Table 1 Domains of Change from Baseline to 6-months and Operationalization of “Experiencing Difficulties” vs. “Expected Trajectories”¹

Community Integration - Physical

Community Integration Scale (CIS) - Physical subscale

▪7 item subscale of the full 11-item CIS instrument; examines a person’s physical (community presence) integration in the community

Expected trajectory: Movement to a higher count, compared to baseline OR no change from baseline

47 (15.6%)

47 (15.6%)

▪Responses are summed for a total score, with higher scores indicating greater community integration

Experiencing difficulty: Movement to a lower count, compared to baseline

▪References: [28–30]

Community Integration - Psychological

Community Integration Scale (CIS) - Psychological subscale

▪4 item subscale of the full 11-item CIS instrument; examines a person’s psychological (sense of belonging) integration in the community

Expected trajectory: Movement to a higher quintile, compared to baseline OR no change from baseline

6 (1.99%)

54 (17.9%)

▪Responses are summed for a total score, with higher scores indicating greater community integration

Experiencing difficulty: Movement to a lower quintile, compared to baseline

▪References: [28–30]

Mental Illness Symptomatology

modified Colorado Symptom Index (CSI)

▪14-item scale that measures the frequency of symptoms of psychiatric illness in the past month

Expected trajectory: Movement to a lower quintile, compared to baseline OR no change from baseline

27 (8.97%)

64 (21.3%)

▪Sum of all 14 items produces the overall CSI score; higher scores indicate greater psychiatric symptomatology; a score greater than 30 indicates the presence of a probable disorder

Experiencing difficulty: Movement to a higher quintile, compared to baseline

▪References: [31–34]

Substance Use

Global Appraisal of Individual Need – (GAIN-SS) Substance Problem Subscale

▪5-item subscale with individual items scored on a 4-point scale for a given period of time (lifetime or past year or past month or never)

Expected trajectory: Movement to a lower count compared to baseline OR no change from baseline

2 (0.66%)

43 (14.3%)

▪Number of responses with a particular value is counted (depending on time frame under examination)

Experiencing difficulty: Movement to a higher count, compared to baseline

▪Higher count values indicating higher substance use symptoms

▪References: [35, 36]

Community Functioning

Multnomah Community Ability Scale (MCAS)

▪17-item instrument that measures the degree of functional ability

Expected trajectory: Movement to a higher quintile, compared to baseline OR no change from baseline

0 (0%)

75 (24.9%)

▪Total MCAS score is sum of all 17 questions. Categories of ability based on total score:

Experiencing difficulty: Movement to a lower quintile, compared to baseline

−17 to 47 indicates low level of ability

−48 to 62 indicates some disability

- > 63 indicates little disability

▪References: [37–39]

Quality of Life

Quality of Life Inventory (QoLI20)

▪20-item scale that assesses the life circumstances of people with severe and persistent mental illness

Expected trajectory: Movement to a higher quintile, compared to baseline OR no change from baseline

26 (8.64%)

71 (23.4%)

▪A total sum of all items produces a score ranging from 20 to 140, with higher scores indicating greater satisfaction with life

Experiencing difficulty: Movement to a lower quintile, compared to baseline

▪References: [40–42]