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The relationship between clinical and recovery dimensions of outcome in mental health

Macpherson, Rob; Pesola, Francesca; Leamy, Mary; Bird, Victoria; Le Boutillier, Clair; Williams, Julie; Slade, Mike

Authors

Rob Macpherson

Francesca Pesola

Mary Leamy

Victoria Bird

Clair Le Boutillier

Julie Williams

MIKE SLADE M.SLADE@NOTTINGHAM.AC.UK
Professor in Mental Health Recovery and Social Inclusion



Abstract

Background: Little is known about the empirical relationship between clinical and personal recovery.

Aims: To examine whether there are separate constructs of clinical recovery and personal recovery dimensions of outcome, how they change over time and how they can be assessed.

Method: Standardised outcome measures were administered at baseline and one-year follow-up to participants in the REFOCUS Trial (ISRCTN02507940). An exploratory factor analysis was conducted and a confirmatory factor analysis assessed change across time.

Results: We identified three factors: patient-rated personal recovery, patient-rated clinical recovery and staff-rated clinical recovery. Only the personal recovery factor improved after one year. HHI, CANSAS-P and HoNOS were the best measures for research and practice.

Conclusions: The identification of three rather than two factors was unexpected. Our findings support the value of concurrently assessing staff and patient perceptions of outcome. Only the personal recovery factor changed over time, this desynchrony between clinical and recovery outcomes providing empirical evidence that clinical recovery and personal recovery are not the same. We did not find evidence of a trade-off between clinical recovery and personal recovery outcomes. Optimal assessment based on our data would involve assessment of hope, social disability and patient-rated unmet need.

Journal Article Type Article
Publication Date Oct 31, 2015
Journal Schizophrenia Research
Print ISSN 0920-9964
Electronic ISSN 1573-2509
Publisher Elsevier
Peer Reviewed Peer Reviewed
APA6 Citation Macpherson, R., Pesola, F., Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2015). The relationship between clinical and recovery dimensions of outcome in mental health. Schizophrenia Research, doi:10.1016/j.schres.2015.10.031
DOI https://doi.org/10.1016/j.schres.2015.10.031
Keywords clinical recovery, personal recovery
Publisher URL http://www.sciencedirect.com/science/article/pii/S0920996415300311
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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AFD SR REFOCUS Clinical recovery outcomes.pdf (283 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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