Development of Measures to Assess Personal Recovery in Young People Treated in Specialist Mental Health Services

John, Mary; Jeffries, Fiona W.; Acuna‐Rivera, Marcela; Warren, Fiona; Simonds, Laura M.

doi:10.1002/cpp.1905

Cited by 9 publications

(21 citation statements)

References 28 publications

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“…Consistent with findings in the adult literature (Luo et al., ), the descriptive statistics indicated a difference between the mean scores obtained in this inpatient CAMHS sample on the ReQuest‐YP ( M = 30), and the mean score obtained in a community CAMHS sample on the ReQuest‐YP ( M = 43) as reported by John et al. (). This provides some support that the measure is able to discriminate between different populations.…”

Section: Discussionsupporting

confidence: 89%

“…John et al. () found that the measure showed sound psychometric properties in a community sample, including high internal consistency (Cronbach's alpha < .89). The measure correlated as expected with measures of similar constructs, including a measure of emotional and behavioural difficulties ( r = .74) and a measure of self‐esteem ( r = .84).…”

Section: Methodsmentioning

confidence: 99%

“…The ReQuest-YP (John, Jeffries, Acuna-Rivera, Warren, & Simonds, 2015) is the only known specific recovery focused outcome measure developed for use with a child and adolescent mental health population, despite a number of personal recovery measures having been validated in other settings (Shanks et al, 2013) and recent new measurement tools which take a child-centred approach (Godfrey et al, 2019). The development of the ReQuest-YP was based on young people's personal experience of mental health difficulties and their recovery journey (Simonds, Pons, Stone, Warren, & John, 2014), and the measure demonstrated good psychometric properties in a sample of young people accessing community mental health services (John et al, 2015). The application of this measure in assessing personal recovery in young people within inpatient mental health services is as yet unknown.…”

Section: Introductionmentioning

confidence: 99%

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Measuring outcomes within inpatient child and adolescent mental health services: an evaluation of the Recovery Questionnaire for Young People

Bentley

Bucci

Hartley

2019

Child Adoles Ment Health

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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.

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Section: Discussionsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Measuring outcomes within inpatient child and adolescent mental health services: an evaluation of the Recovery Questionnaire for Young People

Bentley

Bucci

Hartley

2019

Child Adoles Ment Health

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“…This study provides insight into how adolescent users of mental health services experience their personal recovery and what they perceive as supportive and obstructive, a little researched topic (John et al, ; Mental Health Coordinating Council, ; Naughton et al, ; Palmquist et al, ; Ward, ). The results of this study indicate that the CHIME framework of Leamy et al (), which was used as the theoretical framework, was transferable to the personal recovery of the adolescents.…”

Section: Discussionmentioning

confidence: 99%

The lived experience of adolescent users of mental health services in Vienna, Austria: A qualitative study of personal recovery

Schneidtinger¹,

Haslinger-Baumann

2019

Child Adoles Psych Nursing

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Problem In Austria, one in four adolescents suffers from a mental health problem, yet there is a lack of adequate care structures. Therefore, the personal recovery of these adolescents is of particular interest. The aim of the study was to explore, from a Child and Adolescent Psychiatric Mental Health Nursing (CAPMHN) perspective, how adolescent users of mental health services in Vienna, Austria experienced personal recovery after a stay in hospital, and to discover what had influenced the personal recovery of adolescent users of mental health services in Vienna. Methods Ten episodic interviews with adolescents were conducted. Nine of them were analyzed following the content analysis of Mayring (2015). Findings The findings of the survey indicate that the personal recovery of the participants was influenced by personal and external factors. Personal factors were the subjective experience of illness and recovery, optimism, resources, and ambivalence. External factors were family, peers, and treatment. The findings suggest that personal recovery of adolescents with a mental health problem is affected by youth‐specific aspects. Conclusions CAPMHNs can support the personal recovery of adolescent users of mental health services, so providing recovery‐oriented care, adequate care structures, and specific nursing skills is crucial.

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“…First, clients' assessments of how and when change has occurred can differ from the view of therapists' or assessments by measures (Kazdin, ; Reese, Toland, & Hopkins, ). Second, there is continued debate about whether global and symptom‐based measures are sufficient to assess recovery (John, Jeffries, Acuna‐Rivera, Warren, & Simonds, ; Levitt, Butler, & Hill, ). Third, qualitative differences can be masked beneath quantitatively equivalent outcome findings (Klein & Elliott, ; Nilsson, Svensson, Sandell, & Clinton, ).…”

Section: Broadening the Assessment Of Effectivenessmentioning

confidence: 99%

Improving knowledge about the effectiveness of psychotherapy

Donald

Carey

2017

Psychother Politics Int

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Quantitative methods and methodologies have dominated research on the efficacy and effectiveness of psychotherapy. The value of the quantitative paradigm is reflected in the criteria used to establish empirically supported treatments. However, quantitative research, including randomised control trials (RCTs), may not be ideally suited to establishing the effectiveness of the complex process of psychotherapy. The process and outcomes of psychotherapy have been regarded as causally entangled; the client's and therapist's efforts to responsively regulate the therapeutic process should be seen as being integral to outcomes rather than a source of confounding variance. Qualitative research may provide additional insights into the process of how psychotherapy is effective, due to its ability to explore phenomena from multiple perspectives. This is particularly important as research has suggested that qualitative differences in treatments can be masked beneath quantitatively equivalent outcomes. As a result, a continued overreliance on quantitative research may limit the discipline's overall ability to account for and differentiate the effectiveness of psychotherapies. This article proposes that, in order to address this limitation, (i) the criteria for how psychotherapies are considered effective should be expanded to include factors such as the efficiency of treatments, rates of change, and reliability of change; (ii) and that qualitative research be used adjunctively to assess and explore the dimensions of the expanded criteria. The development of a methodologically integrative multidimensional assessment of treatment effectiveness will provide a more informative tool to guide clinical decision making and policy.

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Development of Measures to Assess Personal Recovery in Young People Treated in Specialist Mental Health Services

Abstract: BackgroundRecovery has become a central concept in mental health service-delivery and several recovery-focused measures exist for adults. The concept's applicability to young people's mental health experience has been neglected and no measures yet exist.

Cited by 9 publications

References 28 publications

Measuring outcomes within inpatient child and adolescent mental health services: an evaluation of the Recovery Questionnaire for Young People

Measuring outcomes within inpatient child and adolescent mental health services: an evaluation of the Recovery Questionnaire for Young People

The lived experience of adolescent users of mental health services in Vienna, Austria: A qualitative study of personal recovery

Improving knowledge about the effectiveness of psychotherapy

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