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Table 8 Revised Bounce Back Intervention (BB2)

From: Developing, delivering and evaluating primary mental health care: the co-production of a new complex intervention

The consultation (core) component of BounceBack

â–ª Biographical focus (on the story of disruption) through a narrative (Unstructured) initial assessment (no tools/questionnaires)

â–ª Help client explore and understand imbalance of resources and demands (both patient and practitioner) contributing to experienced distress

â–ª Support client to identify opportunities for change and support them to do

The organisational components supporting delivery

â–ª Sense making: use targeted resources to ensure all parties understand the service

â–ª Engagement: Allow direct access (self-referral) and flexible referral patterns to enable patients and staff to engage with the service

â–ª Action: Have trained and supported case workers in the practice to deliver the model of care

â–ª Monitoring: Feedback the process and impact of care to practice (e.g. case reports and monthly staff meetings)

  1. Based on our revised description of the BounceBack intervention, we also produced a service delivery manual for practices – available from the authors