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

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Description:

The Recovery Self-Assessment (RSA) provider version is a 32-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, 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 RSA. Any one of these can be used alone or in conjunction with one another.

Protocol:

Code: ______

Recovery Self-Assessment (RSA)

Provider 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

1

2

3

4

5

N/A

D/K

program.

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5

N/A

D/K

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

1

2

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5

N/A

D/K

etc.).

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3

4

5

N/A

D/K

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

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2

3

4

5

N/A

D/K

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

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5

N/A

D/K

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

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5

N/A

D/K

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

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5

N/A

D/K

participants.

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5

N/A

D/K

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

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5

N/A

D/K

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

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5

N/A

D/K

9. Staff believe that program participants can make their own life choices regarding things such as where to

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5

N/A

D/K

live, when to work, whom to be friends with, etc.

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5

N/A

D/K

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

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5

N/A

D/K

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

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5

N/A

D/K

community.

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5

N/A

D/K

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

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5

N/A

D/K

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

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4

5

N/A

D/K

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

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5

N/A

D/K

15. Staff offer participants opportunities to discuss their 1 2 3 4 5 N/A D/K

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5

N/A

D/K

sexual needs and interests when they wish.

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5

N/A

D/K

16. Staff help program participants to develop and plan for life goals beyond managing symptoms or staying

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5

N/A

D/K

stable (e.g., employment, education, physical fitness, connecting with family and friends, hobbies).

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4

5

N/A

D/K

17. Staff routinely assist program participants with getting jobs.

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5

N/A

D/K

18. Staff actively help program participants to get involved in non-mental health/addiction related activities, such

1

2

3

4

5

N/A

D/K

as church groups, adult education, sports, or hobbies.

1

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4

5

N/A

D/K

19. Staff work hard to help program participants to include people who are important to them in their

1

2

3

4

5

N/A

D/K

recovery/treatment planning (such as family, friends, clergy, or an employer).

1

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4

5

N/A

D/K

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

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5

N/A

D/K

mentors.

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5

N/A

D/K

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

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3

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5

N/A

D/K

programs.

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5

N/A

D/K

22. Staff actively help people find ways to give back to their community (i.e., volunteering, community

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3

4

5

N/A

D/K

services, neighborhood watch/cleanup).

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5

N/A

D/K

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

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5

N/A

D/K

services.

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5

N/A

D/K

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

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5

N/A

D/K

service providers.

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5

N/A

D/K

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

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5

N/A

D/K

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

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5

N/A

D/K

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

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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.

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5

N/A

D/K

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

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5

N/A

D/K

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

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5

N/A

D/K

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

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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) - provider 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 service provider

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 - Provider Perception Assessment Scale 5628136 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:

661504

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX661504_Recovery_SelfAssessment_Provider_Assist PX661504280000 The primary role of agency staff is to assist a person with fulfilling his/her own goals and aspirations. N/A
PX661504_Recovery_SelfAssessment_Provider_Attend_Meetings PX661504250000 People in recovery are encouraged to attend agency advisory boards and management meetings. N/A
PX661504_Recovery_SelfAssessment_Provider_Complete_Program PX661504260000 Staff talk with program participants about what it takes to complete or exit the program. N/A
PX661504_Recovery_SelfAssessment_Provider_Cultural_Acceptance PX661504130000 This program offers specific services that fit each participant's unique culture and life experiences. N/A
PX661504_Recovery_SelfAssessment_Provider_Decisions PX661504100000 Staff listen to and respect the decisions that program participants make about their treatment and care. N/A
PX661504_Recovery_SelfAssessment_Provider_Diversity PX661504320000 Agency staff are diverse in terms of culture, ethnicity, lifestyle, and interests. N/A
PX661504_Recovery_SelfAssessment_Provider_Encouragement PX661504030000 Staff encourage program participants to have hope and high expectations for their recovery. N/A
PX661504_Recovery_SelfAssessment_Provider_Evaluation PX661504240000 People in recovery are encouraged to be involved in the evaluation of this agency's programs, services, and service providers. N/A
PX661504_Recovery_SelfAssessment_Provider_Facilities PX661504020000 This program/agency offers an inviting and dignified physical environment (e.g., the lobby, waiting rooms, etc.). N/A
PX661504_Recovery_SelfAssessment_Provider_Flexibility PX661504040000 Program participants can change their clinician or case manager if they wish. N/A
PX661504_Recovery_SelfAssessment_Provider_Help_Train PX661504290000 Persons in recovery are involved with facilitating staff trainings and education at this program. N/A
PX661504_Recovery_SelfAssessment_Provider_Independence PX661504090000 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. N/A
PX661504_Recovery_SelfAssessment_Provider_Interests PX661504110000 Staff regularly ask program participants about their interests and the things they would like to do in the community. N/A
PX661504_Recovery_SelfAssessment_Provider_Job_Search PX661504170000 Staff routinely assist program participants with getting jobs. N/A
PX661504_Recovery_SelfAssessment_Provider_Life_Goals PX661504160000 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). N/A
PX661504_Recovery_SelfAssessment_Provider_Network PX661504210000 Staff actively connect program participants with self- help, peer support, or consumer advocacy groups and programs. N/A
PX661504_Recovery_SelfAssessment_Provider_New_Development PX661504230000 People in recovery are encouraged to help staff with the development of new groups, programs, or services. N/A
PX661504_Recovery_SelfAssessment_Provider_Other_Activities PX661504180000 Staff actively help program participants to get involved in non-mental health/addiction related activities, such as church groups, adult education, sports, or hobbies. N/A
PX661504_Recovery_SelfAssessment_Provider_Personal_Goals PX661504270000 Progress made towards an individual's own personal goals is tracked regularly. N/A
PX661504_Recovery_SelfAssessment_Provider_Risks PX661504120000 Staff encourage program participants to take risks and try new things. N/A
PX661504_Recovery_SelfAssessment_Provider_Role_Models PX661504200000 Staff actively introduce program participants to persons in recovery who can serve as role models or mentors. N/A
PX661504_Recovery_SelfAssessment_Provider_Sexual_Needs PX661504150000 Staff offer participants opportunities to discuss their sexual needs and interests when they wish. N/A
PX661504_Recovery_SelfAssessment_Provider_SpecialInterest_Groups PX661504310000 Staff are knowledgeable about special interest groups and activities in the community. N/A
PX661504_Recovery_SelfAssessment_Provider_Spiritual_Needs PX661504140000 Staff offer participants opportunities to discuss their spiritual needs and interests when they wish. N/A
PX661504_Recovery_SelfAssessment_Provider_Staff_Hopeful PX661504070000 Staff believe in the ability of program participants to recover. N/A
PX661504_Recovery_SelfAssessment_Provider_Staff_Training PX661504300000 Staff at this program regularly attend trainings on cultural competency. N/A
PX661504_Recovery_SelfAssessment_Provider_Support_Network PX661504190000 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). N/A
PX661504_Recovery_SelfAssessment_Provider_Symptoms PX661504080000 Staff believe that program participants have the ability to manage their own symptoms. N/A
PX661504_Recovery_SelfAssessment_Provider_Threats_Bribes PX661504060000 Staff do not use threats, bribes, or other forms of pressure to influence the behavior of program participants. N/A
PX661504_Recovery_SelfAssessment_Provider_Treatment_Records PX661504050000 Program participants can easily access their treatment records if they wish. N/A
PX661504_Recovery_SelfAssessment_Provider_Volunteering PX661504220000 Staff actively help people find ways to give back to their community (i.e., volunteering, community services, neighborhood watch/cleanup). N/A
PX661504_Recovery_SelfAssessment_Provider_Welcoming_Staff PX661504010000 Staff make a concerted effort to welcome people in recovery and help them to feel comfortable in this Program. 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