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Protocol - Perception of Recovery Orientation and Care Quality of Mental Health Services - Administrator

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Description:

The Recovery Self-Assessment (RSA) administrator/manager version is a 36-item, provider-completed rating scale that focuses on perceptions of recovery principles and overall quality of services, including determination, staff helpfulness, and staff responsiveness. The RSA includes six subscales: life goals, consumer involvement and diversity of treatment options, consumer choice, individually tailored services, and inviting environment. Each item is rated on a 5-point scale (1 = Strongly Disagree; 5 = Strongly agree). Ratings from the individual items can be added together to yield a total score, with the higher scores indicating greater quality care.

Specific Instructions:

Note that there are client, clinician, family/ally, and executive leadership versions of the Recovery Self-Assessment (RSA). Any one of these can be used alone or in conjunction with one another.

Protocol:

Code: ______

Recovery Self-Assessment (RSA)

Administrator/Manager Version

Please circle the number below which reflects how accurately the following statements describe the activities, values, policies, and practices of this program.

N/A = Not applicable

D/K = Don’t Know

1. Staff make a concerted effort to welcome people in recovery and help them to feel comfortable in this program.

1

2

3

4

5

N/A

D/K

2. This program/agency offers an inviting and dignified physical environment (e.g., the lobby, waiting rooms, etc.).

1

2

3

4

5

N/A

D/K

3. Staff encourage program participants to have hope and high expectations for their recovery.

1

2

3

4

5

N/A

D/K

4. Program participants can change their clinician or case manager if they wish.

1

2

3

4

5

N/A

D/K

5. Program participants can easily access their treatment records if they wish.

1

2

3

4

5

N/A

D/K

6. Staff do not use threats, bribes, or other forms of pressure to influence the behavior of program participants.

1

2

3

4

5

N/A

D/K

7. Staff believe in the ability of program participants to recover.

1

2

3

4

5

N/A

D/K

8. Staff believe that program participants have the ability to manage their own symptoms.

1

2

3

4

5

N/A

D/K

9. Staff believe that program participants can make their own life choices regarding things such as where to live, when to work, whom to be friends with, etc.

1

2

3

4

5

N/A

D/K

10. Staff listen to and respect the decisions that program participants make about their treatment and care.

1

2

3

4

5

N/A

D/K

11. Staff regularly ask program participants about their interests and the things they would like to do in the community.

1

2

3

4

5

N/A

D/K

12. Staff encourage program participants to take risks and try new things.

1

2

3

4

5

N/A

D/K

13. This program offers specific services that fit each participant’s unique culture and life experiences.

1

2

3

4

5

N/A

D/K

14. Staff offer participants opportunities to discuss their spiritual needs and interests when they wish.

1

2

3

4

5

N/A

D/K

15. Staff offer participants opportunities to discuss their sexual needs and interests when they wish.

1

2

3

4

5

N/A

D/K

16. Staff help program participants to develop and plan for life goals beyond managing symptoms or staying stable (e.g., employment, education, physical fitness, connecting with family and friends, hobbies).

1

2

3

4

5

N/A

D/K

17. Staff routinely assist program participants with getting jobs.

1

2

3

4

5

N/A

D/K

18. Staff actively help program participants to get involved in non-mental health/addiction related activities, such as church groups, adult education, sports, or hobbies.

1

2

3

4

5

N/A

D/K

19. Staff work hard to help program participants to include people who are important to them in their recovery/treatment planning (such as family, friends, clergy, or an employer).

1

2

3

4

5

N/A

D/K

20. Staff actively introduce program participants to persons in recovery who can serve as role models or mentors.

1

2

3

4

5

N/A

D/K

21. Staff actively connect program participants with self-help, peer support, or consumer advocacy groups and programs.

1

2

3

4

5

N/A

D/K

22. Staff actively help people find ways to give back to their community (i.e., volunteering, community services, neighborhood watch/cleanup).

1

2

3

4

5

N/A

D/K

23. People in recovery are encouraged to help staff with the development of new groups, programs, or services.

1

2

3

4

5

N/A

D/K

24. People in recovery are encouraged to be involved in the evaluation of this agency’s programs, services, and service providers.

1

2

3

4

5

N/A

D/K

25. People in recovery are encouraged to attend agency advisory boards and management meetings.

1

2

3

4

5

N/A

D/K

26. Staff talk with program participants about what it takes to complete or exit the program.

1

2

3

4

5

N/A

D/K

27. Progress made towards an individual’s own personal goals is tracked regularly.

1

2

3

4

5

N/A

D/K

28. The primary role of agency staff is to assist a person with fulfilling his/her own goals and aspirations.

1

2

3

4

5

N/A

D/K

29. Persons in recovery are involved with facilitating staff trainings and education at this program.

1

2

3

4

5

N/A

D/K

30. Staff at this program regularly attend trainings on cultural competency.

1

2

3

4

5

N/A

D/K

31. Staff are knowledgeable about special interest groups and activities in the community.

1

2

3

4

5

N/A

D/K

32. Agency staff are diverse in terms of culture, ethnicity, lifestyle, and interests.

1

2

3

4

5

N/A

D/K

Separate Section for Administrators Only

33. This agency provides formal opportunities for people in recovery, family members, service providers, and administrators to learn about recovery.

1

2

3

4

5

N/A

D/K

34. This agency provides structured educational activities to the community about mental illness and addictions.

1

2

3

4

5

N/A

D/K

35. This agency provides a variety of treatment options for program participants (e.g., individual, group, peer support, medical, community-based, employment, skill building, employment, etc.).

1

2

3

4

5

N/A

D/K

36. Groups, meetings, and other activities are scheduled in the evenings or on weekends so as not to conflict with other recovery-oriented activities such as employment or school.

1

2

3

4

5

N/A

D/K

Scoring:

Ratings from the individual items can be added together to yield a total score, with the higher scores indicating greater quality care.

Protocol Name from Source:

Recovery Self-Assessment (RSA) - Administrator Version

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adult

Participants:

Mental health-care program administrator or manager

Selection Rationale

The Recovery Self-Assessment (RSA) is a brief, reliable, valid, and widely used, provider-completed questionnaire that measures the perceptions of recovery principles and overall quality of mental health services.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Mental Health Service Recovery Orientation and Care Quality - Manager Perception Assessment Scale 5628105 CDE Browser
Derived Variables

None

Process and Review

Not applicable.

Source

O’Connell, M., Tondora, J., Croog, G., Evans, A., & Davidson, L. (2005). From rhetoric to routine: Assessing perceptions of recovery-oriented practices in a state mental health and addiction system. Psychiatric Rehabilitation Journal, 28(4), 378-386.

General References

McLoughlin, K. A., & Fitzpatrick, J. J. (2008). Self-reports of recovery-oriented practices of mental health nurses in state mental health institutes: Development of a measure. Issues in Mental Health Nursing, 29(10), 1051-1065.

McLoughlin, K. A., Du Wick, A., Collazzi, C. M., & Puntil, C. (2013). Recovery-oriented practices of psychiatric-mental health nursing staff in an acute hospital setting. Journal of the American Psychiatric Nurses Association, 19(3), 152-159.

Ye, S., Pan, J. Y., Wong, D. F. K., & Bola, J. R. (2013). Cross-validation of mental health recovery measures in a Hong Kong Chinese sample. Research on Social Work Practice, 23, 311-325.

Protocol ID:

661501

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX661501_Recovery_SelfAssessment_Administrator_Assist PX661501280000 The primary role of agency staff is to more
assist a person with fulfilling his/her own goals and aspirations. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Attend_Meetings PX661501250000 People in recovery are encouraged to attend more
agency advisory boards and management meetings. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Complete_Program PX661501260000 Staff talk with program participants about more
what it takes to complete or exit the program. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Cultural_Acceptance PX661501130000 This program offers specific services that more
fit each participant's unique culture and life experiences. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Decisions PX661501100000 Staff listen to and respect the decisions more
that program participants make about their treatment and care. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Diversity PX661501320000 Agency staff are diverse in terms of more
culture, ethnicity, lifestyle, and interests. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Education PX661501330000 [For Administrators Only] This agency more
provides formal opportunities for people in recovery, family members, service providers, and administrators to learn about recovery. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Encouragement PX661501030000 Staff encourage program participants to have more
hope and high expectations for their recovery. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Evaluation PX661501240000 People in recovery are encouraged to be more
involved in the evaluation of this agency's programs, services, and service providers. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Facilities PX661501020000 This program/agency offers an inviting and more
dignified physical environment (e.g., the lobby, waiting rooms, etc.). show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Flexibility PX661501040000 Program participants can change their more
clinician or case manager if they wish. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Help_Train PX661501290000 Persons in recovery are involved with more
facilitating staff trainings and education at this program. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Independence PX661501090000 Staff believe that program participants can more
make their own life choices regarding things such as where to live, when to work, whom to be friends with, etc. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Interests PX661501110000 Staff regularly ask program participants more
about their interests and the things they would like to do in the community. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Job_Search PX661501170000 Staff routinely assist program participants more
with getting jobs. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Life_Goals PX661501160000 Staff help program participants to develop more
and plan for life goals beyond managing symptoms or staying stable (e.g., employment, education, physical fitness, connecting with family and friends, hobbies). show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Network PX661501210000 Staff actively connect program participants more
with self-help, peer support, or consumer advocacy groups and programs. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_New_Development PX661501230000 People in recovery are encouraged to help more
staff with the development of new groups, programs, or services. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Other_Activities PX661501180000 Staff actively help program participants to more
get involved in non-mental health/addiction related activities, such as church groups, adult education, sports, or hobbies. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Personal_Goals PX661501270000 Progress made towards an individual's own more
personal goals is tracked regularly. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Risks PX661501120000 Staff encourage program participants to take more
risks and try new things. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Role_Models PX661501200000 Staff actively introduce program more
participants to persons in recovery who can serve as role models or mentors. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Schedule PX661501360000 [For Administrators Only] Groups, meetings, more
and other activities are scheduled in the evenings or on weekends so as not to conflict with other recovery-oriented activities such as employment or school. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Sexual_Needs PX661501150000 Staff offer participants opportunities to more
discuss their sexual needs and interests when they wish. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_SpecialInterest_Groups PX661501310000 Staff are knowledgeable about special more
interest groups and activities in the community. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Spiritual_Needs PX661501140000 Staff offer participants opportunities to more
discuss their spiritual needs and interests when they wish. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Staff_Hopeful PX661501070000 Staff believe in the ability of program more
participants to recover. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Staff_Training PX661501300000 Staff at this program regularly attend more
trainings on cultural competency. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Structured_Education PX661501340000 [For Administrators Only] This agency more
provides structured educational activities to the community about mental illness and addictions. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Support_Network PX661501190000 Staff work hard to help program participants more
to include people who are important to them in their recovery/treatment planning (such as family, friends, clergy, or an employer). show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Symptoms PX661501080000 Staff believe that program participants have more
the ability to manage their own symptoms. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Threats_Bribes PX661501060000 Staff do not use threats, bribes, or other more
forms of pressure to influence the behavior of program participants. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Treatment_Options PX661501350000 [For Administrators Only] This agency more
provides a variety of treatment options for program participants (e.g., individual, group, peer support, medical, community-based, employment, skill building, employment, etc.). show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Treatment_Records PX661501050000 Program participants can easily access their more
treatment records if they wish. show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Volunteering PX661501220000 Staff actively help people find ways to give more
back to their community (i.e., volunteering, community services, neighborhood watch/cleanup). show less
N/A
PX661501_Recovery_SelfAssessment_Administrator_Welcoming_Staff PX661501010000 Staff make a concerted effort to welcome more
people in recovery and help them to feel comfortable in this program. show less
N/A
Mental Health Research
Measure Name:

Perception of Recovery Orientation and Care Quality of Mental Health Services

Release Date:

January 17, 2017

Definition

A questionnaire to assess recovery orientation of mental health services.

Purpose

This measure assesses the degree to which patients believe that their mental health-care programs implement practices consistent with the principles of recovery-oriented care. Recovery-oriented care is tailored to the individual and promotes patient involvement and hope by enabling patients to define and pursue their own goals.

Keywords

Early psychosis, Recovery Self-Assessment, RSA, psychosis, recovery, care quality, recovery-oriented care, recovery-orientated care