https://sites.utexas.edu/mental-health-institute/files/2018/12/UT-TIEMH_Recovery-Outcome-Measures-to-Advance-Recovery-Oriented-Systems-of-Care_2018.pdf [[27-06-2024]] My takeaway, this paper review and recommended measures for both Organisational (how recovery oriented), and individual. Related to [[How to evaluate outcome measures for Digital Mental Health Apps or Tools]] [[What is the link between personal recovery and clinical recovery]] [[Recovery MOC]] [[202210122003 What is CHIME framework]] ---- # Background A definition of Recovery - "Recovery is multidimensional, process-oriented, and considered an individually defined journey" - "Recovery is a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential" (SAMHSA, 2012) - Four Dimensions that support life in recovery - Health, - Home - Purpose - Community - 10 Guiding Principles - ![[Screenshot 2024-06-27 at 9.26.37 PM.png]] - We need a better, more holistic way to measure recovery, beyond service utilisation, clinical recovery because recovery is multidimensional, therefore we need a multidimensional measure. # Methods - Initial search - review the recovery measures used. - apply criteria - based on experience, Criteria for what to be included: ![[Screenshot 2024-06-27 at 9.34.15 PM.png]] Also consider the length and breadth of measure, focus of measure, whether measures are non-proprietary, publicly available, could be self-administered, whether it include peers in development, use of plain language.. # Findings (i.e., provider or organization recovery orientation; individual process of recovery or concept of recovery) -- *Organizational measures assess the recovery orientation of mental health service providers and systems. These measures evaluate how well an organization supports recovery principles and practices. # Discussion and Recommendations - Totally agree, it should go beyond what is clinical recovery - "A recovery orientation requires that systems, organizations, clinicians, other providers, and individuals in services think about mental health in new ways, expanding beyond a clinical or symptom focus and partnering with individuals receiving services in what supports their recovery. " - Many measures require furthur validation? - Although the evidence for recovery measures has increased, similar to other study findings, all of the measures presented in this report need additional psychometric evaluation (Shanks, et al., 2013; Burgess, et al., 2010; HSRI, 2005) - The author selected Four final organisational, and 3 final individual recovery measures - "Based on our review and using the criteria described in the methods, we selected four final organizational (Table 5) and three final individual (Table 6) recovery measures – all of which are non- proprietary, available publicly, have good published psychometrics, can be self-administered, use less clinical language or jargon, and have a publication record. " ----- Summary with input from TYF------ # Selected Organisational Recovery Measures - Recovery Self Assessment (RSA) - There are RSA versions for provider, person in recovery, CEO/Director, and Family members - Recovery Oriented Services Assessment (ROSA) - developed with PSS, can be completed by staff and people receiving services. RSA and ROSA focus on multiple stakeholder viewpoints of the org’s recovery practices and vary in survey length - Recovery Oriented Systems Indicator (ROSI) - Part 1 is adult consumer self-report, Part 2 is completed by staff. ROSI includes both person in services and admin components - Recovery Promoting Relationships Scale (RPRS) - Useful to evaluate specific providers or programs. Assesses the recovery promoting competencies of specific providers # Selected Individual Recovery Measures - Recovery Assessment Scale (RAS) - For patients, self-administered. RAS is the most cited, represents recovery holistically BUT doesn’t include a subscale on symptom r/s with recovery - Maryland Assessment of Recovery (MARS) - guided by principles of recovery to measure the recovery of people living with serious mental illness. MAS is brief and developed using SAMHSA recovery principles - Patient Activation Measure (PAM-MH) - measure activation for mental health self-care. Activation has been found to be related to hope and recovery (Green, et al, 2010). Strongly related to RAS score. PAM-MH is recovery process oriented and can be used to determine changes in activation over time