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Implementing Recovery-based Care: Tangible Guidance for SMHAs - page 31 / 44





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NASMHPD/NTAC e-Report on Recovery – Fall 2004

SMHA) were then surveyed on the administrative data items as to (a) the feasibility of implementing each, (b) the importance of each for improving system recovery orientation, (c) whether or not the data articulated in the definition was currently being collected, and (d) specific comments on each. Nine SMHAs and three NAC/SMHA members responded.  Through a series of teleconferences the research team evaluated each measure as to importance rating, feasibility rating and comments.

These analyses led to further refinement with a concentrated effort towards parsimony, resulting in 42 self-report items being crafted into an adult consumer self-report survey, and 23 administrative-data items into an authority/provider profile for the Recovery Oriented System Indicators (ROSI) measure. A factor analysis of the 42 self-report items resulted in domains of Person-Center Decision-Making & Choice, Invalidated Personhood, Self-Care & Wellness, Basic Life Resources, Meaningful Activities & Roles, Peer Advocacy, Staff Treatment Knowledge, and Access. The 23 administrative-data items also include the domains of Peer Support, Staffing Ratios, Consumer Inclusion in Governance, and Coercion.

The ROSI bridges the gap between the principles of recovery and self-help—choice, hope, purpose, relationships, self-determination, empowerment, citizenship, resources, opportunities—and the real-world application of these principles in the everyday work of staff and service systems. The ROSI is targeted for large-scale pilot testing. A subset of these items are being incorporated into the Mental Health Statistics Improvement Program Quality Report Version 2.0, the Decision Support 2000+ and other national data collection requirements in order to generate comparable data across state and local mental health systems.

For further information: The Phase One Technical Report, a.k.a. Mental Health Recovery: What Helps and What Hinders? A National Research Project for the Development of Recovery Facilitating System Performance Indicators, is available through NTAC at www.nasmhpd.org/publications.cfm#techreports The Phase Two Technical Report is being written and NTAC hopes to release this by the end of the calendar year. If you are interested in serving as a site for the pilot test, please contact Steven Onken at so280@columbia.edu

NASMHPD/NTAC e-Report on Recovery – Fall 2004

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