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

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 efforts to welcome my loved one and help him/her to feel comfortable in this program.

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N/A

D/K

2. The physical space of this program (e.g., the lobby, waiting rooms, etc.) feels inviting and dignified.

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5

N/A

D/K

3. Staff encourage my loved one to have hope and high expectations for his/her recovery.

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5

N/A

D/K

4. My loved one can change his/her clinician or case manager if he/she wants to.

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N/A

D/K

5. My loved one can easily access his/her treatment records if he/she wishes.

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N/A

D/K

6. Staff do not use threats, bribes, or other forms of pressure to influence the behavior of my loved one.

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N/A

D/K

7. Staff believe that my loved one can recover.

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N/A

D/K

8. Staff believe that my loved one has the ability to manage his/her own symptoms.

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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.

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N/A

D/K

10. Staff listen to my loved one and respect his/her decisions about his/her treatment and care.

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N/A

D/K

11. Staff regularly ask my loved one about his/her interests and the things he/she would like to do in the community.

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N/A

D/K

12. Staff encourage my loved one to take risks and try new things.

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N/A

D/K

13. This program offers specific services that fit the unique culture and life experiences of my loved one.

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N/A

D/K

14. My loved one is given opportunities to discuss his or

her spiritual needs and interests when he or she wishes.

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5

N/A

D/K

15. My loved one is given opportunities to discuss his or her sexual needs and interests when he or she wishes.

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5

N/A

D/K

16. Staff help my loved one 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).

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5

N/A

D/K

17. Staff assist my loved one with getting jobs.

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5

N/A

D/K

18. Staff help my loved one to get involved in non-mental health related activities, such as church groups, adult education, sports, or hobbies.

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N/A

D/K

19. Staff help my loved one to include people who are important to him/her in his/her recovery/treatment planning (such as family, friends, clergy, or an employer).

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5

N/A

D/K

20. Staff introduce my loved one to others in recovery who can serve as role models or mentors.

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5

N/A

D/K

21. Staff connect my loved one with self-help, peer support, or consumer advocacy groups and programs.

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N/A

D/K

22. Staff help my loved one to find ways to give back to the community (i.e., volunteering, community services, neighborhood watch/cleanup).

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N/A

D/K

23. My loved one is encouraged to help staff with the development of new groups, programs, or services.

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N/A

D/K

24. Program participants are encouraged to be involved in the evaluation of this program’s services and service providers.

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N/A

D/K

25. My loved one is encouraged to attend agency advisory boards and management meetings

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N/A

D/K

26. Staff talk with my loved one about what it takes to complete or exit the program.

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N/A

D/K

27. Staff help my loved one keep track of the progress he/she makes towards his/her personal goals.

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N/A

D/K

28. Staff work hard to help my loved one fulfill his/her personal goals.

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N/A

D/K

29. My loved one is or can be involved in facilitating staff trainings and education programs at this agency.

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N/A

D/K

30. Staff listen, and respond, to my loved one’s cultural experiences, interests, and concerns.

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N/A

D/K

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

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N/A

D/K

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

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N/A

D/K

*For family/significant other only

33. Staff make efforts to welcome me and make me feel comfortable in this program.

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5

N/A

D/K

34. Staff encourage me to have hope and high expectations for my loved one’s recovery.

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5

N/A

D/K

35. Staff listen to me and respect my opinion about my loved one’s treatment and care.

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N/A

D/K

36. Staff include me in my loved one’s recovery/treatment planning.

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N/A

D/K

37. I am encouraged to help staff with the development of new groups, programs, or services.

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N/A

D/K

38. I am encouraged to be involved in the evaluation of this program’s services and service providers.

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N/A

D/K

39. I am encouraged to attend agency advisory boards and management meetings, if I want.

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N/A

D/K

40. I am/can be involved in facilitating staff trainings and education programs at this agency.

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N/A

D/K