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

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Description:

The Recovery Self-Assessment (RSA) is a 32-item, self-administered 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, 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.

Protocol:

Code: ______

Recovery Self-Assessment (RSA)

Person in Recovery 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 welcome me and help me feel comfortable in this program.

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

7. Staff believe that I can recover.

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

whom to be friends with, etc.

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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).

1

2

3

4

5

N/A

D/K

17. Staff help me to find jobs.

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

1

2

3

4

5

N/A

D/K

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

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

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)

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:

Adults, ages 18 years and older

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.

Selection Rationale

The Recovery Self-Assessment (RSA) is a brief, reliable, valid, and widely used self-administered 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 - Patient Perception Assessment Scale 5628121 CDE Browser
Derived Variables

None

Process and Review

The Expert Review Panel has not reviewed this measure yet.

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:

661503

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
Research Domain Information
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