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

N/A = Not applicable

D/K = Don’t Know

1. Staff welcome me and help me feel comfortable in this program.

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

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3. Staff encourage me to have hope and high expectations for myself and my recovery.

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4. I can change my clinician or case manager if I want to.

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5. I can easily access my treatment records if I want to.

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6. Staff do not use threats, bribes, or other forms of pressure to get me to do what they want.

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7. Staff believe that I can recover.

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8. Staff believe that I have the ability to manage my own symptoms.

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9. Staff believe that I can make my own life choices regarding things such as where to live, when to work,

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whom to be friends with, etc.

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10. Staff listen to me and respect my decisions about my treatment and care.

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11. Staff regularly ask me about my interests and the things I would like to do in the community.

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12. Staff encourage me to take risks and try new things.

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13. This program offers specific services that fit my unique culture and life experiences.

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14. I am given opportunities to discuss my spiritual needs and interests when I wish.

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15. I am given opportunities to discuss my sexual needs and interests when I wish.

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16. Staff help me 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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17. Staff help me to find jobs.

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

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

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20. Staff introduce me to people in recovery who can serve as role models or mentors.

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21. Staff offer to help me connect with self-help, peer support, or consumer advocacy groups and programs.

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

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

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

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25. I am encouraged to attend agency advisory boards and/or management meetings if I want.

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26. Staff talk with me about what it would take to complete or exit this program.

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27. Staff help me keep track of the progress I am making towards my personal goals.

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28. Staff work hard to help me fulfill my personal goals.

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29. I am/can be involved with staff trainings and education programs this agency.

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30. Staff listen, and respond, to my cultural experiences, interests, and concerns.

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

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

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