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Table 2 RISE community-based rehabilitation (CBR) intervention outline

From: Community-based Rehabilitation Intervention for people with Schizophrenia in Ethiopia (RISE): study protocol for a cluster randomised controlled trial

Phase

Months

Visits

 

CBR activities

 

Assessment and family engagement

Community mobilisation

Family-level interventions

1: Intensive engagement

~1–3

Weekly

• Developing therapeutic alliance with family

• Needs assessment

• Risk assessment

• Goal setting for phase 1

• Rehabilitation plan

• Resource mapping for sub-district, e.g. churches, schools, edir groups (traditional burial association), Women’s Association, literacy groups, religious groups and traditional healers

• Initial awareness-raising and mobilisation, targeting health extension worker, community leaders and traditional healers

• Awareness raising meeting/s with general public in sub-district

Core modules:

• Understanding schizophrenia

• Improving access to health care

• Dealing with human rights issues

• Preparing for a crisis

2: Stabilisation

~4–8

Fortnightly

• Update needs assessment

• Risk assessment

• Goal setting for phase 2

• Update rehabilitation plan

• Facilitate access to relevant community resources

• Consolidate mobilisation and awareness raising

Optional modules:

• Supporting individuals to take medication

• Improving the family environment (coping skills, marital problems)

• Improving day-to-day functioning

• Taking part in community life

• Getting back to work

• Dealing with distressing symptoms

• Dealing with stigma and discrimination

• Improving physical health

• Dealing with stress and anger

• Improving literacy

• Family support groups

• Taking control of your illness (relapse prevention and management)

3: Maintenance

~9–12

Monthly

• Update needs assessment

• Risk assessment

• Goal setting for phase 3

• Update rehabilitation plan

• Prepare for termination

• Continuing care assessment

• Consolidate access to community resources

• Consolidate awareness raising and mobilisation

Core module:

• Taking control of your illness (relapse prevention and management) if not completed in phase 2Optional modules

• Any of the phase 2 modules