title: Recovery-oriented service provision and clinical outcomes in assertive community treatment.
abstract: OBJECTIVE
  While the term "recovery" is routinely referenced in clinical services and health policy, few studies have examined the relationship between recovery-oriented service provision and client outcomes. The present study was designed to examine the relationship between recovery-orientation of service provision for persons with severe mental illnesses and outcomes in Assertive Community Treatment (ACT).
  
  
  METHODS
  Client, family, staff, and manager ratings of service recovery-orientation and outcomes across a range of service utilization and community functioning indicators were examined among 67 ACT teams in Ontario, Canada.
  
  
  RESULTS
  Significant associations were found between ratings of recovery-oriented service provision and better outcomes in the domains of legal involvement, hospitalization days, education involvement, and employment. Results were not uniformly positive or consistent, however, across stakeholder Recovery Self-Assessment (RSA) ratings or outcomes.
  
  
  CONCLUSIONS
  These findings provide some preliminary support for an association between recovery-oriented service delivery for persons with severe mental illnesses and better outcomes. In line with the current practice commentary, this association would suggest the importance of evaluating and cultivating recovery-oriented values and practices in ACT contexts. This is a particularly salient point given that ACT standards minimally address key domains of recovery-oriented service provision. Further study is required, however, to determine if these findings apply to the implementation of ACT in other jurisdictions or generalize to other community support programs.
authors.affiliation: McMaster University, Hamilton, Ontario, Canada. sean_kidd@camh.net
authors.forename: Sean A
authors.initials: SA
authors.lastname: Kidd
authors.forename: Lindsey
authors.initials: L
authors.lastname: George
authors.forename: Maria
authors.initials: M
authors.lastname: O'Connell
authors.forename: John
authors.initials: J
authors.lastname: Sylvestre
authors.forename: Helen
authors.initials: H
authors.lastname: Kirkpatrick
authors.forename: Gina
authors.initials: G
authors.lastname: Browne
authors.forename: Adefowope O
authors.initials: AO
authors.lastname: Odueyungbo
authors.forename: Larry
authors.initials: L
authors.lastname: Davidson
mesh_terms: D000704:Analysis of Variance; D003156:Community Mental Health Services / Q000379:methods*; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000379:methods*; D004651:Employment / Q000523:psychology; D005190:Family; D006801:Humans; D007902:Length of Stay; D001523:Mental Disorders / Q000534:rehabilitation*; D009864:Ontario; D010043:Outcome and Process Assessment, Health Care / Q000379:methods*; D017060:Patient Satisfaction; D012647:Self-Assessment