Table 5.

CIMO propositions for Intervention focus on building trust.

Present contextual mechanisms activated produce the following outcomes [CM]	Proposed Intervention Design Elements [I]	Postulated Intervention Programme Mechanisms activated at the Level of Situated Activity [MP]	Postulated psychological, motivational and behavioural Outcomes [O]
– Distrust and disconnection from previous services – The power imbalance between client and service provider	– Building rapport and responding to need – Attentive to client concerns – Flattening the power base – Informal client-clinician interactions – Non-judgemental interactions – Favourable interpersonal skills	Trust	– Empowerment for clients – Establishment of greater trust in services for clients – Better engagement in services for clients