What Are the Personal Recovery Needs of Community-Dwelling Individuals with Mental Illness? Preliminary Findings from the Canadian Personal Recovery Outcome Measurement (C-PROM) Study
Publication: Canadian Journal of Community Mental Health
30 October 2018
Abstract
Personal recovery is an overarching goal that underpins mental health community support and clinical services in Canada. Surprisingly, little information is available about the personal recovery needs of community-dwelling Canadians with mental illness. The purpose of this study is to describe these needs in a sample of adults living in a large urban centre. We performed a multi-site cross-sectional survey of adults who receive community-based mental health services in an urban setting. Participants were asked to complete six patient-reported outcome (PRO) measures about personal recovery, hope, mastery, and depression. We used descriptive and correlational analyses to summarize the data according to an established evidence-based theoretical conceptualization of recovery. Two hundred and twenty-eight individuals participated in the study. Participants indicated high levels of self-reported empowerment and hope and optimism about the future. In contrast, participants reported low levels of perceived connectedness, identity, and meaning in life. In conclusion, this study identified that recovery-oriented PRO measures can improve our understanding of the needs and goals of individuals with mental illness and highlight the ways in which individuals can achieve a sense of meaning in life. Understanding the recovery needs of Canadians with mental illness may help foster recovery-oriented healthcare by bringing person-centred approaches to the point of treatment, so as to ensure greater quality and accountability of mental health services.
Résumé
Le rétablissement personnel est un objectif prioritaire qui sous-tend les services communautaires de soutien en santé mentale et les services cliniques au Canada. Étonnamment, on dispose de peu d’information sur les besoins en matière de rétablissement personnel des Canadiens atteints de troubles mentaux qui vivent dans la collectivité. L’objectif de la présente étude est de décrire ces besoins à l’aide d’une enquête réalisée auprès d’un échantillon d’adultes vivant dans une grande agglomération urbaine. Nous avons réalisé une enquête transversale multisite auprès d’adultes recevant des services communautaires de santé mentale en milieu urbain. On a demandé aux participants de remplir six rapports d’état de santé évaluant le rétablissement personnel, l’espoir, la maîtrise de soi et la dépression. Nous avons eu recours à des analyses descriptives et corrélationnelles pour résumer les données recueillies, et ce, suivant une conceptualisation théorique fondée sur des données factuelles de rétablissement. Deux cent ving-huit individus ont participé à l’étude. Les participants ont fait état de niveaux élevés d’autonomisation autodéclarée et exprimé de l’espoir et de l’optimisme pour l’avenir. À l’inverse, les participants ont fait état de faibles niveaux de perception d’affiliation, d’identité et du sens de la vie. En conclusion, la présente étude a permis de révéler que les rapports d’état de santé spécifiquement axés sur le rétablissement du patient peuvent améliorer notre compréhension des besoins et des aspirations des personnes atteintes de troubles mentaux et mettre en lumière les façons pour les individus de donner un sens à leur vie. La compréhension des besoins de rétablissement des Canadiens atteints de troubles mentaux peut contribuer à la mise en place de services en santé orientés vers le rétablissement du patient en favorisant l’adoption d’approches centrées sur la personne dans les lieux de traitement dans le but d’assurer une meilleure qualité et une plus grande responsabilité dans les services de santé mentale couramment prodigués.
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Canadian Journal of Community Mental Health
Volume 37 • Number 1 • May 2018
Pages: 29 - 47
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Version of record online: 30 October 2018
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Skye Pamela Barbic, Sean A. Kidd, Zachary T. Durisko, Rosemary Yachouh, Gausiha Rathitharan, and Kwame McKenzie. 2018. What Are the Personal Recovery Needs of Community-Dwelling Individuals with Mental Illness? Preliminary Findings from the Canadian Personal Recovery Outcome Measurement (C-PROM) Study. Canadian Journal of Community Mental Health.
37(1): 29-47. https://doi.org/10.7870/cjcmh-2018-005
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