Background: In the context of political demands for social justice, we analyzed determinants of capabilities in community-based clinical social work. Within the scope of an explorative study with two measuring points, people with chronic mental disorders were questioned regarding capabilities as well as psychosocial, sociodemographic, disease-, and care-related aspects in community mental health-care services in Germany. Results: Overall, capabilities were rated as medium and did not change significantly over time. A path model showed empowerment and social inclusion to be the strongest determinants on the improvement of capabilities. Conclusion: Community-based clinical social work should foster empowerment and social inclusion through socio-therapeutic or, rather, psychosocial interventions in order to alter capabilities among chronically mentally ill people. This could include psycho- or socio-education as well as family interventions that aim to reduce stress in the family or training in life skills such as dealing with money, personal hygiene, or communication competencies.
Determinants of Capabilities Among Chronically Mentally Ill People: A Path Model
