The Mental Health Recovery Measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illness
Within clinical psychiatry, recovery from severe mental illness has classically been defined according to symptoms and function (service-based recovery). However, service-users have argued that recovery should be defined as the process of overcoming mental illness, regaining self-control and establi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2016-11-01
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| Series: | Frontiers in Psychology |
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| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.01679/full |
| _version_ | 1819108020620099584 |
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| author | Albino J Oliveira-Maia Albino J Oliveira-Maia Albino J Oliveira-Maia Albino J Oliveira-Maia Carina Mendonça Marta Camacho Maria João Pessoa Joaquim Gago Joaquim Gago |
| author_facet | Albino J Oliveira-Maia Albino J Oliveira-Maia Albino J Oliveira-Maia Albino J Oliveira-Maia Carina Mendonça Marta Camacho Maria João Pessoa Joaquim Gago Joaquim Gago |
| author_sort | Albino J Oliveira-Maia |
| collection | DOAJ |
| description | Within clinical psychiatry, recovery from severe mental illness has classically been defined according to symptoms and function (service-based recovery). However, service-users have argued that recovery should be defined as the process of overcoming mental illness, regaining self-control and establishing a meaningful life (customer-based recovery). Here we aimed to compare customer-based and service-based recovery and clarify their differential relationship with other constructs, namely needs and quality of life. The study was conducted in 101 patients suffering from severe mental illness, recruited from a rural community mental health setting in Portugal. Customer-based recovery and function-related service-based recovery were assessed respectively using a shortened version of the Mental Health Recovery Measure (MHRM-20) and the Global Assessment of Functioning score. The Camberwell Assessment of Need scale was used to objectively assess needs, while subjective quality of life was measured with the TL-30s scale. Using multiple linear regression models, we found that the Global Assessment of Functioning score was incrementally predictive of the MHRM-20 score, when added to a model including only clinical and demographic factors, and that this model was further incremented by the score for quality of life. However, in an alternate model using the Global Assessment of Functioning score as the dependent variable, while the MHRM-20 score contributed significantly to the model when added to clinical and demographic factors, the model was not incremented by the score for quality of life. These results suggest that, while a more global concept of recovery from severe mental illness may be assessed using measures for service-based and customer-based recovery, the latter, namely the MHRM-20, also provides information about subjective well-being. Pending confirmation of these findings in other populations, this instrument could thus be useful for comprehensive assessment of recovery and subjective well-being in patients suffering from severe mental illness. |
| first_indexed | 2024-12-22T03:03:18Z |
| format | Article |
| id | doaj.art-441696dd52ef4343b579c28b973303fa |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-22T03:03:18Z |
| publishDate | 2016-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-441696dd52ef4343b579c28b973303fa2022-12-21T18:41:07ZengFrontiers Media S.A.Frontiers in Psychology1664-10782016-11-01710.3389/fpsyg.2016.01679210927The Mental Health Recovery Measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illnessAlbino J Oliveira-Maia0Albino J Oliveira-Maia1Albino J Oliveira-Maia2Albino J Oliveira-Maia3Carina Mendonça4Marta Camacho5Maria João Pessoa6Joaquim Gago7Joaquim Gago8Champalimaud Centre for the UnknownChampalimaud Center for the UnknownCentro Hospitalar de Lisboa OcidentalNOVA School of Medicine | Faculdade de Ciências Médicas, Universidade Nova de LisboaCentro Hospitalar da Cova da BeiraChampalimaud Centre for the UnknownCentro Hospitalar da Cova da BeiraCentro Hospitalar de Lisboa OcidentalNOVA School of Medicine | Faculdade de Ciências Médicas, Universidade Nova de LisboaWithin clinical psychiatry, recovery from severe mental illness has classically been defined according to symptoms and function (service-based recovery). However, service-users have argued that recovery should be defined as the process of overcoming mental illness, regaining self-control and establishing a meaningful life (customer-based recovery). Here we aimed to compare customer-based and service-based recovery and clarify their differential relationship with other constructs, namely needs and quality of life. The study was conducted in 101 patients suffering from severe mental illness, recruited from a rural community mental health setting in Portugal. Customer-based recovery and function-related service-based recovery were assessed respectively using a shortened version of the Mental Health Recovery Measure (MHRM-20) and the Global Assessment of Functioning score. The Camberwell Assessment of Need scale was used to objectively assess needs, while subjective quality of life was measured with the TL-30s scale. Using multiple linear regression models, we found that the Global Assessment of Functioning score was incrementally predictive of the MHRM-20 score, when added to a model including only clinical and demographic factors, and that this model was further incremented by the score for quality of life. However, in an alternate model using the Global Assessment of Functioning score as the dependent variable, while the MHRM-20 score contributed significantly to the model when added to clinical and demographic factors, the model was not incremented by the score for quality of life. These results suggest that, while a more global concept of recovery from severe mental illness may be assessed using measures for service-based and customer-based recovery, the latter, namely the MHRM-20, also provides information about subjective well-being. Pending confirmation of these findings in other populations, this instrument could thus be useful for comprehensive assessment of recovery and subjective well-being in patients suffering from severe mental illness.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.01679/fullNeeds AssessmentQuality of LifeSchizophreniaRecoveryschizoaffective disorder |
| spellingShingle | Albino J Oliveira-Maia Albino J Oliveira-Maia Albino J Oliveira-Maia Albino J Oliveira-Maia Carina Mendonça Marta Camacho Maria João Pessoa Joaquim Gago Joaquim Gago The Mental Health Recovery Measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illness Frontiers in Psychology Needs Assessment Quality of Life Schizophrenia Recovery schizoaffective disorder |
| title | The Mental Health Recovery Measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illness |
| title_full | The Mental Health Recovery Measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illness |
| title_fullStr | The Mental Health Recovery Measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illness |
| title_full_unstemmed | The Mental Health Recovery Measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illness |
| title_short | The Mental Health Recovery Measure can be used to assess aspects of both customer-based and service-based recovery in the context of severe mental illness |
| title_sort | mental health recovery measure can be used to assess aspects of both customer based and service based recovery in the context of severe mental illness |
| topic | Needs Assessment Quality of Life Schizophrenia Recovery schizoaffective disorder |
| url | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.01679/full |
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