29 research outputs found
The relationship between clinical and recovery dimensions of outcome in mental health
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
The Livingston scheme A ten year review
1.00SIGLELD:8210.05(43) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Review of police training Report of a working party of the police advisory board for Scotland
SIGLELD:GPB-2661 / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Noise nuisance in the home An information booklet
SIGLELD:83/14309(Noise) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Noise nuisance in the home An information booklet
LD:83/37062(Noise) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo
Scottish health authorities: priorities for the 80's
4.80SIGLELD:GP--80/HH(SC) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Services for the elderly
4.50SIGLELD:8210.05(42) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Health services research register 1983
SIGLELD:4275.1253(1983) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Decision making The whooping cough dilemma
SIGLELD:6175.705(8) / BLDSC - British Library Document Supply CentreGBUnited Kingdo
Promoting health and safety at work
SIGLELD:6175.705(7) / BLDSC - British Library Document Supply CentreGBUnited Kingdo