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Implementing Recovery-based Care: Tangible Guidance for SMHAs - page 24 / 44

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NASMHPD/NTAC e-Report on Recovery – Fall 2004

When the Recovery Advisory Group2 was formed in 1999, monthly teleconferences were held to discuss recovery issues. The discussions were based on the considerable experience of the group’s members and exchange and discourse of readings about recovery, both published and unpublished. It was the hope of the group’s CMHS funders that these discussions would lead to measurement of recovery.

However, the group focused on definition(s) of recovery, and realized that there needed to be a visual way of portraying recovery. Thus, The Recovery Model was developed, discussed, and revised until members of the group felt it truly portrayed a viable description of recovery.

There are several parts to the model [all parts of the Recovery Model are available on the Web at http://www.nasmhpd.org/spec_e-report_fall04measures.cfm]. The first shows a series of ovals to portray the stages one goes through on the way to recovery. These are shown as: anguish, awakening, insight, action plan, determination to be well, and well-being/recovery. The progress through these stages is not linear, but involves considerable moving back and forth, from one stage to another, and possibly backward when things aren’t going well. The ovals are arranged in a beginning spiral, to show that one can move through the spiral, and possibly start again, but maybe on a higher plane.

The second part of the model is a grid that shows these stages across the top, with internal and external domains down the left side. In the model, each “box” has a statement that describes recovery at that point in the journey. This grid became an important component in the development of the Recovery Measurement Tool. The third part of the model shows both negative and positive external influences on a person who is working on recovery. The fourth part summarizes the model by placing the person who is going through the stages in the center (represented by a circle) surrounded by both negative and positive external influences. This part is called “The Big Picture.”

The development of The Recovery Measurement Tool (RMT) was funded by the Center for the Study of Public Issues in Mental Health located in New York State. A group of consumers from Maine met and reviewed the Recovery Model, with special attention given to the grid with the descriptive statements about the stages of recovery. Using the grid, we developed one or more items for each of the intersecting boxes in the grid. For example, the item “There is hope for me even when I do not feel well,” is in the Insight/Emotional box. The item “I visit a number of places to see where I can make friends,” is in the Determined Commitment/Activities box.

The result, over a number of meetings, was the development of 100 items. While we worked on this project, we read and discussed information about how to write items—how they should have only one idea, and how they should be clearly written so that they

2 The Recovery Advisory Group consisted of the following consumer leaders: Jean Campbell, Ph.D., Sylvia Caras, Ph.D., Jeanne Dumont, Ph.D., Dan Fisher, M.D., Ph.D., J.Rock Johnson, J.D., Carrie Kaufmann, Ph.D., Kathryn Kidder, M.A., Ed Knight, Ph.D., Ann Loder, Darby Penny, Ruth Ralph, Ph.D., Jean Risman, Wilma Townsend, and Laura Van Tosh.

NASMHPD/NTAC e-Report on Recovery – Fall 2004

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