Top

International Journal of Mental Health and Addiction

Published in:

01-12-2019 | Original Article

Changes in Mental Health Providers’ Recovery Attitudes and Strengths Model Implementation Following Training and Supervision

Authors: Frank P. Deane, Roxanne O. Goff, John Pullman, Joanne Sommer, Patricia Lim

Published in: International Journal of Mental Health and Addiction | Issue 6/2019

Abstract

The strengths model (SM) is a recovery-oriented model of mental health care. Historically, training alone has been insufficient to ensure implementation of SM skills in practice. The aim of the current study was to determine whether improvements in recovery attitudes and attendance at Strength-Based Group Supervision (SBGS) following training are associated with greater skill implementation in practice. Mental health providers (N = 76) were trained in SM interventions and surveyed immediately before and after training and at a 6-month follow-up on various recovery attitude measures and SBGS attendance. Results showed that providers’ attitudes were significantly improved after completing the training programs; however, only willingness to support consumers in positive goal-oriented risk taking remained significantly improved at 6-month follow-up. The frequency of attendance at SBGS sessions was low, and this may have contributed to a lack of consistent evidence that SBGS attendance was associated with sustained improvements in attitudes or SM skill implementation. Future research is needed to clarify the ability of public sector mental health organizations to successfully implement and sustain SM approaches in practice. The role of ongoing SBGS in this process also requires continued investigation.

Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. https://doi.org/10.1007/s10488-010-0327-7.CrossRefPubMed

Andresen, R., Oades, L., & Caputi, P. (2003). The experience of recovery from schizophrenia: towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry, 37(5), 586–594. https://doi.org/10.1046/j.1440-1614.2003.01234.x.CrossRefPubMed

Arnold, E. M., Walsh, A. K., Oldham, M. S., & Rapp, C. A. (2007). Strengths-based case management: implementation with high-risk youth. Families in Society: the Journal of Contemporary Social Services, 88(1), 86–94. https://doi.org/10.1606/1044-3894.3595.CrossRef

Barry, K. L., Zeber, J. E., Blow, F. C., & Valenstein, M. (2003). Effect of strengths model versus assertive community treatment model on participant outcomes and utilization: two-year follow-up. Psychiatric Rehabilitation Journal, 26(3), 268–277.CrossRef

Bedregal, L. E., O'Connell, M., & Davidson, L. (2006). The recovery knowledge inventory: assessment of mental health staff knowledge and attitudes about recovery. Psychiatric Rehabilitation Journal, 30(2), 96–103. https://doi.org/10.2975/30.2006.96.103.CrossRefPubMed

Bjorkman, T., Hansson, L., & Sandlund, M. (2002). Outcome of case management based on the strengths model compared to standard care. A randomised controlled trial. Social Psychiatry and Psychiatric Epidemiology, 37(4), 147–152.CrossRef

Boardman, J., & Roberts, G. (2014). Risk, safety and recovery ImROC Briefing. London: Centre for Mental Health & Mental Health Network, NHS Confederation.

Borkin, J. R., Steffen, J. J., Ensfield, L. B., Krzton, K., Wishnick, H., Wilder, K., & Yangarber, N. (2000). Recovery attitudes questionnaire: development and evaluation. Psychiatric Rehabilitation Journal, 24(2), 95–102.CrossRef

Byrne, M. K., Sullivan, N. L., & Elsom, S. J. (2006). Clinician optimism: development and psychometric analysis of a scale for mental health clinicians. Australian Journal of Rehabilitation Counselling, 12(1), 11–20.CrossRef

Chopra, P., Hamilton, B., Castle, D., Smith, J., Mileshkin, C., Deans, M., et al. (2009). Implementation of the strengths model at an area mental health service. Australasian Psychiatry, 17(3), 202–206. https://doi.org/10.1080/10398560802666083.CrossRefPubMed

Crowe, S., & Deane, F. P. (2018). Characteristics of mental health recovery model implementation and managers’ and clinicians’ risk aversion. Journal of Mental Health Training, Education and Practice, 13(1), 22–33.CrossRef

Crowe, T. P., Deane, F. P., Oades, L. G., Caputi, P., & Morland, K. G. (2006). Effectiveness of a collaborative recovery training program in Australia in promoting positive views about recovery. Psychiatric Services, 57(10), 1497–1500. https://doi.org/10.1176/ps.2006.57.10.1497.CrossRefPubMed

Deane, F. P., Crowe, T. P., King, R., Kavanagh, D. J., & Oades, L. G. (2006). Challenges in implementing evidence-based practice into mental health services. Australian Health Review, 30(3), 305–309.CrossRef

Department of Health and Human Services. (2003). Achieving the promise: transforming mental health care in America. President’s new freedom commission on mental health. Rockville, Maryland, USA: Department of Health and Human Service.

Farkas, M., & Anthony, W. A. (2010). Psychiatric rehabilitation interventions: a review. International Review of Psychiatry, 22(2), 114–129. https://doi.org/10.3109/09540261003730372.CrossRefPubMed

Fukui, S., Goscha, R., Rapp, C. A., Mabry, A., Liddy, P., & Marty, D. (2012). Strengths model case management fidelity score and client outcomes. Psychiatric Services, 63, 708–710.CrossRef

Hugo, M. (2001). Mental health professionals' attitudes towards people who have experienced a mental health disorder. Journal of Psychiatric and Mental Health Nursing, 8(5), 419–425.CrossRef

Ibrahim, N., Michail, M., & Callaghan, P. (2014). The strengths based approach as a service delivery model for severe mental illness: A meta-analysis of clinical trials. BMC Psychiatry, 14(1), 243.CrossRef

Jaeger, M., Konrad, A., Rueegg, S., & Rabenschlag, F. (2013). Measuring recovery: validity of the recovery process inventory and the recovery attitudes questionnaire. Psychiatry Research, 210(1), 363–367.CrossRef

Kishardt, W. (1994). The impact of the strengths model of case management from the consumer perspective. In M. Harris & H. C. Bergman (Eds.), Psychosocial disorders in young people: time trends and their causes. Chichester, UK: Wiley.

Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2011). Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. The British Journal of Psychiatry, 199(6), 445–452. https://doi.org/10.1192/bjp.bp.110.083733.CrossRefPubMed

Lopez, S. J., & Edwards, L. M. (2008). The interface of counseling psychology and positive psychology: assessing and promoting strengths. In S. Brown & R. Lent (Eds.), Handbook of counseling psychology. Hoboken, NJ: Wiley.

Macias, C., Kinney, R., Farley, O. W., Jackson, R., & Vos, B. (1994). The role of case management within a community support system: partnership with psychosocial rehabilitation. Community Mental Health Journal, 30(4), 323–339. https://doi.org/10.1007/bf02207486.CrossRefPubMed

Macias, C., William Farley, O., Jackson, R., & Kinney, R. (1997). Case management in the context of capitation financing: an evaluation of the strengths model. Administration and Policy in Mental Health and Mental Health Services Research, 24(6), 535–543. https://doi.org/10.1007/bf02042831.CrossRefPubMed

Meehan, T., & Glover, H. (2009). Using the recovery knowledge inventory (RKI) to assess the effectiveness of a consumer-led recovery training program for service providers. Psychiatric Rehabilitation Journal, 32(3), 223–226. https://doi.org/10.2975/32.3.2009.223.226.CrossRefPubMed

Mental Health Commission. (1998). Blueprint for mental health services in New Zealand. Wellington, New Zealand: Author.

Australian Health Ministers. (2009). National Mental Health Plan 2003–2008. Canberra: Commonwealth Department of Health and Community Services.

Modrcin, M., Rapp, C. A., & Poertner, J. (1988). The evaluation of case management services with the chronically mentally ill. Evaluation and Program Planning, 11(4), 307–314. https://doi.org/10.1016/0149-7189(88)90043-2.CrossRefPubMed

Panzano, P. C., & Roth, D. (2006). The decision to adopt evidence-based and other innovative mental health practices: Risky business? Psychiatric Services, 57(8), 1153–1161. https://doi.org/10.1176/ps.2006.57.8.1153.CrossRefPubMed

Petrakis, M., Wilson, M., & Hamilton, B. (2013). Implementing the strengths model of case management: group supervision fidelity outcomes. Community Mental Health Journal, 49(3), 331–337. https://doi.org/10.1007/s10597-012-9546-6.CrossRefPubMed

Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Administration Policy Mental Health, 36(1), 24–34. https://doi.org/10.1007/s10488-008-0197-4.CrossRef

Rapp, C. (1998). The strengths model: case management with people suffering from severe and persistent mental illness. Oxford, UK: Oxford Publishing Press.

Rapp, C. A., & Goscha, R. J. (2006). The strengths model: case management with people with psychiatric disabilities (2nd ed.). New York, NY: Oxford University Press.

Rapp, C. A., Goscha, R. J., & Fukui, S. (2015). Enhanced consumer goal achievement through strengths-based group supervision. Psychiatric Rehabilitation Journal, 38(3), 268–272.CrossRef

Rundell, T. (2007). Perceptions of risky goals amongst people with schizophrenia and their support staff. (Postgraduate diploma), Central Queensland University.

Shepard, G., Boardman, J., & Slade, M. (2008). Making recovery a reality. London: Sainsbury Centre for Mental Health.

Siegal, H. A., Rapp, R. C., Kelliher, C. W., Fisher, J. H., Wagner, J. H., & Cole, P. A. (1995). The strengths perspective of case management: a promising inpatient substance abuse treatment enhancement. Journal of Psychoactive Drugs, 27(1), 67–72. https://doi.org/10.1080/02791072.1995.10471674.CrossRefPubMed

Slade, M. (2010). Mental illness and well-being: the central importance of positive psychology and recovery approaches. BMC Health Services Research, 10(1), 26. https://doi.org/10.1186/1472-6963-10-26.CrossRefPubMedPubMedCentral

Stanard, R. P. (1999). The effect of training in a strengths model of case management on client outcomes in a community mental health center. Community Mental Health Journal, 35(2), 169–179. https://doi.org/10.1023/a:1018724831815.CrossRefPubMed

Tickle, A., Brown, D., & Hayward, M. (2014). Can we risk recovery? A grounded theory of clinical psychologists’ perceptions of risk and recovery-oriented mental health services. Psychology and Psychotherapy: Theory, Research and Practice, 87(1), 96–110. https://doi.org/10.1111/j.2044-8341.2012.02079.x.CrossRef

Tsai, J., Salyers, M. P., & Lobb, A. L. (2010). Recovery-oriented training and staff attitudes over time in two state hospitals. Psychiatric Quarterly, 81(4), 335–347. https://doi.org/10.1007/s11126-010-9142-2.CrossRefPubMed

Tsai, J., Salyers, M. P., & McGuire, A. B. (2011). A cross-sectional study of recovery training and staff attitudes in four community mental health centers. Psychiatric Rehabilitation Journal, 34(3), 186–193. https://doi.org/10.2975/34.3.2011.186.193.CrossRefPubMed

Tse, S., Tsoi, E. W., Hamilton, B., O'Hagan, M., Shepherd, G., Slade, M., et al. (2016). Uses of strength-based interventions for people with serious mental illness: a critical review. International Journal of Social Psychiatry, 62(3), 281–291.CrossRef

Tucker, L. R., Damarin, F., & Messick, S. (1966). A base-free measure of change. Psychometrika, 31, 457–473.CrossRef

Uppal, S., Oades, L. G., Crowe, T. P., & Deane, F. P. (2010). Barriers to transfer of collaborative recovery training into Australian mental health services: implications for the development of evidence-based services. Journal of Evaluation in Clinical Practice, 16(3), 451–455. https://doi.org/10.1111/j.1365-2753.2009.01141.x.CrossRefPubMed

Title: Changes in Mental Health Providers’ Recovery Attitudes and Strengths Model Implementation Following Training and Supervision
Authors: Frank P. Deane
Roxanne O. Goff
John Pullman
Joanne Sommer
Patricia Lim
Publication date: 01-12-2019
Publisher: Springer US
Published in: International Journal of Mental Health and Addiction / Issue 6/2019
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-018-9885-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Changes in Mental Health Providers’ Recovery Attitudes and Strengths Model Implementation Following Training and Supervision

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2019

Disclosure, Stigma, and Social Support Among Young People Receiving Treatment for Substance Use Disorders and Their Caregivers: a Qualitative Analysis

Fun, Money, and Feeling Down: Examining the Associations between Motivations and Problem Gambling among Men and Women in a Sample of Older Adults

The Role of Individual and Social Mediators in the Association Between Drug Consumption and Mental Health Among Adolescents in Barcelona

‘I’ll Just Pay the Rent Next Month’: an Exploratory Study Examining Facilitatory Cognitions Among EGM Problem Gamblers

The Role of Passion in Exercise Addiction, Exercise Volume, and Exercise Intensity in Long-term Exercisers

Likelihood of Substance Abuse for Dyslexics May Be Influenced by Socioeconomic Background and Metacognition