Table 3 Coverage of inventory of transformation characteristics of recovery-oriented systems of care for measures of recovery-orientation of mental health services
Transformation characteristics of recovery-oriented systems of care | Recollect | REE (Organisational climate) | ROSA (Revision of RSA provider version) | RSA-R (provider version) |
|---|---|---|---|---|
How people receiving health services are viewed and treated by staff | ||||
1. People receiving health services are viewed and treated as unique individuals | 5 items | 1 item | 7 items | 6 items |
2. Human rights are respected | 1 item | 1 item | 1 item | 3 items |
3. Staff know about and expect recovery | all items | None | 3 items | All items |
How people receiving health services are included in the design, delivery, and evaluation of care | ||||
4. People in recovery have a voice in the system | 1 item | 1 item | None | 8 items |
5. Recovery advocacy community is a valuable ally | 1 item | None | 1 item) | 1 item |
6. Input is sought from service users and families | 1 item | 3 items | 3 items | 9 items) |
7. Peer supports are integrated | 3 items | None | 1 item | 2 items |
How care is planned, delivered, and improved on a continuous basis | ||||
8. Focus of care is on building a healthy and self-determined life in the community | 2 items | None | 1 item | 7 items |
9. Care is community-based and focused | 3 items | None | 1 item | 4 items |
10. There are trauma-informed crisis alternatives | None | None | 1 item | None |
11. Community life is encouraged | 2 items | None | None | 5 items |
12. Hope is instilled | all items | 1 item | 3 items | 2 items |
13. Care plans are based on each person’s life goals | None, but related 4 items | None | 6 items | 3 items |
14. Coercion is avoided | None | None | 1 item | 1 item |
15. Access to trusting relationships is emphasized | 1 item | None | None | 1 item |
16. Trauma is addressed | None | None | 1 item | None |
17. Families are involved | None | None | 1 item | 1 item |
18. Outcomes are assessed | None | None | None | 1 item |
19. QI and PM results are used to improve quality of care | None | 2 items | None | None |
20. Physical health is attended to | 1 item | None | None | None |
21. Attention is paid to enhancing social support | 1 item | 1 item | None | 2 items |
22. Staff pay attention to basic needs and social roles | 2 items | None | None | 3 items |
23. Staff address social & economic health determinants | None | None | None | None |
24. Staff collaborate with clients in addressing social & economic barriers | None | None | None | None |
25. Disparities are addressed | 1 item | None | 2 items | 2 items |
26. Staff ask for feedback | None | 2 items | None | 1 item |
27. System educates youth, adults, and family members on self-care | 1 item | None | None | None |
How transformation is led and managed | ||||
28. Leadership are engaged and action-oriented | None | None | None | None |
29. Leadership are strength-based and encourage risk taking | 1item | None | 1 item | 1 item |
30. Leadership emphasizes shared decision-making and collaborative care | 1 item | 1 item | 4 items | 3 items |
31. Workforce has been trained in recovery-oriented care | all items | None | None | None |
32. Workforce is culturally responsive | 2 items | None | 2 items | 5 items |