Abstract：
While strengths approaches are important to recovery-oriented practice, implementation can be challenging. This study implemented the strengths model of case management (SMCM) in 11 CM teams and assessed the fidelity of delivery and staff perceptions of the model after 36 months using the SMCM fidelity scale and the Readiness Monitoring Tool. Paired sample t-tests assessed change in fidelity from baseline to 36 months. Adjusted regression analyses compared survey responses of direct and management staff. While fidelity ratings significantly improved across all domains, at 36 months they remained suboptimal in supervision practices and use of model tools. Staff perceptions were generally positive but consistently lower for front-line than management staff. Implementing SMCM into existing case management practice with good fidelity is feasible. However, clear support from management may strengthen staff motivation and delivery. A review of practice later in implementation can flag challenges for sustainability and guide implementation support.
摘要：
虽然优势方法对于面向恢复的实践很重要，实施可能具有挑战性。本研究在11个CM团队中实施了案例管理优势模型（SMCM），并使用SMCM保真度量表和就绪性监测工具评估了36个月后交付的保真度和员工对模型的看法。配对样本t检验评估从基线到36个月的保真度变化。调整后的回归分析比较了直接和管理人员的调查答复。虽然保真度等级在所有领域都有显著提高，在36个月时，他们在监督实践和模型工具的使用方面仍然不理想。工作人员的看法总体上是积极的，但对前线人员的看法始终低于管理人员。以良好的保真度将SMCM实施到现有的案例管理实践中是可行的。然而,管理层的明确支持可能会加强员工的积极性和交付能力。稍后在实施过程中对实践进行审查可以标记可持续性方面的挑战并指导实施支持。
