How is Evaluated Mental Health Recovery?

Abstract

IntroductionThere is an increasingly recognition of the concept of recovery in the treatment of mental illness. Recovery defined as living a fulfilling, rewarding life, even in the ongoing presence of a mental illness. Consequently, a number of instruments have been designed to assess recovery-oriented outcomes.ObjectiveThe objective of the study was to conduct a systematic revision of the instruments used to assess recovery with appropriate psychometric properties.MethodA systematic review of the literature has been realized. The adequacy of the instruments utilization, the content validity and psychometrics properties were gathered and analyzed.Results/discussionAfter a systematic review, it has been obtained 25 different instruments for measuring personal recovery and 17 for assessing the orientation of recovery in mental health services. As a consequence of the lack of consensus that exists in the conceptualization of recovery; several instruments have been developed and used to assess the different recovery domains. But it is essential to select scales that match with the recovery model and assess adequately the individual's recovery, and also, the recovery orientation of services. Moreover, those instruments should have appropriate psychometric properties and should be suitable to be introduced in routinely clinical settings.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Measuring mental health recovery: Cross‐cultural adaptation of the 15‐item Questionnaire about the Process of Recovery in Spain (QPR‐15‐SP)

“…Noting the current emphasis on measuring mental health service effectiveness (World Health Organization, 2013) and using routine recovery outcomes in clinical practice (Healthcare of Health Social Services and Equality, 2009), and the current lack of user‐defined measures of recovery in Spain (Penas et al., 2019), the Spanish version of the QPR introduces a valuable and meaningful asset for the assessment of people in their on‐going journeys of recovery.…”

“…As the model of recovery has changed over time, so have mental health policies, moving towards recovery‐oriented programmes and services, promoting user involvement with an increased emphasis on using reliable and valid instruments to measure user‐defined recovery‐oriented outcomes. However, the absence of concretion and unification in the concept of recovery determines the lack of consensus in the instruments for its evaluation (Penas et al., 2019).…”

“…After ruling out the suitability of using the RAS and the STORI in Spain, six recovery instruments with psychometric properties remain for potential adaptation: Mental Health Recovery Measure (MHRM), Illness management and Recovery Scale (IMR), Stages of Recovery Scale (SRS), Mental Health Recovery Star (MHRS), Recovery Process Inventory (RPI) and Questionnaire about the Process of Recovery (QPR) (Penas et al., 2019). A systematic review evaluated the correlation of these with the CHIME framework.…”

“…The construct of mental health recovery has shifted overtime from a clinical‐based model with a strong emphasis on the reduction or absence of mental health symptoms, to a much broader understanding based on an active non‐linear ongoing journey which involves rebuilding one’s self and living a fulfilling and meaningful life, even in the ongoing presence of a mental illness (Penas et al., 2019; Winsper et al., 2020).…”

Recovery-oriented Care in Public Mental Health Policies in Spain: Opportunities and Barriers

“…In the first decade of this century this paradigm shift was adopted by most of the mental health strategic plans of the Anglo-Saxon countries (Leamy et al, 2011) and by several countries in northern Europe (Slade et al, 2008). Since then, several psychometric instruments have been developed to measure personal recovery, based on the perspective of the users, some of which have shown good psychometric properties (Penas et al, 2019). Likewise, some programs developed to promote self-determination in the personal recovery process, such as the Wellness Recovery Action Plan (Copeland, 1997), has been recognized by the United States Substance Abuse and Mental Health Services Administration (SAMHSA) as an evidence-based practice (Copeland, 2014).…”