Table 1 Overview of the differences and similarities between the two interventions: FACT and FACT + RG

Involvement of social network

Social network is invited during intake phase and contact can be developed during course of FACT

Actions

    A contact person is established for each patient and contact details are provided

     Family or significant others can be invited as FACT proceeds

    In the event of (upcoming) crisis, the contact person is informed

Social network (including family, friends, colleagues and significant others) are structurally involved and collaborate as partners in treatment and goals

Actions

    Within 3 months, nominated significant others from the social network meet the FACT staff for the interview

    During the RG meeting, the RG members are actively involved in maintaining the goals

    FACT staff and RG work together as a team (equal experts)

Treatment/recovery plan

Recovery goals are developed by client and caregiver (treatment plan) and are discussed during the FACT meeting

To achieve these goals, the FACT team allocates tasks and responsibilities on the basis of expertise

The treatment plan is discussed at least once a year by the multidisciplinary FACT team

The treatment plan contains SMART formulated, concrete goals

Recovery goals are developed by client and caregiver (RG plan) and are discussed with the RG members (possibly including FACT team members) during the RG meeting

The client decides together with the RG on actions to be taken to achieve the goals

The RG plan is discussed once every 3 months by the RG; the psychiatrist is present at least once a year

The RG plan contains two long-term goals (= future dreams and wishes) and two short-term goals (= SMART formulated, concrete goals)

Continuity of care

FACT contains two modes of operation within the same team: high-level intensity (ACT, adaption of shared caseload) and low-level intensity (Individual Case Management). The flexibility to switch between them enhances continuity of care

Additional to the flexibility in FACT, the flexible composition of the RG incorporates various institutes and people and allows a broader range and intensity of care. Although the RG members may differ, the RG itself is the constant factor