of trusted professional support mechanism	“wrap around” services, Family Conferences, Workforce training	Activate services mechanisms that are client, peer and neighbourhood focused, and trauma and evidence informed through FCISD and IS Design Components.	Improved perceived access to skilled and trusted services
Community distrust, Low social capital and cohesion, crime, unemployment	Absence of trusted neighbourhood and community support mechanism	“wrap around” services, Family Conferences, Public health, Social work services		Improved perceived support from neighbours and community
Intermediate Level social and service organisation
Unhelpful intake and referral practices, Lack of service, knowledge and trust	Absence of specialist service support mechanism for front-line professionals	Strengthened pathways and design Collocation of services	Activate mechanisms related to trust and confidence with service network, increased local social capital, community trust and community safety Activate mechanisms relating to improved coordination and access to services and information through FCISD and IS Design Components.	Improved perceived access to services that are “wrapped” around front-line workers
Weak social networks, community trust, community safety, available social services, access to information	Social level stress mechanisms relating to class, position, racism, segregation, crime and neighbourhood decay are activated tending to increase psychological stress	Population and community level interventions in neighbourhoods and communities		Decrease in psychological stress of individuals and families
Macro Level social and service organisation
Migration, Mega-malls pull service activity away from neighbourhoods, Urban development	Activation of social level stress mechanisms tend to hinder the activation of social level buffer mechanisms	Population and community level interventions in neighbourhoods and communities	Activate mechanisms related to increased social level activities in deprived neighbourhoods. Activate mechanisms related to increased migrant related social activities among ethnic populations through FCISD and IS Design Components.	Increase in perceived social level buffers
Immigration policy, Racism, Media policy, Global market, Settlement patterns, Ethnic bonding networks, Access to services	Migrant related social level mechanisms including acculturation, cultural practices and integration tend to decrease social level stress	Ethnic and cultural specific community and population level interventions		Increase in perceived migrant social level buffers