The development of the Mental Health Confidence Scale: A measure of self-efficacy in individuals diagnosed with mental disorders.

Carpinello, Sharon E.; Knight, Edward L.; Markowitz, Fred E.; Pease, Elizabeth A.

doi:10.1037/h0095162

Cited by 121 publications

(104 citation statements)

References 27 publications

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“…Degree of DTR affiliation was significantly associated with selfefficacy for mental health recovery (measured by the Mental Health Confidence Scale; Carpinello et al, 2000) and three quality of life measures: feelings of well-being, social relationships and leisure time activities. It was hypothesized that self efficacy for recovery would mediate the relationship between DTR affiliation and quality of life.…”

Section: Effect Of Dtr On Quality Of Lifementioning

confidence: 97%

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Effectiveness of Dual Focus Mutual Aid for Co-Occurring Substance Use and Mental Health Disorders: A Review and Synthesis of the “Double Trouble” in Recovery Evaluation

Magura

2008

Substance Use & Misuse

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Over five million adults in the U.S. have a co-occurring substance use disorder and serious psychological distress. Mutual aid ("self-help") can usefully complement treatment, but people with co-occurring substance use and psychiatric disorders often encounter a lack of empathy and acceptance in traditional mutual aid groups. Double Trouble in Recovery (DTR) is a dual focus fellowship whose mission is to bring the benefits of mutual aid to persons recovering from cooccurring disorders. An evaluation of DTR was conducted by interviewing 310 persons attending 24 DTR meetings in New York City in 1998 and following them up for two years, in 1999 and 2000. The evaluation produced 13 articles in 12 peer reviewed journals, the main results of which are summarized here. The sample's characteristics were: mean age, 40 years; women, 28%; black, 59%; white, 25%; Hispanic, 14%; never married, 63%; live in supported community residence, 53%; high school graduate or GED, 60%; arrested as adult, 63%; diagnoses of: schizophrenia, 39%; major depression, 21%; or bipolar disorder; 20%; currently prescribed psychiatric medication, 92%; primary substance used, current or past: cocaine/crack, 42%; alcohol 34%; or heroin, 11%. Overall, the findings indicate that DTR participation has both direct and indirect effects on several important components of recovery: drug/alcohol abstinence, psychiatric medication adherence, self-efficacy for recovery, and quality of life. The study also identified several "common" therapeutic factors (e.g., internal motivation, social support) and unique mutual aid processes (helper-therapy, reciprocal learning) that mediate the influence of DTR participation on recovery. For clinicians, these results underline the importance of fostering stable affiliation with specialized dual focus 12-step groups for their patients with co-occurring disorders, as part of a comprehensive recovery-oriented treatment approach.

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Section: Effect Of Dtr On Quality Of Lifementioning

confidence: 97%

“…Mental Health Confidence Scale (Carpinello et al, 2000). E.g., "how confident are you right now that you can: deal with symptoms of your mental illness; face a bad day; stay out of the hospital?"…”

Section: Installation Of Hope 12mentioning

confidence: 99%

Effectiveness of Dual Focus Mutual Aid for Co-Occurring Substance Use and Mental Health Disorders: A Review and Synthesis of the “Double Trouble” in Recovery Evaluation

Magura

2008

Substance Use & Misuse

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“…The promotion of self-efficacy is a major construct underlying mutual aid. Carpinello et al (2000) found significant correlations between four elements of mutual aid (length of involvement, extent of activity, frequency of contact with other members and helpfulness of contacts) and self-efficacy for mental health recovery. Bandura (1995) identifies three main sources of self-efficacy information: vicarious experiences, verbal persuasion and enactive attainments.…”

Section: Conceptual Framework Of the Studymentioning

confidence: 89%

“…Self-Efficacy for Recovery-From a mental health perspective, self-efficacy for recovery may be broadly defined as "having the confidence that the adversities associated with mental disorders (e.g, symptoms, social isolation) can be overcome" (Carpinello et al, 2000). Increased self-efficacy or sense of mastery has been identified as a primary process associated with recovery from mental disorders (Shaffer and Gambino, 1978;Rosenfeld, 1987;Anthony, 1993;Davidson and Strauss, 1992;Coursey et al, 1991).…”

Section: Conceptual Framework Of the Studymentioning

confidence: 99%

“…Self-Efficacy for Recovery was measured with 16 items from the Mental Health Confidence Scale, originally developed for a study of mental health mutual aid groups (Carpinello et al, 2000). Respondents were asked to rate their level of confidence in their ability to deal with potentially difficult or stressful situations, e.g., How confident are you right now that you can: Deal with symptoms related to your mental illness?…”

Section: Study Measuresmentioning

confidence: 99%

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Effects of “Dual Focus” Mutual Aid on Self-Efficacy for Recovery and Quality of Life

Magura

Cleland

Vogel³

et al. 2006

Adm Policy Ment Health

Self Cite

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Four million adults in the U.S. have co-occurring serious mental illness and a substance use disorder. Mutual aid can usefully complement treatment, but people with co-occurring disorders often encounter a lack of empathy and acceptance in traditional mutual aid groups. Double Trouble in Recovery (DTR) is a dual focus fellowship whose mission is to bring the benefits of mutual aid to persons with dual diagnoses. Three hundred and ten persons attending 24 DTR groups in New York City during 1998 were interviewed and followed-up for two years. A mediational model was specified and results across time were summarized with generalized estimating equations (GEE). Degree of DTR affiliation (attendance and involvement) was significantly associated with Self-efficacy for Recovery and three quality of life measures: Leisure Time Activities, Feelings of Well-Being and Social Relationships. Self-efficacy fully mediated the effects of DTR Affiliation on Leisure Time and Feelings and partially mediated DTR's effect on Social Relationships. The association of DTR involvement with self-efficacy is consistent with the processes inherent in mutual aid, although the observational nature of these data preclude causal inference. To improve outcomes, clinicians should facilitate affiliation with dual focus groups among persons with dual diagnoses as part of a comprehensive treatment approach.

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Peer support for people with schizophrenia or other serious mental illness

Chien

Clifton

Zhao

et al. 2019

Cochrane Database of Systematic Reviews

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The development of the Mental Health Confidence Scale: A measure of self-efficacy in individuals diagnosed with mental disorders.

Cited by 121 publications

References 27 publications

Effectiveness of Dual Focus Mutual Aid for Co-Occurring Substance Use and Mental Health Disorders: A Review and Synthesis of the “Double Trouble” in Recovery Evaluation

Effectiveness of Dual Focus Mutual Aid for Co-Occurring Substance Use and Mental Health Disorders: A Review and Synthesis of the “Double Trouble” in Recovery Evaluation

Effects of “Dual Focus” Mutual Aid on Self-Efficacy for Recovery and Quality of Life

Peer support for people with schizophrenia or other serious mental illness

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