|Formative evaluation||A comprehensive assessment of current availability of mental health services (situation analysis) and needs assessment from stakeholders’ perspectives will be carried out in each implementation site through in-country site visits with the RECOVER-E implementation and mental health experts (expert panel) with the local teams. Each site visit results in a plan of how local mental health professionals can use evidence-based interventions in ways that leverage local understandings and resources for the implementation of community-based mental health to be more sustainable and effective.|
|Process evaluation||Assess the implementation strategy regarding components such as organisational structure, political and cultural context, professional factors (including shift in roles and responsibilities, as well as dynamics between health care professionals, manager, clients, and carers). Clinicians and staff from the clinical sites will be asked to complete a questionnaire and participate in an interview, both based on the Consolidated Framework of Implementation Research (CFIR) interview guide. Finally, semi-structured interviews with 5 providers from each site (from both the intervention and care as usual groups) will be conducted.|
|Outcome evaluation||Through a hybrid effectiveness-implementation trial to:|
– Evaluate whether the intervention has had an effect on clinical outcomes and service use outcomes;
– Evaluate the uptake, acceptability, and maintenance of a comprehensive implementation strategy designed to increase patient engagement and quality of care for people with severe and enduring ill mental health.
|Economic evaluation||Evaluate cost-effectiveness of the intervention and its implementation strategy to build a sustainability plan for policy makers in the 5 implementation sites.|