title: Development of Measures to Assess Personal Recovery in Young People Treated in Specialist Mental Health Services.
abstract: BACKGROUND
  Recovery has become a central concept in mental health service delivery, and several recovery-focused measures exist for adults. The concept's applicability to young people's mental health experience has been neglected, and no measures yet exist. Aim The aim of this work is to develop measures of recovery for use in specialist child and adolescent mental health services.
  
  
  METHODS
  On the basis of 21 semi-structured interviews, three recovery measures were devised, one for completion by the young person and two for completion by the parent/carer. Two parent/carer measures were devised in order to assess both their perspective on their child's recovery and their own recovery process. The questionnaires were administered to a UK sample of 47 young people (10-18 years old) with anxiety and depression and their parents, along with a measure used to routinely assess treatment progress and outcome and a measure of self-esteem.
  
  
  RESULTS
  All three measures had high internal consistency (alpha ≥ 0.89). Young people's recovery scores were correlated negatively with scores on a measure used to routinely assess treatment progress and outcome (r = -0.75) and positively with self-esteem (r = 0.84). Parent and young persons' reports of the young person's recovery were positively correlated (r = 0.61). Parent report of the young person's recovery and of their own recovery process were positively correlated (r = 0.75).
  
  
  CONCLUSIONS
  The three measures have the potential to be used in mental health services to assess recovery processes in young people with mental health difficulties and correspondence with symptomatic improvement. The measures provide a novel way of capturing the parental/caregiver perspective on recovery and caregivers' own wellbeing.
  
  
  CONCLUSIONS
  No tools exist to evaluate recovery-relevant processes in young people treated in specialist mental health services. This study reports on the development and psychometric evaluation of three self-report recovery-relevant assessments for young people and their caregivers. Findings indicate a high degree of correspondence between young person and caregiver reports of recovery in the former. The recovery assessments correlate inversely with a standardized symptom-focused measure and positively with self-esteem.
authors.affiliation: Child and Family Mental Health Services, Sussex Partnership NHS Foundation Trust, Chichester, UK.|School of Psychology, University of Surrey, Guildford, UK.
authors.forename: Mary
authors.initials: M
authors.lastname: John
authors.affiliation: School of Psychology, University of Surrey, Guildford, UK.|Psychosocial Services, Great Ormond Street Hospital, London, UK.
authors.forename: Fiona W
authors.initials: FW
authors.lastname: Jeffries
authors.affiliation: School of Psychology, University of Surrey, Guildford, UK.
authors.forename: Marcela
authors.initials: M
authors.lastname: Acuna-Rivera
authors.affiliation: School of Psychology, University of Surrey, Guildford, UK.
authors.forename: Fiona
authors.initials: F
authors.lastname: Warren
authors.affiliation: School of Psychology, University of Surrey, Guildford, UK.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Simonds
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D017028:Caregivers; D002648:Child; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008605:Mental Health Services; D010290:Parents; D011594:Psychometrics; D012649:Self Concept; D057566:Self Report; D011795:Surveys and Questionnaires / Q000592:standards*; D016896:Treatment Outcome; D006113:United Kingdom
keywords: Adolescent; Child; Measure; Mental Health; Parent; Recovery