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Systemic, contextual and individual factors which need to be considered include the multitude of staff often involved with any one individual, the pressure to 'get it right' because of the range of risk implications that are associated with individuals within forensic mental health settings, and individual parameters, for example reluctance to be engaged with services.

Background The notion of personal recovery has become central to the delivery of mental health services; however, no published subjective recovery measure has been validated in an inpatient adolescent mental health sample. We aimed to evaluate the psychometric properties of the Recovery Questionnaire for Young People (ReQuest‐YP) in this inpatient context. Methods Both cross‐sectional and longitudinal self‐report data were collected. The ReQuest‐YP was administered to 65 adolescents (11 males, 52 females and 2 who identified as transgender) within inpatient child and adolescent mental health services (UK) along with a feedback questionnaire, to assess the face validity of the measure. The young person's Health of the National Outcome Scales (HoNOSCA) score, as rated by clinicians in inpatient services, was also obtained to assess the convergent validity of the measure. Results The results demonstrated that the ReQuest‐YP demonstrated excellent internal consistency (alpha ≥ .914), test–retest reliability (ICC = .91) and sensitivity to change (Z = −2.09). The measure did not correlate with the ratings on the HoNOSCA. Feedback indicated the ReQuest‐YP was relevant and acceptable to young people. Suggestions were made about refining some questionnaire items. Conclusions The ReQuest‐YP demonstrated clinical utility as a measure of subjective recovery in inpatient child and adolescent mental health services. Refinement of some of the questions along with further evaluation of the measure in this population is recommended. The ReQuest‐YP offers a potential tool for exploring, assessing and evaluating subjective or personal recovery for young people in inpatient units. The measure is potentially reliable, valid and acceptable to service users, and so clinicians may wish to consider use in these settings. There is indication that the questionnaire is also sensitive to change in an inpatient admission context, although further work is needed.

Title: An initial evaluation of the Global Review Form as an approach to measuring individual change Running head: Global review form