Abstract
The Support Enabling Active Recovery (SEAR) model is an innovative service delivery framework designed to engage marginalised populations with support services, to facilitate the attainment of lifestyle and life skill recovery goals and to improve health and quality of life outcomes. SEAR has been developed and implemented by the Homeless Health Outreach Team (HHOT), Royal Brisbane Hospital Division of Mental Health. HHOT provides multidisciplinary specialist mental health, dual diagnosis and drug and alcohol services to the inner city Brisbane homeless population. The SEAR model enhances clinicians' and agencies' capacities to better meet the needs of individuals who are disengaged from service provision systems by providing key clinicians with multi layered systemic support that optimises the therapeutic alliance and provides enhanced support to clinical interventions. The SEAR approach to service structure also addresses service issues such as continuity of treating clinician, treating team stress management and continuous clinical skill enhancement.