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Do clinical outcome measures assess consumer-defined recovery?
Retta Andresen1, Peter Caputi, Lindsay G Oades
1Illawarra Institute for Mental Health, University of Wollongong, NSW, Australia. retta@uow.edu.au
Psychiatry Research
|March 16, 2010
Summary
Mental health recovery measures align with consumer goals, unlike traditional clinical assessments. This highlights the need for recovery-oriented outcome measurement in mental health services.
Area of Science:
- Mental Health Research
- Psychometrics
- Healthcare Service Evaluation
Background:
- International call for recovery-oriented mental health services and evidence-based practices.
- Need for outcome measurement aligned with consumer-defined recovery.
- Critique of traditional clinical measures as disability-oriented.
Purpose of the Study:
- Compare consumer-defined recovery measures with conventional clinical measures.
- Assess the validity and relationship between recovery and clinical outcome measures.
- Evaluate if measures reflect changes across stages of recovery.
Main Methods:
- Correlational analyses to assess convergent validity of three recovery measures (Recovery Assessment Scale, Mental Health Recovery Measure, Self-Identified Stage of Recovery).
- Comparison with four conventional clinical measures.
- Analyses of variance to examine measure scores across self-identified stages of recovery.
Main Results:
- Recovery measures showed convergent validity, but some subscales lacked correlation.
- Little relationship was found between consumer-defined recovery measures and clinical measures.
- Recovery measures, but not most clinical measures, improved consistently across stages of recovery.
Conclusions:
- Consumer-defined recovery measures are qualitatively different from clinical measures.
- Clinical measures do not adequately assess key aspects of mental health recovery.
- Further research and refinement of recovery measurement are needed for clinical integration.
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