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The Journal of Behavioral Health Services & Research

Published in:

01-07-2010 | Regular Article

Recovery Orientation in Hospital and Community Settings

Authors: Jack Tsai, MS, Michelle P. Salyers, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 3/2010

Abstract

There has been an increasing emphasis on community integration, consumer involvement, and recovery-focused treatment; but the extent to which these recovery-oriented principles have been adopted in state hospitals is unknown. This study surveyed 1,150 staff at three state hospitals and 230 staff at four community mental health centers on personal optimism, consumer optimism, and agency recovery orientation. Responses were obtained from 729 (63.4%) hospital staff and 181 (78.7%) community staff. Staff at state hospitals scored significantly lower on all three recovery measures even after controlling for background differences. Treatment setting may be an important factor in the dissemination of recovery-oriented care principles.

One staff member was missing information about his or her position.

One filler and one real item were inadvertently omitted from the printed version of the scale. In another dataset with the full LOT-R in a sample of 334 undergraduate psychology students, the alpha for the full version was 0.832 and for the reduced version was 0.823. A principal components factor analysis of these data showed one factor (loadings ranged from 0.65 to 0.82), with the inadvertently omitted item having the lowest factor loading. Further, the correlation between the two scales was 0.98 suggesting the two forms of the test were nearly equivalent.

Harding CM, Brooks GW, Ashikaga T, et al. The Vermont Longitudinal Study of persons with severe mental illness I: methodology, study sample, and overall status 32 years later. American Journal of Psychiatry. 1987;144(6):718–726.PubMed

Anthony WA. Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal. 1993;16(4):11–23.

US Department of Health and Human Services. Mental Health: A report of the Surgeon General. Rockville: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, and National Institute of Mental Health; 1999.

President’s New Freedom Commission on Mental Health. Achieving the promise: Transforming Mental Health Care in America: Final Report. Rockville: Substance Abuse and Mental Health Services Administration; 2003. DHHS Pub. No. SMA-03-3832.

SAMHSA. National consensus statement on mental health recovery 2005.

Hoffman I, Singer PR. The incompatibility of the medical model and the therapeutic community. Social Science and Medicine. 1977;11(6–7):425–431. doi:10.1016/0037-7856(77)90107-X.CrossRef

Rosenthal R. The Pygmalion effect lives. Psychology Today. 1973;7(4):56–63.

Ridgway P. Restoring psychiatric disability: learning from first person recovery narratives. Psychiatric Rehabilitation Journal. 2001;24(4):335–343.PubMed

Gowdy EL, Carlson LS, Rapp CA. Practices differentiating high-performing from low-performing supported employment programs. Psychiatric Rehabilitation Journal. 2003;26(3):232–239. doi:10.2975/26.2003.232.239.CrossRefPubMed

10.

Flocke SA, Miller WL, Crabtree BF. Relationships between physician practice style, patient satisfaction, and attributes of primary care. Journal of Family Practice. 2002;51:835–840.PubMed

11.

Belcher JR, DeForge BR. The appropriate role of the state hospital. Journal of Mental Health Administration. 1997;24:64–71.PubMed

12.

Bachrach LL. The future of the state mental hospital. Hospital and Community Psychiatry. 1986;37:467–474.PubMed

13.

Lamb HR. The state hospital: facility of last resort. American Journal of Psychiatry. 1977;134:1151–1152.PubMed

14.

Haywood TW, Kravitz HM, Grossman LS, et al. Predicting the “revolving door” phenomenon among patients with schizophrenic, schizoaffective, and affective disorders. The American Journal of Psychiatry. 1995;152(6):856–861.PubMed

15.

Smith RC, Bartholomew T. Will hospitals recover?: the implications of a recovery-orientation. American Journal of Psychiatric Rehabilitation. 2006;9:85–100. doi:10.1080/15487760600875982.CrossRef

16.

Hunter RH. Treatment, management and control: improving outcomes through more treatment and less control. New Directions for Mental Health Services. 2001;88:5–15.

17.

Steinert T, Schmid P. Effect of voluntariness of participation in treatment on short-term outcome of inpatients with schizophrenia. Psychiatric Services. 2004;55(7):786–791. doi:10.1176/appi.ps.55.7.786.CrossRefPubMed

18.

Brown JS, Tooke SK. On the seclusion of psychiatric patients. Social Science & Medicine. 1992;35(5):711–721. doi:10.1016/0277-9536(92)90009-F.CrossRef

19.

Bailine SH, Golden HK, Fountain S, et al. Opening the door on a locked psychiatric unit. Psychiatric Hospital. 1982;13:160–162.PubMed

20.

Salyers MP, Tsai J, Stultz T. Measuring recovery orientation in a hospital setting. Psychiatric Rehabilitation Journal. 2007;31(2):570–581.

21.

Gingerich S, Mueser KT. Illness Management and Recovery Implementation Resource Kit. Rockville: Center of Mental Health Services, Substance Abuse and Mental Health Services Administration; 2002.

22.

Mueser KT, Meyer PS, Penn DL, et al. The illness management and recovery program: rationale, development and preliminary findings. Schizophrenia Bulletin. 2006;32(1):32–43. doi:10.1093/schbul/sbl022.CrossRef

23.

Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self mastery, and self-esteem): a reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology. 1994;67(6):1063–1078. doi:10.1037/0022-3514.67.6.1063.CrossRefPubMed

24.

Beck AT, Steer RA, Kovacs M, et al. Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry. 1985;142(5):559–563.PubMed

25.

Grusky O, Tierney K, Spanish MT. Which community mental health services are most important? Administration and Policy in Mental Health. 1989;17(1):3–16. doi:10.1007/BF00710743.CrossRef

26.

O’Connell M, Tondora J, Croog G, et al. From rhetoric to routine: assessing perceptions of recovery-oriented practices in a state mental health and addiction system. Psychiatric Rehabilitation Journal. 2005;28(4):378–386. doi:10.2975/28.2005.378.386.CrossRefPubMed

27.

Maxwell SE, Delaney HD. Designing Experiments and Analyzing Data: A Model Comparison Perspective. 2nd edn. Mahwah: Lawrence Erlbaum; 2004.

28.

SPSS, Inc. SPSS 15.0 [Computer Program] version. Chicago: SPSS, Inc.; 2006.

29.

National Alliance on Mental Illness Recovery. Online article. http://www.nami.org/Content/NavigationMenu/Find_Support/Consumer_Support/Recovery.htm. Accessed June 13, 2007.

30.

Gowdy EA, Carlson LS, Rapp CA. Organizational factors differentiating high performing from low performing supported employment programs. Psychiatric Rehabilitation Journal. 2004;28(2):150–156. doi:10.2975/28.2004.150.156.CrossRefPubMed

31.

Swarbrick M. Sharing the message of hope, wellness, and recovery with consumers psychiatric hospitals. American Journal of Psychiatric Rehabilitation. 2006;9:101–109. doi:10.1080/15487760600876196.CrossRef

32.

Gill K. Experience is not always the best teacher: lessons from the certified psychiatric rehabilitation practitioner certification program. American Journal of Psychiatric Rehabilitation. 2005;8(2):151–164. doi:10.1080/15487760500241178.CrossRef

Title: Recovery Orientation in Hospital and Community Settings
Authors: Jack Tsai, MS
Michelle P. Salyers, PhD
Publication date: 01-07-2010
Publisher: Springer US
Published in: The Journal of Behavioral Health Services & Research / Issue 3/2010
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI: https://doi.org/10.1007/s11414-008-9158-7

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Recovery Orientation in Hospital and Community Settings

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