Table 5.

Site specific Implementation Plans

Site	Interventions	Who	What	How	When	Where
Site 1	Case conference restructure & guidelines	MDT meeting (Client not present)	Formulation of common goals, staff actions and client actions	Face to Face group	First case conference (Client not present) Weekly thereafter	Meeting room on ward
	Client goal boards	Nominated team member and client	Discuss with the client and display goal boards in room	Prepopulated from case conference	After each case conference	Rehabilitation ward
	Staff education and training	Site facilitator	Goal-setting education, workplace process education	PowerPoint presentations, case discussions and 1:1 sessions	Prior to and throughout implementation/on orientation to service	Meeting room
		Two nominated staff	Talking Mats Training [41]	Online training and assignments	During implementation	Online
Site 2	Client rehabilitation flyer	Intake nurse	Educational brochure	Face to face	Prior to admission	Acute hospital wards
	Goal-setting workbook	Administration officer	Print client booklets	On ward computers	Prior to admission	Rehabilitation reception
		Admitting nurse	Give client booklet	Face to face	On admission to rehabilitation ward	At client bedside
		Link worker (Key worker) and client	Goal-setting and rehabilitation education and goal negotiation	Face to face	Within 48 h of admission	Rehabilitation ward
	Case conference restructure & guidelines	MDT (Client not present)	Formulation of common goals, staff actions and client actions	Chaired by consultant/NUM or Advanced AHP	First case conference and weekly thereafter	Meeting room on ward
	Client goal boards	Key worker and client	Discuss with client and display goals and actions on goal board in room	Prepopulated from case conference documentation	After each case conference	Rehabilitation ward
	Staff education and training	Delivered by the site facilitator	Goal-setting education, process education and workplace instruction	PowerPoint presentations, case discussions and 1:1 sessions	Prior to and throughout implementation/on orientation to service	Meeting room on ward
		Two nominated staff	Talking Mats Training	Online training and assignments	During implementation	Online
Site 3	Goal-setting workbook	Admitting nurse	Long term goal-setting discussions, and goals for the episode of care set	Documented using the goal-setting workbook	On admission to rehabilitation ward	Rehabilitation ward
		All disciplines	Complete -How do I set a goal? Templates and action plans	Documented using the goal-setting workbook	On initial assessments and updated in treatment sessions thereafter	Rehabilitation ward
	Staff education and training	Delivered by the site facilitator	Goal-setting and rehabilitation education and goal negotiation skills	PowerPoint presentations, case discussions and 1:1 session	Prior to and throughout implementation/on orientation to service	Meeting room
		Two nominated staff	Talking Mats Training	Online training and assignment	During implementation	Online
Site 4	Goal-setting workbook	Intake nurse	Goal-setting discussions, long term goal-setting and goals for the episode of care discussed	Documented using the goal-setting workbook	On intake assessment	Consultation room
		All disciplines	Weekly goals and actions set, reviewed and updated	Documented using the goal-setting workbook	On initial assessments and follow up reviews	Consultation rooms or therapy areas
	Staff education and training	Delivered by the site facilitator	Goal-setting and rehabilitation education and goal negotiation skills	PowerPoint presentations, case discussions and 1:1 sessions	Prior to and throughout implementation/on orientation to service	Meeting room
		Two nominated staff	Talking Mats Training	Online training and assignments	During implementation	Online
Site 5	Goal-setting workbook	Care Coordinator (Key worker)	Goal-setting discussions, and goals for the episode of care discussed	Documented using the goal-setting workbook	On initial assessment	Home visit or consultation room
		All disciplines	Weekly goals and actions set	Documented using the goal-setting workbook	On initial assessments and follow up reviews	Home visit or consultation room
	Staff education and training	Delivered by the site facilitator	Goal-setting and rehabilitation education and goal negotiation skills	PowerPoint presentations, case discussions and 1:1 sessions	Prior to and throughout implementation/on orientation to service	Meeting rooms
		Two nominated staff	Talking Mats Training	Online training and assignments	During implementation	Online