Table 1.
TMACT subscales and items at 12 months and 30 months (12 teams)
| T1 (12 months) |
T2 (30 months) |
Cohen’s da | |||
|---|---|---|---|---|---|
| Mean | SD | Mean | SD | ||
| TMACT total score | 3.3 | 0.32 | 3.6 | 0.28 | 0.83 |
| Operations and Structure (OS) Subscale | 3.9 | 0.41 | 4.1 | 0.36 | 1.59 |
| OS1 Low Ratio of Consumers to Staff | 5.0 | 0.00 | 4.9 | 0.29 | − 0.29 |
| OS2 Team Approach | 3.3 | 1.29 | 3.2 | 1.47 | − 0.16 |
| OS3 Daily Team Meeting (Frequency and Attendance) | 3.8 | 1.59 | 4.2 | 1.34 | 0.19 |
| OS4 Daily Team Meeting (Quality) | 4.1 | 1.00 | 4.7 | 0.65 | 0.59 |
| OS5 Program Size | 2.7 | 1.83 | 3.3 | 1.82 | 0.47 |
| OS6 Priority Service Population | 4.3 | 1.23 | 4.7 | 1.16 | 0.51 |
| OS7 Active Recruitment | 2.7 | 0.49 | 2.8 | 1.03 | 0.15 |
| OS8 Gradual Admission Rate | 4.7 | 0.49 | 4.8 | 0.39 | 0.29 |
| OS9 Transition to Less Intensive Services | 3.1 | 0.67 | 4.1 | 0.90 | 1.17 |
| OS10 Retention Rate | 4.6 | 0.67 | 4.8 | 0.62 | 0.29 |
| OS11 Involvement in Psychiatric Hospitalization Decisions | 4.7 | 0.65 | 4.8 | 0.45 | 0.12 |
| OS12 Dedicated Office-Based Program Assistance | 3.4 | 1.78 | 3.4 | 1.62 | 0.00 |
| Core Team (CT) Subscale | 3.6 | 0.55 | 3.9 | 0.46 | 0.68 |
| CT1 Team Leader on Team | 2.5 | 1.24 | 3.0 | 1.21 | 0.40 |
| CT2 Team Leader is Practicing Clinician | 3.3 | 0.78 | 3.3 | 0.99 | 0.00 |
| CT3 Psychiatric Care Provider on Team | 4.3 | 1.23 | 4.5 | 0.91 | 0.29 |
| CT4 Role of Psychiatric Care Provider in Treatment | 2.6 | 1.38 | 3.3 | 1.06 | 0.68 |
| CT5 Role of Psychiatric Care Provider within Team | 3.3 | 0.99 | 3.7 | 0.65 | 0.68 |
| CT6 Nurses on Team | 5.0 | 0.00 | 5.0 | 0.00 | 0.00 |
| CT7 Role of Nurses | 4.3 | 0.62 | 4.5 | 0.52 | 0.55 |
| Specialist Team (ST) Subscale | 2.5 | 0.62 | 2.5 | 0.70 | 0.12 |
| ST1 Substance Abuse Specialist on Team | 3.5 | 1.45 | 3.7 | 1.23 | 0.10 |
| ST2 Role of Substance Abuse Specialist in Treatment | 3.2 | 1.59 | 3.7 | 1.07 | 0.43 |
| ST3 Role of Substance Abuse Specialist within Team | 3.3 | 1.37 | 3.8 | 1.22 | 0.34 |
| ST4 Vocational Specialist on Team | 2.4 | 1.31 | 1.9 | 0.9 | − 0.36 |
| ST5 Role of Vocational Specialist in Employment Services | 2.3 | 1.16 | 2.3 | 1.14 | − 0.11 |
| ST6 Role of Vocational Specialist within Team | 2.9 | 1.09 | 2.6 | 1.24 | − 0.29 |
| ST7 Peer Specialist on Team | 1.2 | 0.39 | 1.2 | 0.58 | 0.00 |
| ST8 Role of Peer Specialist | 1.3 | 0.45 | 1.2 | 0.58 | − 0.16 |
| Core Practices (CP) Subscale | 3.6 | 0.40 | 3.7 | 0.37 | 0.25 |
| CP1 Community-Based Services | 5.0 | 0.00 | 5.0 | 0.00 | 0.00 |
| CP2 Assertive Engagement | 4.6 | 0.52 | 4.9 | 0.29 | 0.68 |
| CP3 Intensity of Service | 3.8 | 0.75 | 3.3 | 0.89 | − 0.62 |
| CP4 Frequency of Contact | 2.9 | 0.79 | 2.8 | 0.62 | − 0.29 |
| CP5 Frequency of Contact with Natural Supports | 2.8 | 0.75 | 2.3 | 0.78 | − 0.42 |
| CP6 Responsibility for Crisis Services | 1.4 | 0.52 | 1.7 | 0.49 | 0.55 |
| CP7 Full Responsibility for Psychiatric Services | 3.8 | 1.34 | 4.7 | 0.65 | 0.75 |
| CP8 Full Responsibility for Psych. Rehabilitation Services | 4.2 | 1.03 | 4.5 | 0.67 | 0.34 |
| Evidence-Based Practices (EP) Subscale | 2.9 | 0.69 | 3.4 | 0.38 | 0.90 |
| EP1 Full Responsibility for Dual Disorders Treatment | 3.0 | 1.28 | 4.0 | 1.04 | 0.89 |
| EP2 Full Responsibility for Vocational Services | 3.3 | 1.56 | 3.6 | 1.56 | 0.11 |
| EP3 Full Responsibility for Wellness Man. and Recovery | 1.0 | 0.00 | 1.1 | 0.29 | 0.29 |
| EP4 Integrated Dual Disorders Treatment Model | 3.0 | 0.95 | 4.0 | 0.43 | 1.05 |
| EP5 Supported Employment Model | 2.3 | 0.65 | 2.5 | 0.91 | 0.23 |
| EP6 Engagement & Psychoeducation with Natural Supports | 3.8 | 1.12 | 4.5 | 0.80 | 0.68 |
| EP7 Empirically Supported Psychotherapy | 2.3 | 1.49 | 3.2 | 1.19 | 0.92 |
| EP8 Supportive Housing Model | 4.3 | 1.06 | 4.3 | 1.06 | 0.00 |
| Person-Centered Planning and Practices (PP) Subscale | 2.9 | 0.52 | 3.6 | 0.59 | 0.75 |
| PP1 Strengths Inform Treatment Plan | 2.6 | 0.90 | 3.3 | 0.99 | 0.78 |
| PP2 Person-Centered Planning | 1.3 | 0.49 | 1.8 | 0.97 | 0.53 |
| PP3 Interventions Target Broad Range of Life Domains | 3.6 | 1.00 | 4.3 | 1.14 | 0.36 |
| PP4 Consumer Self-Determination and Independence | 4.1 | 0.67 | 4.8 | 0.45 | 0.86 |
aInterpretation of Cohen’s d: 0.2 indicates a small effect, 0.5 a moderate effect and 0.8 a large effect [41]