What Are the Personal Recovery Needs of Community-Dwelling Individuals with Mental Illness? Preliminary Findings from the Canadian Personal Recovery Outcome Measurement (C-PROM) Study

Abstract

Personal recovery is an overarching goal that underpins mental health community support and clinical services in Canada. Surprisingly, little information is available about the personal recovery needs of community-dwelling Canadians with mental illness. The purpose of this study is to describe these needs in a sample of adults living in a large urban centre. We performed a multi-site cross-sectional survey of adults who receive community-based mental health services in an urban setting. Participants were asked to complete six patient-reported outcome (PRO) measures about personal recovery, hope, mastery, and depression. We used descriptive and correlational analyses to summarize the data according to an established evidence-based theoretical conceptualization of recovery. Two hundred and twenty-eight individuals participated in the study. Participants indicated high levels of self-reported empowerment and hope and optimism about the future. In contrast, participants reported low levels of perceived connectedness, identity, and meaning in life. In conclusion, this study identified that recovery-oriented PRO measures can improve our understanding of the needs and goals of individuals with mental illness and highlight the ways in which individuals can achieve a sense of meaning in life. Understanding the recovery needs of Canadians with mental illness may help foster recovery-oriented healthcare by bringing person-centred approaches to the point of treatment, so as to ensure greater quality and accountability of mental health services.

Feasibility and outcomes of a multi-function mobile health approach for the schizophrenia spectrum: App4Independence (A4i)

“…These ratings were added to create a composite score of mobile technology use at baseline. Quantitative outcome metrics included (i) the Brief Symptom Inventory (BSI) [26] to assess psychiatric symptomatology, (ii) the Personal Recovery Outcome Measure (PROM) [27] to assess degree of engagement in the recovery process, and (iii) the Brief Adherence Rating Scale (BARS) [28] to examine implications of A4i for medication use. Additionally, at the post evaluation, the mHealth use and utility scale used by Ben-Zeev and colleagues [29] was employed with minor modification to specify A4i use.…”

Clinical and functional characteristics of young adults living in single room occupancy housing: preliminary findings from a 10-year longitudinal study

“…Canada has a long history of public health being involved in housing (Lang 1912;Labonte 1986). Opportunity exists for the coordination of efforts and policy to target healthy, sustainable, strength-focused, recovery-oriented outcomes for this population (Barbic et al 2018). Global examples for coordinated youth-centred programs exist (Hetrick et al 2017;Fig.…”

Personal recovery in the postdischarge period for individuals with schizophrenia spectrum diagnoses: The role of community integration and social support.

“…Assessment measures were administered to participants 4 weeks and 6 months postdischarge from psychiatric hospital. The primary outcome for the present study was personal recovery, which was measured with the brief, 9-item version of the Personal Recovery Outcome Measure (PROM; Barbic et al, 2018). This measure was developed to examine personal recovery experiences in Canadians with mental illness.…”

“…This measure was developed to examine personal recovery experiences in Canadians with mental illness. Participants’ rate items on a 5-point likert scale including: “I am motivated to keep myself well” and “I accomplish the goals I set out for myself.” It has been found to have high internal consistency, face validity, and test–retest reliability (Barbic et al, 2018, 2022). α values in the present study were .90 and .89 across the timepoints.…”