1. Recovery-Oriented Care in Long-Term Mental Health Settings: Relationship Between the Active Recovery Triad (ART) Model, Recovery-Oriented Care, and Recovery of Service Users.
- Author
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Zomer, Lieke, Voskes, Yolande, van Weeghel, Jaap, Widdershoven, Guy, Twisk, Jos, and van der Meer, Lisette
- Subjects
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PATIENT compliance , *MEDICAL care use , *SCALE analysis (Psychology) , *EFFECT sizes (Statistics) , *MENTAL health services , *RESEARCH funding , *LONG-term health care , *STATISTICAL sampling , *QUESTIONNAIRES , *HUMAN research subjects , *FUNCTIONAL assessment , *LONGITUDINAL method , *CONVALESCENCE , *RESEARCH , *INFORMED consent (Medical law) , *PSYCHIATRIC hospitals , *HEALTH outcome assessment , *PATIENT satisfaction , *SOCIODEMOGRAPHIC factors , *DATA analysis software - Abstract
Objective: The active recovery triad (ART) model provides guidelines for recovery-oriented care in long-term mental health care. The aim of this study is to evaluate whether compliance to the principles of the ART model is related to recovery-oriented care, service user recovery and satisfaction. Method: A prospective study was conducted including two measurements, in which we investigated compliance to the principles of the ART model (ART fidelity), recovery-oriented care as measured by the Recovery-Oriented Practices Index—Revised (ROPI-R) at team level (n = 18) and outcome measures on service user level (n = 101) related to personal recovery, social roles, level of functioning, clinical recovery, transition, and satisfaction. We used multilevel modeling to evaluate these relationships. Results: There was a significant association between active recovery triad (ART) fidelity and the ROPI-R. We did not find a significant association between overall ART fidelity and service user outcomes. Yet, we did find that higher ART fidelity in the domains "cooperation in the triad," "professionalization of staff," and "team structure" were related to improved clinical recovery, functioning, social roles, and performance of activities. However, higher ART fidelity in the domain "healing environment" was related to poorer functioning, and a higher score in the domain "safety and prevention of coercion" was related to poorer social roles and performance of activities. Conclusions and Implications for Practice: We can conclude that compliance to the principles of the ART model is related to recovery-oriented care, measured with the ROPI-R. In addition, the findings suggest that in particular elements in the ART model are related to meaningful recovery outcomes. Impact and Implications: The active recovery triad (ART) model provides guidance to care workers, teams, and organizations how to implement recovery-oriented care in long-term mental health practice. The findings of this study indicate the relation between the extent to which teams apply the principles of the ART model and recovery-oriented care according to the Recovery-Oriented Practices Index—Revised. Furthermore, the results indicate the relation between elements of the ART model and service user outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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