Recovery-Oriented Care in Long-Term Mental Health Settings: Relationship Between the Active Recovery Triad (ART) Model, Recovery-Oriented Care, and Recovery of Service Users

被引:0
作者
Zomer, Lieke [1 ]
Voskes, Yolande [1 ,2 ,3 ]
van Weeghel, Jaap [2 ]
Widdershoven, Guy [1 ]
Twisk, Jos [4 ]
van der Meer, Lisette [5 ,6 ]
机构
[1] Univ Amsterdam, Dept Eth Law & Humanities, Med Ctr, De Boelelaan 1089a, NL-1081 HV Amsterdam, Netherlands
[2] Tilburg Univ, Tranzo Sci Ctr Care & Wellbeing, Tilburg, Netherlands
[3] GGz Breburg, Impact Care Grp, Tilburg, Netherlands
[4] Univ Amsterdam, Med Ctr, Dept Epidemiol & Data Sci, Amsterdam, Netherlands
[5] Univ Groningen, Dept Clin & Dev Neuropsychol, Groningen, Netherlands
[6] Lentis Psychiat Inst, Dept Rehabil, Zuidlaren, Netherlands
关键词
active recovery triad model; long-term mental health care; recovery; service user satisfaction; model fidelity; LIFE SKILLS PROFILE; NATION OUTCOME SCALES; PERSONAL RECOVERY; ILLNESS; REHABILITATION; RELIABILITY; DISABILITY; PEOPLE;
D O I
10.1037/prj0000622
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: The active recovery triad (ART) model provides guidelines for recovery-oriented care in long-term mental health care. The aim of this study is to evaluate whether compliance to the principles of the ART model is related to recovery-oriented care, service user recovery and satisfaction. Method: A prospective study was conducted including two measurements, in which we investigated compliance to the principles of the ART model (ART fidelity), recovery-oriented care as measured by the Recovery-Oriented Practices Index-Revised (ROPI-R) at team level (n = 18) and outcome measures on service user level (n = 101) related to personal recovery, social roles, level of functioning, clinical recovery, transition, and satisfaction. We used multilevel modeling to evaluate these relationships. Results: There was a significant association between active recovery triad (ART) fidelity and the ROPI-R. We did not find a significant association between overall ART fidelity and service user outcomes. Yet, we did find that higher ART fidelity in the domains "cooperation in the triad," "professionalization of staff," and "team structure" were related to improved clinical recovery, functioning, social roles, and performance of activities. However, higher ART fidelity in the domain "healing environment" was related to poorer functioning, and a higher score in the domain "safety and prevention of coercion" was related to poorer social roles and performance of activities. Conclusions and Implications for Practice: We can conclude that compliance to the principles of the ART model is related to recovery-oriented care, measured with the ROPI-R. In addition, the findings suggest that in particular elements in the ART model are related to meaningful recovery outcomes.
引用
收藏
页码:129 / 141
页数:13
相关论文
共 62 条
  • [1] Anthony W.A., 1993, PSYCHOSOC REHABIL J, V16, P11, DOI [10.1037/h0095655, DOI 10.1037/H0095655]
  • [2] PSYCHOLOGICAL REHABILITATION - CONCEPT IN NEED OF A METHOD
    ANTHONY, WA
    [J]. AMERICAN PSYCHOLOGIST, 1977, 32 (08) : 658 - 662
  • [3] Measuring personal recovery in a low-intensity community mental healthcare setting: validation of the Dutch version of the individual recovery outcomes counter (I.ROC)
    Beckers, Thijs
    Koekkoek, Bauke
    Hutschemaekers, Giel
    Rudd, Bridey
    Tiemens, Bea
    [J]. BMC PSYCHIATRY, 2022, 22 (01)
  • [4] Recovery-based staff training intervention within mental health rehabilitation units: a two-stage analysis using realistic evaluation principles and framework approach
    Bhanbhro, Sadiq
    Gee, Melanie
    Cook, Sarah
    Marston, Louise
    Lean, Melanie
    Killaspy, Helen
    [J]. BMC PSYCHIATRY, 2016, 16
  • [5] How effective is the comprehensive approach to rehabilitation (CARe) methodology? A cluster randomized controlled trial
    Bitter, Neis
    Roeg, Diana
    van Assen, Marcel
    van Nieuwenhuizen, Chijs
    van Weeghel, Jaap
    [J]. BMC PSYCHIATRY, 2017, 17
  • [6] Modest implementation efforts, modest fidelity, and modest outcomes - Commentary
    Bond, Gary R.
    [J]. PSYCHIATRIC SERVICES, 2007, 58 (03) : 334 - 334
  • [7] Quality of life, loneliness, and social contact among long-term psychiatric patients
    Borge, L
    Martinsen, EW
    Ruud, T
    Watne, O
    Friis, S
    [J]. PSYCHIATRIC SERVICES, 1999, 50 (01) : 81 - 84
  • [8] The Development of Recovery Competencies for In-patient Mental Health Providers Working with People with Serious Mental Illness
    Chen, Shu-Ping
    Krupa, Terry
    Lysaght, Rosemary
    McCay, Elizabeth
    Piat, Myra
    [J]. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH, 2013, 40 (02) : 96 - 116
  • [9] RECOVERY-ORIENTED SYSTEMS OF CARE: A PERSPECTIVE ON THE PAST, PRESENT, AND FUTURE
    Davidson, Larry
    Rowe, Michael
    DiLeo, Paul
    Bellamy, Chyrell
    Delphin-Rittmon, Miriam
    [J]. ALCOHOL RESEARCH-CURRENT REVIEWS, 2021, 41 (01):
  • [10] Measuring participation in people with spondyloarthritis using the social role participation questionnaire
    Davis, Aileen M.
    Palaganas, Marvilyn P.
    Badley, Elizabeth M.
    Gladman, Dafna D.
    Inman, Robert D.
    Gignac, Monique A.
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2011, 70 (10) : 1765 - 1769