Measures of the recovery orientation of mental health services: systematic review

Julie Williams; Mary Leamy; Victoria Bird; C. Harding; J. Larsen; Clair Le Boutillier; L. Oades; M. Slade

doi:10.1007/s00127-012-0484-y

Measures of the recovery orientation of mental health services: systematic review

Julie Williams, Mary Leamy, Victoria Bird, C. Harding, J. Larsen, Clair Le Boutillier, L. Oades, M. Slade

Research output: Contribution to journal › Article › peer-review

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Abstract

Purpose

The review aimed to (1) identify measures that assess the recovery orientation of services, (2) discuss how these measures have conceptualised recovery, and (3) characterise their psychometric properties.

Methods

A systematic review was undertaken using seven sources. The conceptualisation of recovery within each measure was investigated by rating items against a conceptual framework of recovery comprising five recovery processes: connectedness; hope and optimism; identity; meaning and purpose; and empowerment. Psychometric properties of measures were evaluated using quality criteria.

Results

Thirteen recovery orientation measures were identified, of which six met eligibility criteria. No measure was a good fit with the conceptual framework. No measure had undergone extensive psychometric testing and none had data on test-retest reliability or sensitivity to change.

Conclusions

Many measures have been developed to assess the recovery orientation of services. Comparisons between the measures were hampered by the different conceptualisations of recovery used and by the lack of uniformity on the level of organisation at which services were assessed. This situation makes it a challenge for services and researchers to make an informed choice on which measure to use. Further work is needed to produce measures with a transplant conceptual underpinning and demonstrated psychometric properties.

Original language	English
Pages (from-to)	1827-1835
Number of pages	9
Journal	Social Psychiatry and Psychiatric Epidemiology
Volume	47
Issue number	11
DOIs	https://doi.org/10.1007/s00127-012-0484-y
Publication status	Published - Nov 2012

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title = "Measures of the recovery orientation of mental health services: systematic review",

abstract = "Purpose The review aimed to (1) identify measures that assess the recovery orientation of services, (2) discuss how these measures have conceptualised recovery, and (3) characterise their psychometric properties. Methods A systematic review was undertaken using seven sources. The conceptualisation of recovery within each measure was investigated by rating items against a conceptual framework of recovery comprising five recovery processes: connectedness; hope and optimism; identity; meaning and purpose; and empowerment. Psychometric properties of measures were evaluated using quality criteria. Results Thirteen recovery orientation measures were identified, of which six met eligibility criteria. No measure was a good fit with the conceptual framework. No measure had undergone extensive psychometric testing and none had data on test-retest reliability or sensitivity to change. Conclusions Many measures have been developed to assess the recovery orientation of services. Comparisons between the measures were hampered by the different conceptualisations of recovery used and by the lack of uniformity on the level of organisation at which services were assessed. This situation makes it a challenge for services and researchers to make an informed choice on which measure to use. Further work is needed to produce measures with a transplant conceptual underpinning and demonstrated psychometric properties.",

author = "Julie Williams and Mary Leamy and Victoria Bird and C. Harding and J. Larsen and {Le Boutillier}, Clair and L. Oades and M. Slade",

year = "2012",

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doi = "10.1007/s00127-012-0484-y",

language = "English",

volume = "47",

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T1 - Measures of the recovery orientation of mental health services

T2 - systematic review

AU - Williams, Julie

AU - Leamy, Mary

AU - Bird, Victoria

AU - Harding, C.

AU - Larsen, J.

AU - Le Boutillier, Clair

AU - Oades, L.

AU - Slade, M.

PY - 2012/11

Y1 - 2012/11

N2 - Purpose The review aimed to (1) identify measures that assess the recovery orientation of services, (2) discuss how these measures have conceptualised recovery, and (3) characterise their psychometric properties. Methods A systematic review was undertaken using seven sources. The conceptualisation of recovery within each measure was investigated by rating items against a conceptual framework of recovery comprising five recovery processes: connectedness; hope and optimism; identity; meaning and purpose; and empowerment. Psychometric properties of measures were evaluated using quality criteria. Results Thirteen recovery orientation measures were identified, of which six met eligibility criteria. No measure was a good fit with the conceptual framework. No measure had undergone extensive psychometric testing and none had data on test-retest reliability or sensitivity to change. Conclusions Many measures have been developed to assess the recovery orientation of services. Comparisons between the measures were hampered by the different conceptualisations of recovery used and by the lack of uniformity on the level of organisation at which services were assessed. This situation makes it a challenge for services and researchers to make an informed choice on which measure to use. Further work is needed to produce measures with a transplant conceptual underpinning and demonstrated psychometric properties.

AB - Purpose The review aimed to (1) identify measures that assess the recovery orientation of services, (2) discuss how these measures have conceptualised recovery, and (3) characterise their psychometric properties. Methods A systematic review was undertaken using seven sources. The conceptualisation of recovery within each measure was investigated by rating items against a conceptual framework of recovery comprising five recovery processes: connectedness; hope and optimism; identity; meaning and purpose; and empowerment. Psychometric properties of measures were evaluated using quality criteria. Results Thirteen recovery orientation measures were identified, of which six met eligibility criteria. No measure was a good fit with the conceptual framework. No measure had undergone extensive psychometric testing and none had data on test-retest reliability or sensitivity to change. Conclusions Many measures have been developed to assess the recovery orientation of services. Comparisons between the measures were hampered by the different conceptualisations of recovery used and by the lack of uniformity on the level of organisation at which services were assessed. This situation makes it a challenge for services and researchers to make an informed choice on which measure to use. Further work is needed to produce measures with a transplant conceptual underpinning and demonstrated psychometric properties.

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DO - 10.1007/s00127-012-0484-y

M3 - Article

SN - 0933-7954

VL - 47

SP - 1827

EP - 1835

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

IS - 11

ER -

Measures of the recovery orientation of mental health services: systematic review

Abstract

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