Measures of the recovery orientation of mental health services: systematic review

Williams, Julie; Leamy, Mary; Bird, Victoria; Harding, Courtenay M.; Larsen, John; Boutillier, Clair Le; Oades, Lindsay G.; Slade, Mike

doi:10.1007/s00127-012-0484-y

Cited by 118 publications

(120 citation statements)

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“…developed to measure individual recovery (Shanks et al, 2013) and the recovery-orientation of services (Williams et al, 2012), which should enable more research and evaluation.…”

Section: Ebr Imentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Galletly

Castle

Dark

et al. 2016

Aust N Z J Psychiatry

665

672

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Objectives: This guideline provides recommendations for the clinical management of schizophrenia and related disorders for health professionals working in Australia and New Zealand. It aims to encourage all clinicians to adopt best practice principles. The recommendations represent the consensus of a group of Australian and New Zealand experts in the management of schizophrenia and related disorders. This guideline includes the management of ultra-high risk syndromes, first-episode psychoses and prolonged psychoses, including psychoses associated with substance use. It takes a holistic approach, addressing all aspects of the care of people with schizophrenia and related disorders, not only correct diagnosis and symptom relief but also optimal recovery of social function. Methods:The writing group planned the scope and individual members drafted sections according to their area of interest and expertise, with reference to existing systematic reviews and informal literature reviews undertaken for this guideline. In addition, experts in specific areas contributed to the relevant sections. All members of the writing group reviewed the entire document. The writing group also considered relevant international clinical practice guidelines. Evidence-based recommendations were formulated when the writing group judged that there was sufficient evidence on a topic. Where evidence was weak or lacking, consensus-based recommendations were formulated. Consensus-based recommendations are based on the consensus of a group of experts in the field and are informed by their agreement as a group, according to their collective clinical and research knowledge and experience. Key considerations were selected and reviewed by the writing group. To encourage wide community participation, the Royal Australian and New Zealand College of Psychiatrists invited review by its committees and members, an expert advisory committee and key stakeholders including professional bodies and special interest groups. RANZCP GuidelinesGalletly et al. 411 Australian & New Zealand Journal of Psychiatry, 50(5)Results: The clinical practice guideline for the management of schizophrenia and related disorders reflects an increasing emphasis on early intervention, physical health, psychosocial treatments, cultural considerations and improving vocational outcomes. The guideline uses a clinical staging model as a framework for recommendations regarding assessment, treatment and ongoing care. This guideline also refers its readers to selected published guidelines or statements directly relevant to Australian and New Zealand practice. Conclusions:This clinical practice guideline for the management of schizophrenia and related disorders aims to improve care for people with these disorders living in Australia and New Zealand. It advocates a respectful, collaborative approach; optimal evidence-based treatment; and consideration of the specific needs of those in adverse circumstances or facing additional challenges.

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“…developed to measure individual recovery (Shanks et al, 2013) and the recovery-orientation of services (Williams et al, 2012), which should enable more research and evaluation.…”

Section: Ebr Imentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Galletly

Castle

Dark

et al. 2016

Aust N Z J Psychiatry

665

672

View full text Add to dashboard Cite

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“…The RSA is currently the most widely used instrument for assessing the recovery orientation of mental health services, according to the systematic review by Williams et al (2012). For example, the RSA provided initial evidence of strong recovery orientation in Assertive Community Treatment (ACT) services (Kidd et al, 2010), while further research by Kidd et al (2011) found support for an association between recovery oriented services and treatment outcomes across 67 ACT teams in Ontario.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…In a hospital-based study, Salyers, Tsai, and Stultz (2007) found that differences on RSA scores held after controlling for sociodemographic factors. A systematic review of recovery measures found that the RSA alone had adequate internal consistency, and among the best-developed conceptual underpinnings (Williams et al, 2012).The RSA is currently the most widely used instrument for assessing the recovery orientation of mental health services, according to the systematic review by Williams et al (2012). For example, the RSA provided initial evidence of strong recovery orientation in Assertive Community Treatment (ACT) services (Kidd et al, 2010), while further research by Kidd et al (2011) found support for an association between recovery oriented services and treatment outcomes across 67 ACT teams in Ontario.…”

mentioning

confidence: 99%

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Resident and proprietor perspectives on a recovery orientation in community-based housing.

Piat¹,

Boyer²,

Fleury³

et al. 2015

Psychiatric Rehabilitation Journal

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Objective-Stable housing is a fundamental human right, and an important element for both mental health recovery and social inclusion among people with serious mental illness. This article reports findings from a study on the recovery orientation of structured congregate community housing services using the Recovery Self-Assessment Questionnaire (RSA) adapted for housing (O'Connell, Tondora, Croog, Evans, & Davidson, 2005).Methods-The RSA questionnaires were administered to 118 residents and housing providers from 112 congregate housing units located in Montreal, Canada.Results-Residents rated their homes as significantly less recovery-oriented than did proprietors, which is contrary to previous studies of clinical services or Assertive Community Treatment where RSA scores for service users were significantly higher than service provider scores. Findings for both groups suggest the need for improvement on 5 of 6 RSA factors. While proprietors favored recovery training and education, and valued resident opinion and experience, vestiges of a traditional medical model governing this housing emerged in other findings, as in agreement between the 2 groups that residents have little choice in case management, or in the belief among proprietors that residents are unable to manage their symptoms. Research on housing for people with SMI increasingly favors independent, supported, housing over traditional congregate models such as foster homes or group homes. While supported housing is considered a fundamental improvement in housing for this population (Nelson, 2010), no single, evidence-based model of housing has emerged to guide research and practice (Rog, 2004;Tabol, Drebing, & Rosenheck, 2010). Studies have revealed substantial differences in staffing, levels of support, and environmental characteristics among different housing types, as well as definitional confusion (Isaac, 2007;Priebe, Saidi, Want, Mangalore, & Knapp, 2009). One meta-analysis suggested the need to examine outcomes in terms of different population subgroups (Leff et al., 2009). Conclusions and Implications for Practice-ThisResearch on housing preferences consistently shows that people with SMI prefer independent housing with low restrictiveness and supports as needed (Fakhoury, Murray, Shepherd, & Priebe, 2002;Forchuk, Nelson, & Hall, 2006;. Living in one's preferred home predicts successful outcomes and is associated with perceived choice and control over the environment (Boydell, 2006;Nelson, Sylvestre, Aubry, George, & Trainor, 2007). By contrast, service providers tend to endorse structured settings such as group homes for their clients (Corrigan, Mueser, Bond, Drake, & Solomon, 2008;Tsai, Bond, Salyers, Godfrey, & Davis, 2010). Residents in congregate housing may also prefer that model for the security it provides, particularly when age and physical health concerns are taken into account (White, 2013;.Other research has identified key elements in recovery-oriented housing, beginning with the assumption that residents are full citizens wi...

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“…Diversas revisiones han identificado una serie de instrumentos estandarizados que se han desarrollado para tratar de evaluar aspectos de la recuperación en salud mental [21][22][23] . Por otro lado, a través de nuestra propia estrategia de búsqueda se han identificado otros 5 instrumentos [24][25][26][27][28] , que suman un total de 48 instrumentos.…”

Section: Instrumentosunclassified

Hacia la recuperación en la salud mental

Bolzoni¹

2016

Rev Enferm Salud Ment

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INTRODUCCIÓNLa prevalencia y la incidencia de los trastornos mentales es elevada y el impacto que la enfermedad mental tiene a nivel de costes económicos y sociales está documentada en diversos estudios [1][2][3][4] . Estos resultados ponen de manifiesto que el modelo de tratamiento centrado en la patología, enfermedad o los sínto-mas tiene que ir evolucionando, y es necesaria la incorporación de la perspectiva de la recuperación, para acercarnos a la salud, las fortalezas y el bienestar de las personas con trastorno mental.Para que la recuperación tenga el impacto que merece, los profesionales de la salud necesitamos entender qué significa y, junto con los pacientes y ARTÍCULO DE REVISIÓN RESUMENEl objetivo de este artículo es abordar los hallazgos fundamentales de la literatura científica referentes a la recuperación en la salud mental, pasando por su definición, algunos de los modelos que la conceptualizan, diferentes instrumentos para medirla y los principios clave para la incorporación de la recuperación en los servicios de salud mental. En la discusión se plantea la recuperación como un cambio de paradigma; se trata de una evolución en el entendimiento mismo de la naturaleza de los trastornos mentales que va más allá de la enfermedad o la superación de los síntomas. La recuperación debe ser un punto de apoyo para el crecimiento y enriquecimiento de la ayuda que se ha de prestar a las personas que padecen un problema de salud mental. El desarrollo de servicios de salud mental basados en la recuperación es una oportunidad, puede marcar el camino hacia dónde nos dirigimos, aunque esto implicaría un profundo cambio en muchos niveles. No obstante, para ello es necesario que los valores clave estén integrados en los usuarios, familias y cuidadores, gestores, promotores, políticos, etc., y poder trabajar de una manera multidisciplinar bajo este paradigma.Palabras clave: recuperación, salud mental, trastornos mentales, servicios de salud mental.Correspondencia: M. Broncano. Correo

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Measures of the recovery orientation of mental health services: systematic review

Cited by 118 publications

References 41 publications

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders

Resident and proprietor perspectives on a recovery orientation in community-based housing.

Hacia la recuperación en la salud mental

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