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.

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