Consumer measures and research co-production: a pilot study evaluating the recovery orientation of a mental health program collaboration

Petrakis, Melissa; Brophy, Lisa; Lewis, Jayne; Stylianou, Michael; Scott, Matthew; Cocks, Nadine; Buckley, Liam; Halloran, K.

doi:10.1080/02185385.2014.885212

Cited by 14 publications

(16 citation statements)

References 15 publications

(10 reference statements)

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“…Others involve more complex manualised pro-recovery interventions or modules, such as the REFOCUS model, IMR program, and WRAP, which also emphasises peer support in the development of individual recovery plans [65]. Strengths-based case management models supporting consumer directed care have also been implemented in both acute and community MH settings [69, 71], focusing on personal strengths and goals rather than deficits, and integrating a variety of EBIs. While all approaches support recovery, few provide an overarching framework and service-wide model for MH care provision.…”

Section: Introductionmentioning

confidence: 99%

“…There is a growing literature on the selection of strategies and measures for assessing recovery [4, 92–94], recovery-oriented practice [65, 74, 95] and the recovery-orientation of services [71, 92, 96, 97]. In choosing a particular set of tools, it may be useful to cover a representative range of recovery domains or processes, such as the CHIME spectrum described earlier [38, 64] or the ‘broad superordinate recovery dimensions’ suggested by Whitley and Drake [98] (i.e., clinical, existential, functional, physical, and social dimensions of recovery).…”

Section: Introductionmentioning

confidence: 99%

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An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges

et al. 2017

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BackgroundOver past decades, improvements in longer-term clinical and personal outcomes for individuals experiencing serious mental illness (SMI) have been moderate, although recovery has clearly been shown to be possible. Recovery experiences are inherently personal, and recovery can be complex and non-linear; however, there are a broad range of potential recovery contexts and contributors, both non-professional and professional. Ongoing refinement of recovery-oriented models for mental health (MH) services needs to be fostered.DiscussionThis descriptive paper outlines a service-wide Integrated Recovery-oriented Model (IRM) for MH services, designed to enhance personally valued health, wellbeing and social inclusion outcomes by increasing access to evidenced-based psychosocial interventions (EBIs) within a service context that supports recovery as both a process and an outcome. Evolution of the IRM is characterised as a series of five broad challenges, which draw together: relevant recovery perspectives; overall service delivery frameworks; psychiatric and psychosocial rehabilitation approaches and literature; our own clinical and service delivery experience; and implementation, evaluation and review strategies. The model revolves around the person's changing recovery needs, focusing on underlying processes and the service frameworks to support and reinforce hope as a primary catalyst for symptomatic and functional recovery. Within the IRM, clinical rehabilitation (CR) practices, processes and partnerships facilitate access to psychosocial EBIs to promote hope, recovery, self-agency and social inclusion. Core IRM components are detailed (remediation of functioning; collaborative restoration of skills and competencies; and active community reconnection), together with associated phases, processes, evaluation strategies, and an illustrative IRM scenario. The achievement of these goals requires ongoing collaboration with community organisations.ConclusionsImproved outcomes are achievable for people with a SMI. It is anticipated that the IRM will afford MH services an opportunity to validate hope, as a critical element for people with SMI in assuming responsibility and developing skills in self-agency and advocacy. Strengthening recovery-oriented practices and policies within MH services needs to occur in tandem with wide-ranging service evaluation strategies.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-016-1164-3) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges

et al. 2017

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“…Health professionals can use C–FIS–HP as a clinical tool to assess the comfort level of patients in a helping relationship, as well as use this information to develop culturally sensitive therapeutic interventions and treatment plans. Moreover, understanding the helping relationship can be an excellent method for health professionals to reflect on their communication skills [ 55 ] and develop in-service training and educational programs to enhance therapeutic relationships and the quality of their services [ 6 ]. We believe that further use of this instrument will allow additional sophisticated data analysis techniques for further validation and generalizability of C–FIS–HP in a variety of settings.…”

Section: Discussionmentioning

confidence: 99%

“…The helping process depends on an open, honest, caring, and empathic relationship between patients and their health professionals [ 1 , 4 ]. Positive helping relationships have significant effect on health outcomes [ 5 ], recovery process [ 6 ], perceived self-care agency [ 7 , 8 ], and medication adherence [ 9 ]. Thus, measuring the helping relationship is important to understand the comfort level of patients in terms of sharing their condition or feelings to health care professionals, who can predict the help-seeking behaviors of the former [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric evaluation of the Chinese version of the fear of intimacy with helping professionals scale

Lau

Chan²

2018

PLoS ONE

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ObjectivesThis study aimed to evaluate the internal consistency, reliability, convergent validity, known-group comparisons, and structural validity of the Chinese version of Fear of Intimacy with Helping Professionals (C–FIS–HP) scale in Macau.MethodsA cross-sectional design was used on a sample of 593 older people in 6 health centers. We used Chinese version of Exercise of Self-Care Agency Scale (C-ESCAS) and Morisky 4-item medication adherence scale to evaluate self-care actions and medication adherence. The internal consistency and reliability of C–FIS–HP were analyzed using the Spearman-Brown split-half reliability, Cronbach’s alpha, and test–retest reliability. Convergent validity was tested the construct of C–FIS–HP and self-care actions. Known-group comparisons differentiated predefined groups in an expected direction. Two separated samples were used to test the structural validity. An exploratory factor analysis (EFA) tested the factor structure of C–FISHP using the principal axis factoring. A confirmatory factor analysis (CFA) was further conducted to confirm the factor structure constructed in the prior EFA.ResultsThe C–FIS–HP had a Spearman-Brown split-half coefficient, Cronbach’s alpha, and intraclass correlation coefficient of 0.96, 0.93, and 0.96, respectively. Convergent validity was satisfactory with significantly correlations between the C-FIS-HP and C-ESCAS. C–FIS–HP to differentiate the differences between high-, moderate-, and low- medication adherence groups. EFA demonstrated a two-factor structure among 297 older people. A first-order CFA was performed to confirm the construct dimensionality of C–FIS–HP with satisfactory fit indices (NFI = 0.92; IFI = 0.95; TLI = 0.94; CFI = 0.95 and RMSEA = 0.07) among 296 older people.ConclusionsC–FIS–HP is a reliable and valid test for assessing helping relationships in older Chinese people. Health professionals can use C–FIS–HP as a clinical tool to assess the comfort level of patients in a helping relationship, and use this information to develop culturally sensitive therapeutic interventions and treatment plans. Further studies need to be conducted concerning the different psychometric properties, as well as the application of C–FIS–HP in various regions.

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“…Research has found that mental health organisations in Australia have struggled to adopt recovery-oriented practices. [22][23][24] A focus on bureaucratic goals 25,26 over consumer-led goals impede the genuine implementation of recovery-oriented practice into services. The engrained culture of the biomedical model has also been identified as a barrier to implementing recovery-oriented practice.…”

Section: Limitations In Access To Music Therapymentioning

confidence: 99%

The role of music therapy in Australian mental health services and the need for increased access to service users

Bibb

2021

Australas Psychiatry

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Objectives: This opinion paper aims to provide an overview of the current evidence base supporting the use of music therapy in mental health care. It also aims to offer critique on the issue of access to music therapy in Australia. Conclusions: There is a strong evidence base for music therapy to provide symptomatic relief and improve quality of life for people living with mental illness. However, music therapy is underfunded and framed as a supplementary service within mental health services in Australia, which limits its access to consumers. Funding music therapy as an evidence-based treatment option would fill an existing service gap and provide equitable access to a cost-effective and often consumer preferred treatment option for mental health consumers.

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Consumer measures and research co-production: a pilot study evaluating the recovery orientation of a mental health program collaboration

Cited by 14 publications

References 15 publications

An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges

An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges

Psychometric evaluation of the Chinese version of the fear of intimacy with helping professionals scale

The role of music therapy in Australian mental health services and the need for increased access to service users

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