Establishing a Recovery Orientation in Mental Health Services: Evaluating the Recovery Self-Assessment (RSA) in a Swedish Context

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Objective: Although there has been an emphasis on developing knowledge regarding recovery in Sweden, it is unclear to what extent this has been translated into a recovery orientation in the provision of mental health services. Instruments, which present the components of recovery as measurable dimensions of change, may provide a framework for program development. Involving users is an essential factor in the utilization of such tools. The purpose of this study was to evaluate the psychometric properties of the Recovery Self-Assessment (RSA) measure and its potential for being utilized in a Swedish context. Methods: The sample consisted of 78 participants from 6 community mental health services targeting people with serious mental illnesses in a municipality in Sweden. They completed the RSA at the study baseline and two weeks later. User panels participated in the translation and administration of the RSA and the reporting of results. Results: The Swedish version of the RSA had good face and content validity, satisfactory internal consistency, and a moderate to good level of stability in test–retest reliability. The user panels contributed to establishing validity and as collaborators in the study. Conclusions and Implications for Practice: Establishing the RSA as a valid and reliable instrument with which to focus on the recovery orientation of services is a first step in beginning to study the types of interventions that may effect and contribute to recovery oriented practice in Sweden.

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