Instruments for measuring mental health recovery: a systematic review.
Persons in recovery, providers, and policymakers alike are advocating for recovery-oriented mental health care, with the promotion of recovery becoming a prominent feature of mental health policy in the United States and internationally. One step toward creating a recovery-oriented system of care is to use recovery-oriented outcome measures. Numerous instruments have been developed to assess progress towards mental health recovery. This review identifies instruments of mental health recovery and evaluates the appropriateness of their use including their psychometric properties, ease of administration, and service-user involvement in their development. A literature search using the Medline and Psych-INFO databases was conducted, identifying 21 instruments for potential inclusion in this review, of which thirteen met inclusion criteria. Results suggest only three instruments (25%) have had their psychometric properties assessed in three or more unique samples of participants. Ease of administration varied between instruments, and for the majority of instruments, development included service user involvement. This review updates and expands previous reviews of instruments to assess mental health recovery. As mental health care continues to transform to a recovery-oriented model of service delivery, this review may facilitate selection of appropriate assessments of mental health recovery for systems to use in evaluating and improving the care they provide.
San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, 9500 Gilman Drive, San Diego, CA 92093-0994, United States. Electronic address: masklar@ucsd.edu.
Marisa
M
Sklar
Erik J
EJ
Groessl
Maria
M
O'Connell
Larry
L
Davidson
Gregory A
GA
Aarons
D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011594:Psychometrics / Q000379:methods; D016896:Treatment Outcome
Assessment; Mental health recovery; Reliability; Review; Service-user involvement; Validity