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
Clair Le Boutillier
MIKE SLADE M.SLADE@NOTTINGHAM.AC.UK
Professor in Mental Health Recovery and Social Inclusion
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|
|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|
|Keywords||clinical recovery, personal recovery|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0|
AFD SR REFOCUS Clinical recovery outcomes.pdf
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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