Research

Most of the research on the SSM is published in Dutch.  International publications about the SSM are:

The Use of the Dutch Self-Sufficiency Matrix (SSM-D) to Inform Allocation Decisions to Public Mental Health Care for Homeless People (2014).

Lauriks, S, de Wit, M, Buster, M, Fassaert, T, van Wifferen, R. Klazinga, N (2014).
Community Ment Health J. Doi: 10.1007/s10597-014-9707-x.

The current study set out to develop a decision support tool based on the Self-Sufficiency Matrix (Dutch version; SSM-D) for the clinical decision to allocate homeless people to the public mental health care system at the central access point of public mental health care in Amsterdam, The Netherlands. Logistic regression and receiver operating characteristic-curve analyses were used to model professional decisions and establish four decision categories based on SSM-D scores from half of the research population (Total n = 612). The model and decision categories were found to be accurate and reliable in predicting professional decisions in the second half of the population. Results indicate that the decision support tool based on the SSM-D is useful and feasible. The method to develop the SSM-D as a decision support tool could be applied to decision-making processes in other systems and services where the SSM-D has been implemented, to further increase the utility of the instrument.


Psychometric properties of the Dutch version of the self-sufficiency matrix (SSM-D) (2014). 

Fassaert, T, Lauriks, S, van de Weerd, S, Theunissen, J, Kikkert, M, Dekker, J, Buster, M, & de Wit, M. (2014).
Community Ment Health J, 50(5), 583-590. Doi: 10.1007/s10597-013-9683-6.

Measuring treatment outcomes can be challenging in patients who experience multiple interlinked problems, as is the case in public mental health care (PMHC). This study describes the development and psychometric properties of a Dutch version of the self-sufficiency matrix (SSM-D), an instrument that measures outcomes and originates from the US. In two different settings, clients were rated using the SSM-D in combination with the Health of the Nation Outcome Scales (HoNOS) and the Camberwell assessment of need short appraisal schedule (CANSAS). The results provided support for adequate psychometric properties of the SSM-D. The SSM-D had a solid single factor structure and internal consistency of the scale was excellent. In addition, convergent validity of the SSM-D was indicated by strong correlations between HoNOS and CANSAS, as well as between several subdomains. Further research is needed to establish whether the results presented here can be obtained in other PMHC settings.

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