Mental Disorders, Recovery
Conditions
Keywords
recovery program
Brief summary
Recovery-oriented services are becoming popular in the mental health field. However, recovery-oriented services are still in the beginning stages in Taiwan. Many professionals do not know how to implement recovery-oriented services. More effort should be made to improve mental health services in Taiwan. Hence, the aim of this study is to examine the effectiveness of the Grow to Recovery Train-the-Trainer program.
Detailed description
The study will verify the effectiveness of the Train-the-Trainer program with the cluster randomized controlled trial design. The resesarchers will recruit 10 psychiatric rehabilitation organizations, including 80 mental health professionals and 160 people with mental illness. The professionals of the intervention group will receive a online training and then conduct a 5-month recovery group. The organization-level and service user assessments will be collected to examine the overall outcomes.
Interventions
Mental health professionals will receive an online training, a trainer manual, a recovery manual (for people with mental illness), and Pathways to Recovery: A Strengths Recovery Self-help Workbook. The online training includes the concept of recovery, the implementation of recovery-oriented services, and the introduction of the Grow to recovery group. After the training, these professionals will conduct a 5-month Grow to recovery group in their own organization. People with mental illness will attend the Grow to recovery group delivered by mental health professionals who has received the online training.
Mental health professionals will not receive any training. People with mental illness will receive a spiritual book and read by themselves.
Sponsors
Study design
Eligibility
Inclusion criteria
Professionals: 1. working in the community psychiatric rehabilitation organizations 2. being willing to participate in the study People with mental illness 1. having a diagnosis of mental illness 2. living in the community 3. being age 20 yr or older 4. receiving services from the collaborating organizations 5. filling out the scales independently 6. being able to participate in a recovery group and follow the group rules
Exclusion criteria
* attending another recovery-related group
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Brief Symptom Rating Scale-50 (change will be assessed) | Change from Baseline BSRS-50 score at 6 months | A BSRS-50 scale comprises 50 items, which best reflect the original ten symptom dimensions and three indices of psychopathology from the SCL-90-R. |
| Recovery Self Assessment (change will be assessed) | Change from Baseline RSA score at 6 months | The RSA will be used to examine participants' perceptions of the degree to which the organization follows recovery principles. The researchers will collect data from professionals and people with mental illness. |
| Recovery-Promoting Relationships Scale (change will be assessed) | Change from Baseline RPRS score at 6 months | The RPRS measures the recovery competence of practitioners from the perspectives of people with mental illness. |
| Recovery-Promoting Competence Scale (change will be assessed) | Change from Baseline RPCS score at 1.5 month, and 6 months | The RPCS measures the recovery competence of practitioners and is a self-report scale. |
| Recovery Attitudes Measure (change will be assessed) | Change from Baseline RAM score at 1.5 month, and 6 months | The RAM measures the knowledge and attitudes toward recovery. |
| Stages of Recovery Scale (change will be assessed) | Change from Baseline SRS score at 6 months | The SRS scale consists of 45 items, with six subscales: the sense of hope, disability management/taking responsibility, regaining autonomy, social functioning/role performance, overall well-being, and willingness to help. |
| Rosenberg Self-Esteem Scale (change will be assessed) | Change from Baseline RSE score at 6 months | The purpose of the 10-item RSE scale is to measure self-esteem. |
| Medical Outcomes Study Social Support Survey (change will be assessed) | Change from Baseline MOS-SS score at 6 months | The Medical Outcomes Study Social Support Survey (MOS-SS) is a multidimensional, self-administered instrument that addresses all five functions of an interpersonal relationship to assess the various functional dimensions of social support, including emotional , informational, tangible, affectionate, and positive interaction (Sherbourne & Stewart, 1991). |
| The Hope Scale (change will be assessed) | Change from Baseline THS score at 6 months | A 12-item THS scale measures level of sense of hope. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Qualitative data | At 6 month | The researchers will conduct focus groups with professionals of the intervention group after completing the 5-month recovery group. Those qualitative data will be transcribed and analyzed. |
Countries
Taiwan