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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.

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)

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

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

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:

661503

Variables:
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX661503_Recovery_SelfAssessment_Patient_Assist
PX661503280000 Staff work hard to help me fulfill my more
personal goals. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Attend_Meetings
PX661503250000 I am encouraged to attend agency advisory more
boards and/or management meetings if I want. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Complete_Program
PX661503260000 Staff talk with me about what it would take more
to complete or exit this program. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Cultural_Acceptance
PX661503130000 This program offers specific services that more
fit my unique culture and life experiences. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Decisions
PX661503100000 Staff listen to me and respect my decisions more
about my treatment and care. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Diversity
PX661503320000 Agency staff are diverse in terms of more
culture, ethnicity, lifestyle, and interests. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Encouragement
PX661503030000 Staff encourage me to have hope and high more
expectations for myself and my recovery. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Evaluation
PX661503240000 I am encouraged to be involved in the more
evaluation of this program's services and service providers. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Facilities
PX661503020000 The physical space of this program (e.g., more
the lobby, waiting rooms, etc.) feels inviting and dignified. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Flexibility
PX661503040000 I can change my clinician or case manager if more
I want to. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Help_Train
PX661503290000 I am/can be involved with staff trainings more
and education programs this agency. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Independence
PX661503090000 Staff believe that I can make my own life more
choices regarding things such as where to live, when to work,whom to be friends with, etc. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Interests
PX661503110000 Staff regularly ask me about my interests more
and the things I would like to do in the community. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Job_Search
PX661503170000 Staff help me to find jobs. N/A
PX661503_Recovery_SelfAssessment_Patient_Life_Goals
PX661503160000 Staff help me to develop and plan for life more
goals beyond managing symptoms or staying stable (e.g., employment, education, physical fitness, connecting with family and friends, hobbies). show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Network
PX661503210000 Staff offer to help me connect with more
self-help, peer support, or consumer advocacy groups and programs. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_New_Development
PX661503230000 I am encouraged to help staff with the more
development of new groups, programs, or services. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Other_Activities
PX661503180000 Staff help me to get involved in non-mental more
health/addiction related activities, such as church groups, adult education, sports, or hobbies. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Personal_Goals
PX661503270000 Staff help me keep track of the progress I more
am making towards my personal goals. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Risks
PX661503120000 Staff encourage me to take risks and try new more
things. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Role_Models
PX661503200000 Staff introduce me to people in recovery who more
can serve as role models or mentors. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Sexual_Needs
PX661503150000 I am given opportunities to discuss my more
sexual needs and interests when I wish. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_SpecialInterest_Groups
PX661503310000 Staff are knowledgeable about special more
interest groups and activities in the community. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Spiritual_Needs
PX661503140000 I am given opportunities to discuss my more
spiritual needs and interests when I wish. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Staff_Hopeful
PX661503070000 Staff believe that I can recover. N/A
PX661503_Recovery_SelfAssessment_Patient_Staff_Training
PX661503300000 Staff listen, and respond, to my cultural more
experiences, interests, and concerns. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Support_Network
PX661503190000 Staff help me to include people who are more
important to me in my recovery/treatment planning (such as family, friends, clergy, or an employer). show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Symptoms
PX661503080000 Staff believe that I have the ability to more
manage my own symptoms. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Threats_Bribes
PX661503060000 Staff do not use threats, bribes, or other more
forms of pressure to get me to do what they want. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Treatment_Records
PX661503050000 I can easily access my treatment records if more
I want to. show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Volunteering
PX661503220000 Staff help me to find ways to give back to more
my community (i.e., volunteering, community services, neighborhood watch/cleanup). show less
N/A
PX661503_Recovery_SelfAssessment_Patient_Welcoming_Staff
PX661503010000 Staff welcome me and help me feel more
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