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Beyond Mental Health Maintenance: An Evaluation Framework Driven by Recovery-Focused Outcomes

Publication: Canadian Journal of Community Mental Health
15 December 2009

Abstract

Evaluations of mental health outcomes have traditionally focused on indicators of mental health maintenance and stability. Although many jurisdictions in Canada are incorporating the principles of recovery into mental health services, evaluation practices and accountability frameworks have not kept pace with this shift in thinking. In our local regions of Waterloo and Wellington-Dufferin, Ontario, an innovative partnership between mental health agencies and consumer organizations has developed to apply principles of recovery to system-wide case management. In this article we describe the development of a comprehensive logic model framework designed to assess the impact of system-wide changes to practice. The model is grounded in the experiences, needs, and expectations of service users. This framework positions recovery-focused outcomes as alternatives to maintenance-based outcomes and as central to knowledge development and accountability in mental health systems.

Résumé

Les évaluations des résultats en matière de santé mentale portent traditionnellement sur les indicateurs de maintient et de stabilité de la santé mentale. Bien que plusieurs juridictions canadiennes incorporent les principes de rétablissement aux services de santé mentale, les pratiques d'évaluation et les cadres de responsabilité n'ont pas suivi cette progression. Un partenariat innovateur entre des agences de santé mentale et des organismes de défense des personnes avec un vécu psychiatrique, appliquant les principes de rétablissement à la gestion de cas, a été développé dans les régions de Waterloo et Wellington-Dufferin en Ontario. Dans cet article, nous décrivons le développement d'un cadre global, axé sur un modèle logique, conçu pour évaluer l'impact des modifications de pratiques au niveau systémique. Ce modèle prend compte des expériences, des besoins et des attentes des utilisateurs et utilisatrices des services. Ce cadree propose les résultats centrés sur le rétablissement comme alternative aux résultats centrés sur le maintient de la santé mentale et comme étant central au développement de la connaissance et à la responsabilité dans les systèmes de santé mentale.

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cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 28Number 2September 2009
Pages: 73 - 94

History

Version of record online: 15 December 2009

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D. Jason Newberry
Centre for Community Based Research
Allan D. Strong

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