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Mental Health Rehabilitation and Recovery

Last update: 7 December 2012,
by Maureen Bell



I've interpreted this area broadly to include a variety of topics. Lists of books and journal articles on social skills, vocational rehabilitation and activities of daily living can be found on my bibliographies and reading lists page. There is also a separate section on books and articles on recovery

Library members have online access to the following journals which may be of interest for this subject. You'll find them in the e-Journals A-Z list at the top right of this page.

American Journal of Psychiatric Rehabilitation
International Journal of Psychosocial Rehabilitation
International Journal of Therapy and Rehabilitation
Journal of Rehabilitation
Journal of Social Work in Disability and Rehabilitation
Neuropsychological Rehabilitation
Psychiatric Rehabilitation Journal
Rehabilitation Counseling Bulletin
Rehabilitation Psychology


Recovery Rating Scales

These two volumes contain many recovery measures, as well as notes on their use and reliability.

Can We Measure Recovery? A Compendium of Recovery and Recovery-Related Instruments
Prepared by Ruth O. Ralph, Kathryn Kidder, and Dawna Phillips. Cambridge MA, Human Services Research Institute (HSRI), June 2000.
The actual recovery measures are available in Appendices B and C

Appendix B: Recovery Measures.........................................................................42

1. Crisis Hostel Healing Scale ..........................................................................42
2. Recovery Assessment Scale ............................................................................52
3. Rochester Recovery Inquiry ...........................................................................56
Ohio Measures
4. Recovery Interview....................................................................................73
5. Recovery Attitudes Questionnaire .....................................................................80
6. Personal Vision of Recovery Questionnaire ............................................................86
7. Agreement with Recovery Attitudes Scale ..............................................................90
8. Mental Health Recovery Measure .......................................................................93

Appendix C: Recovery-Related Measures ................................................................106

1. Leadership Education and Training Program: Post-Placement Assessment .................................106
2. Well-Being Scale......................................................................................113
3. Mental Health Confidence Scale........................................................................168
4. Herth Hope Index......................................................................................171
5. Hope Scale ...........................................................................................174
6. Staff Relationships Scale.............................................................................178
7. Making Decisions Empowerment Scale....................................................................181
8. UCLA Loneliness Scale, Version 3......................................................................192
9. Personal Empowerment Scale ...........................................................................198
10. Organizational Empowerment Scale......................................................................204
11. Extra-Organizational Empowerment Scale................................................................216
12. Community Living Skills Scale.........................................................................219

Measuring the Promise: A Compendium of Recovery Measures, Volume II
Prepared by: Theodora Campbell-Orde, Judi Chamberlin,Jenneth Carpenter (Corresponding Author), and H. Stephen Leff. Cambridge MA, Human Services Research Institute (HSRI), September 2005.
The actual recovery measures are available in Appendix D

Appendix D: Instruments and Materials .................................................................................. 111

Measures of Individual Recovery ....................................................................................... 111
1. Consumer Recovery Outcomes System Version 3(CROS) ................................................. 112
2. Illness Management and Recovery ................................................................................. 124
3. Mental Health Recovery Measure (MHRM) ..................................................................... 133
4. Ohio Mental Health Consumer Outcomes System ............................................................ 136
5. Peer Outcomes Protocol (POP) ..................................................................................... 150
6. Reciprocal Support Scale .............................................................................................. 192
7. Recovery Assessment Scale (RAS) ................................................................................. 194
8. Recovery Measurement Tool Version 4 (RMT) ............................................................... 198
9. Relationships and Activities that Facilitate Recovery (RAFRS) ............................................ 205

Measures of Recovery Promoting Environments .................................................................. 209
1. AACP Recovery Oriented Services Evaluation (AACP-ROSE) ........................................... 209
2. Recovery Enhancing Environment Scale (REE) ................................................................. 213
3. Recovery Oriented Systems Indicators (ROSI) ................................................................. 229
4. Recovery Self-Assessment (RSA) ................................................................................... 244

Australian Links

Evaluation of the Integrated Rehabilitation and Recovery Care Program
By David Abelló, Karen R. Fisher and Tomasz Sitek.Social Policy Research Centre, University of New South Wales, May 2010.
SPRC Report 2/10

Let's Get to Work: A national mental health employment strategy for Australia
Mental Health Council of Australia, November 2007.

Mental Health Peer Supported Hospital-to-Home Project: Report on the pilot period June - August, 2006
Final 6th September 2006. Prepared by Sharon Lawn, Ann Smith and Kelly Hunter, on behalf of the Peer Support Team. Submitted to the Southern Adelaide Health Service Mental Health Directorate & Mental Health Care Improvement Initiative (MHCII) Department of Health - Mental Health Unit.

Mental Health Recovery Philosophy Into Practice - A workforce development guide
Mental Health Coordinating Council, 2008.

Pathways of Recovery: 4As Framework for Preventing Further Episodes of Mental Illness
Prepared by Debra Rickwood for the National Mental Health Promotion and Prevention Working Party, November 2005. This document presents a framework to inform policy, programs and practice for continuing care to prevent further episodes of mental illness for people who have been seriously affected by mental illness. The basic elements of the framework are the 4As: awareness, anticipation, alternatives and access.

Pathways of Recovery: Preventing Further Episodes of Mental Illness (Monograph)
Prepared by Debra Rickwood for the National Mental Health Promotion and Prevention Working Party, November 2005. This monograph considers the role of relapse prevention within the recovery process for people who have been seriously affected by mental illness.

Pathways of Recovery: Report of the National Consultation on Preventing Further Episodes of Mental Illness
Prepared by Debra Rickwood and Susan Mitchell for the National Mental Health Promotion and Prevention Working Party, November 2005.This report describes the national consultation undertaken in 2004 on the role of relapse prevention in the recovery process for people who have been seriously affected by mental illness.

Perspective - 7 May 2008 - Daniel Fisher
Daniel Fisher is the Director of the National Empowerment Center in the United States. This is a transcript of the interview by Paul Barclay on ABC Radio National.

Psychiatric Disability Rehabilitation and Support Services. Guidelines for Service Delivery
Mental Health Branch, Metropolitan and Aged Care Division, Department of Human Services (Victoria), February 2003.

Psychosocial Rehabilitation Support Services Standards
Written and produced for the S.A. Department of Health by Quality Management Services, 2008.

A Recovery Vision for Rehabilitation: Psychiatric rehabilitation policy and strategic framework
Office of Mental Health, Government of Western Australia, September 2004.

Sharing Responsibility for Recovery: creating and sustaining recovery oriented systems of care for mental health.
Queensland Health, June 2005.

Social Inclusion: Its Importance to Mental Health
By Rachel Merton and Jenna Bateman. Rozelle, Mental Health Coordinating Council, June 2007.

Standards for Psychiatric Disability Rehabilitation and Support Services
Victoria, Department of Human Services, 2004.

Wellness Guide: A Resource to Support the Recovery Journey
The Wellness Guide was developed in partnership between the Sydney West Area Mental Health Service Consumer Network and mental health clinicians. Sydney West Area Health Service – Mental Health Network, January 2008.

Working on Strengths ... the Evidence So Far: Models of assistance by mental health community organisations and evidence of their effectiveness
By Jonine Penrose-Wall, and Jenna Bateman. Pre-release draft for expert peer review, 2007 udate and sector nomination of further studies. Rozelle, Mental Health Co-ordinating Council, 2006. Working on Strengths is based on an MHCC Evidence Audit of the international literature of evaluated psychosocial rehabilitation, resilience and recovery programs.

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Overseas Links

100 Ways to Support Recovery: A guide for mental health professionals
By Mike Slade. Rethink, May 2009.
Rethink Recovery Series Vol. 1
The full text of additional material is available at Rethink Reports A-Z

Being There: A Peer Support Service for Older Adults with Mental Illness
By Jane Briscoe, David Orwin, Laura Ashton, and Jim Burdett. Auckland: Mental Health Workforce Development Programme, 2005.

Blackthorn Garden Project: Community Care in the Context of Primary Care
By Julia Nehring and Robert Gareth Hill, Sainsbury Centre for mental Health, 1995. This is a study of a supportive work project in a primary care setting.

A Common Purpose: Recovery in future mental health services
This joint position paper is the result of a collaboration between the Care Services Improvement Partnership (CSIP), Royal College of Psychiatrists (RCPsych) and Social Care Institute for Excellence (SCIE). It is intended to make a positive and supportive contribution to the development of ideas, planning, service development and practice based on contemporary concepts of recovery.
SCIE Position paper 08, June 2007

Connect and Include: An exploratory study of community development and mental health
By Patience Seebohm and Alison Gilchrist. National Social Inclusion Programme, National Institute for Mental Health In England, 2008.

The Contribution of Self-Direction to Improving the Quality of Mental Health Services
By Vidhya Alakeson. U.S. Department of Human Services, Office of Disability, Aging and Long-Term Care Policy, November 2007.

Down Your Street: Models of Extended Community Support Services for People with Mental Health Problems
By L Warner, R Ford, S Bagnall, S Morgan, C McDaid, and S Mawhinney. Sainsbury Centre for Mental Health, July 1998. Voluntary sector-run community support services increasingly form part of the spectrum of care in the UK. Aimed at health and local authority purchasers, providers of support services, and mental health professionals working with them, this report describes different models of social and practical support.

Ecotherapy: The Green Agenda for Mental Health
With this report Mind calls for a new green agenda for mental health, following growing evidence in support of an accessible, cost-effective and natural addition to existing treatment options - ecotherapy.

Employment and Mental Health : Assessing the Economic Impact and the Case for Intervention
MHEEN Policy Brief 5, January 2008.
The Mental Health Economics European Network (MHEEN) is a 31-country partnership coordinated by the London School of Economics and Mental Health Europe.

Evaluation of the Scottish Recovery Indicator Pilot in Five Health Board Areas in Scotland
By Joanne McLean and Indiya Whitehead. Scottish Government Social Research, October 2008.

Exploring Peer Support as an Approach to Supporting Self Management - feasibility study report
London, Mental Health Foundation, March 2012.

From Segregation to Inclusion: Commissioning Guidance on Day Services for People with Mental Health Problems
National Inclusion Programme; National Institute for Mental Health in England (NIMHE), Care Services Improvement Partnership (CSIP), February 2006 .

Getting Back Into the World: Reflections on Lived Experiences of Recovery
Sarah Ajayi, Terry Bowyer, Alice Hicks, John Larsen, Peter Mailey, Ruth Sayers, Roger Smith and two anonymous authors. London, Rethink, 2009.
Rethink Recovery Series, Vol. 2

A Good Choice for Mental Health
By Jennifer Rankin. London, Institute for Public Policy Research, 2005.
Mental Health in the Mainstream. Working Paper 3.

How Consumers Step Up to Design a Truly Recovery-based Mental Health System
By Daniel Fisher. National Council Magazine, vol. 3, 2007

How Do Service Users Account for Their Recovery From Serious Mental Illness
By Chris Tandy. A dissertation submitted towards the degree of MSc in Psychosocial Interventions. University of Sheffield, School of Health and Related Research, 2003.

Implementing Recovery: A Methodology for Organisational Change
By Geoff Shepherd, Jed Boardman, and Maurice Burns. Sainsbury Centre Position Paper, 2009.

Inclusive Livable Communities for People with Psychiatric Disabilities
Washington D.C., National Council on Disability, March 17, 2008.

The Journey to Recovery - the Government's Vision for Mental Health Care
A policy document from the Department of Health in the UK, November 2001.

Learning For Life: Adult Learning, Mental Health And Wellbeing
The report shows that education programmes provide a simple, low cost way of helping people to reduce symptoms of mild to moderate depression and anxiety. This type of service, within primary care settings, could be used for some people as an alternative to other treatments such as medication. Written by Dan Robotham, Kirsten Morgan and Karen James. London, Mental Health Foundation, April 2011.

Mental Health and Social Inclusion
By Jennifer Rankin. London, Institute for Public Policy Research, 2005.
Mental Health in the Mainstream. Working Paper 2.

Mental Health in the Mainstream
By Jennifer Rankin. London, Institute for Public Policy Research, 2005.

Mental Health National Service Framework (Wales) edition
I've included this document in this section as it deals with facilitating social inclusion, empowerment, and promotion of opportunities for a normal pattern of life, for those with a mental health problem.

Mental Health Recovery
A web site made possible as part of a mental health recovery grant funded by the Ohio Department of Mental Health, and the Hamilton County Community Mental Health Board. Of particular interest are the sections on best practices, and online articles and reports.

National Consensus Statement on Mental Health Recovery
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, January 2006.

Peer Support: A Theoretical Perspective
By Shery Mead, David Hilton, and Laurie Curtis

Peer Support: What Makes It Unique?
By Shery Mead, and Cheryl MacNeil, December 2004. Shery Mead is a peer support trainer and author.

Personal Assistance in Community Existence: A Recovery Guide: Recovery at your own PACE
By Laurie Ahern and Daniel Fisher. National Empowerment Center, 1999.

Physical Health - Physical Health
Practical resources for mental health professionals from Rethink Mental Illness in the U.K. This project was designed to help combat physical health inequalities facing people with severe mental illness.

Promoting Independence of People with Disabilities Due to Mental Disorders
Promoting Independence of People with Disabilities Due to Mental Disorders: A Guide for Rehabilitation in Primary Health Care, by H. Sell, and V. Nagaswami. Geneva, World Health Organization, 1997.

Psychosocial Rehabilitation: A Consensus Statement (World Health Organization. Division of Mental Health and Prevention of Substance Abuse) 1996
This statement was produced by WHO with the collaboration of the World Association for Psychosocial Rehabilitation and the participation of experts from countries in several WHO regions.

Publications: Employment - Sainsbury Centre for Mental Health
Free full text of a number of reports and policy documents.

Recovering Ordinary Lives: The strategy for occupational therapy in mental health services 2007-2017
Produced by the College of Occupational Therapists in the UK in December 2006, this strategy identifies clearly the unique contribution of occupational therapy within mental health services and provides direction for the development of the profession in this field. Three documents are available: A vision for the next ten years, the Literature review and Results from service user and carer focus groups.

The recovery approach in community-based vocational and training adult mental health day services
Systematic map report 2, by Sarah Carr, and Janet Clapton. Social Care Institute for Excellence, July 2007.

Recovery Begins with Hope
By Su Maddock and Sophy Hallam. National School of Government, 2010.

Recovery Competencies for New Zealand Mental Health Workers
This resource was researched and written for the Mental Health Commission by Mary O'Hagan. Wellington, N.Z., Mental Health Commission, March 2001.

Recovery in Action
Recovery in Action was a two-year service improvement project developed, with Section 64 funding from the Department of Health, by the Strategic Network for Mental Health (SNMH). The SNMH is a service provider alliance formed in 2002 by four medium-sized voluntary sector mental health provider organisations: Advance, Mind in Birmingham, Second Step and Sussex Oakleaf. Mental Health Foundation, January 2009.

Rethink - Recovery
A brief introduction to the recovery approach, and links to further resources from Rethink (previously the National Schizophrenia Fellowship) in the UK.

The Role of Peer Support Services in the Creation of Recovery-Oriented Mental Health Systems
National Mental Health Association in the United States, June 2008 (effective for 5 years from this date)
Position Statement 37

Social Perspectives Network: SPN Papers
The Social Perspectives Network is a U.K. coalition of service users / survivors, carers, policy makers, academics, students, and practitioners interested in how social factors both contribute to people becoming distressed, and play a crucial part in promoting people’s recovery. The full text of a number of their publications is available on this page.

Supported Employment Fidelity Scale
From the Dartmouth Supported Employment Center, the Supported Employment Fidelity Scale defines the critical ingredients of supported employment (SE) in order to differentiate between programs that follow supported employment and those that do not. The Dartmouth Supported Employment Center (DSEC) is designed to study employment services and supports to increase the number of people who work in sustained competitive employment.

Supporting people in accessing meaningful work: Recovery approaches in community based adult mental health services
By Kelly Dickson and David Gough. London, Social Care Institute for Excellence, July 2008.
SCIE Knowledge review 21

Treated as People: An overview of mental health services from a social care perspective 2002 - 2004
London, Department of Health, Social Services Inspectorate, 2004.

Vocational Services for People with Severe Mental Health Problems: Commissioning Guidance
National Inclusion Programme; National Institute for Mental Health in England (NIMHE), Care Services Improvement Partnership (CSIP), February 2006 .

Voices of Transformation: Developing Recovery-Based Statewide Consumer/Survivor Organizations
By M. A. Lawrence. 2nd. ed. National Empowerment Center and the The Recovery Consortium, 2007.

Wellness Recovery Action Plan - Mary Ellen Copeland | Recovery Resources
Articles, webinars, and other resources from Mary Ellen Copeland's web site.

With Inclusion in Mind: The local authority’s role in promoting wellbeing and social development: Mental Health (Care and Treatment) (Scotland) Act 2003 Sections 25-31
This document was written by Peter Bates of the National Development Team for the Scottish Government, November 2007.