Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-26T06:08:34.240Z Has data issue: false hasContentIssue false
  • English
  • Français

Client personal recovery and recovery orientation of an Irish suicide intervention charity

Published online by Cambridge University Press:  02 August 2017

C. Conway ,
P. W. G. Surgenor ,
T. B. Thekiso ,
A. Moore ,
A. Campion ,
A. Tormey  and
G. Rush
C. Conway*
Affiliation:
St. Patrick’s University Hospital, Dublin, Ireland
P. W. G. Surgenor
Affiliation:
Pieta House, Dublin, Ireland
T. B. Thekiso
Affiliation:
St. Patrick’s University Hospital, Dublin, Ireland Trinity College,University of Dublin, Dublin, Ireland
A. Moore
Affiliation:
Pieta House, Dublin, Ireland
A. Campion
Affiliation:
Pieta House, Dublin, Ireland
A. Tormey
Affiliation:
Pieta House, Dublin, Ireland
G. Rush
Affiliation:
St. Patrick’s University Hospital, Dublin, Ireland
*
*Address for correspondence: C. Conway, Registrar, St. Patrick’s University Hospital, James’s Street, Dublin 8, Ireland. (Email: [email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Recovery is a key goal for individuals, and services’ recovery orientation can facilitate this process. The independent mental health sector is increasingly important in Ireland, particularly in counselling and suicide prevention. We aimed to evaluate Pieta House as a recovery-oriented service through clients’ self-rated recovery; and clients’ and therapists’ evaluation of the service.

Methods

Clients completing therapy over a 3-month period were invited to complete the Recovery Assessment Scale (RAS) and the Recovery Self Assessment-Revised (RSA-R). Therapists completed the RSA-R staff version.

Results

Response rate was 36.7% for clients (n=88), 98% for therapists (n=49). Personal recovery was endorsed by 73.8% of clients, with highest agreement for factors ‘Willingness to Ask for Help’ (84.5%), and ‘Reliance on Others’ (82.1%). A smaller number agreed with factors ‘Personal Confidence and Hope’ (61.3%) and ‘No Domination by Symptoms’ (66.6%). Clients’ and therapists’ evaluation of the service showed high levels of agreement with factors of ‘Choice’ (90.9% clients, 100% therapists); ‘Life Goals’ (84.1% clients, 98% therapists) and ‘Individually Tailored Services’ (80.6% clients, 79.6% therapists). Client involvement in service management had the lowest level of agreement (36.4% clients, 30.6% therapists). Clients’ self-rated recovery correlated with their rating of the service (correlation value 0.993, p=0.01).

Conclusions

Clients’ self-rated recovery and the recovery orientation of Pieta House were rated highly, with areas for improvement in service user involvement, peer support and advocacy. The correlation of personal recovery and recovery orientation of the service may merit further study.

Keywords

Independent mental health sectorrecoverysuicide intervention
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 35 , Issue 2 , June 2018 , pp. 113 - 120
Copyright
© College of Psychiatrists of Ireland 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andresen, R, Caputi, P, Oades, LG (2010). Do clinical outcome measures assess consumer-defined recovery? Psychiatry Research 177, 309–317.Google Scholar
Anthony, WA (1993). Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal 16, 11–23.Google Scholar
Burgess, P, Pirkis, J, Coombs, T, Rosen, A (2010). Review of Recovery Measures, Version 1.01. Australian Mental Health Outcomes and Classification Network.Google Scholar
Cook, JA, Copeland, ME, Floyd, CB, Jonikas, JA, Hamilton, MM, Razzano, L, Carter, TM, Hudson, WB, Grey, DD, Boyd, S (2012). A randomized controlled trial of effects of wellness recovery action planning on depression, anxiety, and recovery. Psychiatric Services 63, 541–547.Google Scholar
Corrigan, PW, Salzer, M, Ralph, RO, Sangster, Y, Keck, L (2004). Examining the factor structure of the recovery assessment scale. Schizophrenia Bulletin 30, 1035–1041.Google Scholar
Corrigan, PW, Giffort, D, Rashid, E, Leary, M, Okeke, I (1999). Recovery as a psychological construct. Community Mental Health Journal 35, 231–239.Google Scholar
Fincham, JE (2008). Response rates and responsiveness for surveys, standards, and the journal. American Journal of Pharmaceutical Education 72, 43.Google Scholar
Giffort, D, Schmook, A, Woody, C, Vollendorf, C, Gervain, M (1995). Construction of a Scale to Measure Consumer Recovery. Illinois Office of Mental Health: Springfield, IL.Google Scholar
Griffin, E, Arensman, E, Corcoran, P, Wall, A, Williamson, E, Perry, IJ (2013). National Registry of Deliberate Self-Harm Ireland. Annual Report 2013 (http://nsrf.ie/publications/reports). Accessed 11 February 2015.Google Scholar
Higgins, A (2008). A Recovery Approach within the Irish Mental Health Services: A Framework for Development. Mental Health Commission: Ireland.Google Scholar
Kidd, SA, George, L, O’Connell, M, Sylvestre, J, Kirkpatrick, H, Browne, G, Odueyungbo, AO, Davidson, L (2011). Recovery-oriented service provision and clinical outcomes in assertive community treatment. Psychiatric Rehabilitation Journal 34, 194–201.Google Scholar
Krupp, PE Jr. (2013). The contribution of the recovery self assessment to the measurement of illness management and recovery, Drake University, Des Moines, Iowa (http://escholarshare.drake.edu/bitstream/handle/2092/2024/2013ddPEK.pdf?sequence=1). Accessed 11 February 2015.Google Scholar
Mazor, K, Clauser, B, Field, T, Yood, R, Gurwitz, J (2002). A demonstration of the impact of response bias on the results of patient satisfaction surveys. Health Services Research 37, 1403–1417.Google Scholar
Mental Health Commission (2005). A vision for a recovery model in Irish Mental Health Services. Mental Health Commission: Dublin.Google Scholar
McNaught, M, Caputi, P, Oades, LG, Deane, FP (2007). Testing the validity of the Recovery Assessment Scale using an Australian sample. Australia New Zealand Journal of Psychiatry 41, 450–457.Google Scholar
Mukolo, A, Heflinger, C, Baxter, J (2011). Recovery and self-esteem: concurrent validity of the Recovery Assessment Scale. International Journal of Psychosocial Rehabilitation 15, 41–68.Google Scholar
Nakash, RA, Hutton, JL, Jørstad-Stein, EC, Gates, S, Lamb, SE (2006). Maximising response to postal questionnaires – a systematic revicw of randomised trials in health research. BMC Medical Research Methodology 6, 5.Google Scholar
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, 378–386.Google Scholar
O’Connell, MJ, Tondora, J, Kidd, SA, Stayner, D, Hawkins, D, Davidson, L (2007). RSA-R, person in recovery, family member/significant other, administrator/manager, and provider versions (www.yale.edu/prch/tools). Accessed 11 February 2015.Google Scholar
Piat, M, Boyer, R, Fleury, MJ, Lesage, A, O’Connell, M, Sabetti, J (2015). Resident and proprietor perspectives on a recovery orientation in community-based housing. Psychiatric Rehabilitation Journal 38, 88–95.Google Scholar
Ralph, RO (2000). Recovery. Psychiatric Rehabilitation Skills 4, 480–517.CrossRefGoogle Scholar
Salyers, MP, Tsai, J, Stultz, TA (2007). Measuring recovery orientation in a hospital setting. Psychiatric Rehabilitation Journal 31, 131–137.Google Scholar
Shanks, V, Williams, J, Leamy, M, Bird, VJ, Le Boutillier, C, Slade, M (2013). Measures of personal recovery: a systematic review. Psychiatric Services 64, 974–980.Google Scholar
Siegrist, RB (2013). Patient satisfaction: history, myths, and misperceptions. AMA Journal of Ethics (formerly Virtual Mentor) Virtual Mentor 15, 982–987.Google Scholar
Sitza, J, Wood, N (1998). Response rate in patient satisfaction research: an analysis of 210 published studies. International Journal for Quality in Health Care 10, 311–317.Google Scholar
Slade, M, Bird, V, Clarke, E, Le Boutillier, C, McCrone, P, Macpherson, R, Pesola, F, Wallace, G, Williams, J, Leamy, M (2015). Supporting recovery in patients with psychosis through care by community-based adult mental health teams (REFOCUS): a multisite, cluster, randomised, controlled trial. Lancet Psychiatry 2, 503–514.Google Scholar
Surgenor, PW, Freeman, J, O’Connor, C (2015). Developing the Pieta House Suicide Intervention Model: a quasi-experimental, repeated measures design. BMC Psychology 3, 14.CrossRefGoogle Scholar
Surgenor, PW (2015). Promoting recovery from suicidal ideation through the development of protective factors. Counselling and Psychotherapy Research 15, 207–216.Google Scholar
Surgenor, PWG (2010). Preparing a Referral Pathway: Establishing the safety of community based therapy in suicide intervention. Unpublished report for the Health Service Executive (http://www.pieta.ie/research/research-projects/#completed). Accessed 11 February 2015.Google Scholar
Tsai, J, Salyers, MP (2010). Recovery orientation in hospital and community settings. The Journal of Behavioural Health Science and Research 37, 385–399.Google Scholar
Williams, J, Leamy, M, Bird, V, Harding, C, Larsen, J, Le Boutillier, C, Oades, L, Slade, M (2012). Measures of the recovery orientation of mental health services: systematic review. Social Psychiatry and Psychiatric Epidemiology 47, 1827–1835.Google Scholar