TY - JOUR
T1 - Evidence-based Recovery Colleges
T2 - developing a typology based on organisational characteristics, fidelity and funding
AU - Hayes, Daniel
AU - Camacho, Elizabeth M
AU - Ronaldson, Amy
AU - Stepanian, Katy
AU - McPhilbin, Merly
AU - Elliott, Rachel A
AU - Repper, Julie
AU - Bishop, Simon
AU - Stergiopoulos, Vicky
AU - Brophy, Lisa
AU - Giles, Kirsty
AU - Trickett, Sarah
AU - Lawrence, Stella
AU - Winship, Gary
AU - Meddings, Sara
AU - Bakolis, Ioannis
AU - Henderson, Claire
AU - Slade, Mike
N1 - Funding Information:
This study was conducted as part of the National Institute for Health Research (NIHR) programme grant ‘Recovery Colleges Characterisation and Testing (RECOLLECT) 2’ (NIHR200605; researchintorecovery.com/recollect).
Funding Information:
This article is independent research funded by the NIHR (Programme Grants for Applied Research, Recovery Colleges Characterisation and Testing (RECOLLECT) 2, NIHR200605). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. MS acknowledges the support of the NIHR Nottingham Biomedical Research Centre.
Publisher Copyright:
© 2023, The Author(s).
PY - 2023/3/11
Y1 - 2023/3/11
N2 - PURPOSE: Recovery Colleges (RCs) have been implemented across England with wide variation in organisational characteristics. The purpose of this study is to describe RCs across England in terms of organisational and student characteristics, fidelity and annual spending, to generate a RC typology based on characteristics and to explore the relationship between characteristics and fidelity.METHODS: All RC in England meeting criteria on recovery orientation, coproduction and adult learning were included. Managers completed a survey capturing characteristics, fidelity and budget. Hierarchical cluster analysis was conducted to identify common groupings and generate an RC typology.RESULTS: Participants comprised 63 (72%) of 88 RC in England. Fidelity scores were high (median 11, IQR 9-13). Both NHS and strengths-focussed RCs were associated with higher fidelity. The median annual budget was £200,000 (IQR £127,000-£300,000) per RC. The median cost per student was £518 (IQR £275-£840), cost per course designed was £5,556 (IQR £3,000-£9,416) and per course run was £1,510 (IQR £682-£3,030). The total annual budget across England for RCs is an estimated £17.6 m including £13.4 m from NHS budgets, with 11,000 courses delivered to 45,500 students.CONCLUSION: Although the majority of RCs had high levels of fidelity, there were sufficiently pronounced differences in other key characteristics to generate a typology of RCs. This typology might prove important for understanding student outcomes and how they are achieved and for commissioning decisions. Staffing and co-producing new courses are key drivers of spending. The estimated budget for RCs was less than 1% of NHS mental health spending.
AB - PURPOSE: Recovery Colleges (RCs) have been implemented across England with wide variation in organisational characteristics. The purpose of this study is to describe RCs across England in terms of organisational and student characteristics, fidelity and annual spending, to generate a RC typology based on characteristics and to explore the relationship between characteristics and fidelity.METHODS: All RC in England meeting criteria on recovery orientation, coproduction and adult learning were included. Managers completed a survey capturing characteristics, fidelity and budget. Hierarchical cluster analysis was conducted to identify common groupings and generate an RC typology.RESULTS: Participants comprised 63 (72%) of 88 RC in England. Fidelity scores were high (median 11, IQR 9-13). Both NHS and strengths-focussed RCs were associated with higher fidelity. The median annual budget was £200,000 (IQR £127,000-£300,000) per RC. The median cost per student was £518 (IQR £275-£840), cost per course designed was £5,556 (IQR £3,000-£9,416) and per course run was £1,510 (IQR £682-£3,030). The total annual budget across England for RCs is an estimated £17.6 m including £13.4 m from NHS budgets, with 11,000 courses delivered to 45,500 students.CONCLUSION: Although the majority of RCs had high levels of fidelity, there were sufficiently pronounced differences in other key characteristics to generate a typology of RCs. This typology might prove important for understanding student outcomes and how they are achieved and for commissioning decisions. Staffing and co-producing new courses are key drivers of spending. The estimated budget for RCs was less than 1% of NHS mental health spending.
UR - http://www.scopus.com/inward/record.url?scp=85149738795&partnerID=8YFLogxK
U2 - 10.1007/s00127-023-02452-w
DO - 10.1007/s00127-023-02452-w
M3 - Article
C2 - 36905435
SN - 0933-7954
SP - 1
EP - 10
JO - Social Psychiatry and Psychiatric Epidemiology
JF - Social Psychiatry and Psychiatric Epidemiology
ER -
