Abstract

BackgroundOver the past decade there has been increasing attention to implementing recovery-oriented approaches within mental health service practice and enhancing fidelity to such approaches. However, as is often the case with evidence-based practices, less attention has been paid to the sustainability of recovery-oriented approaches over time. This study sought to investigate whether fidelity to a recovery-oriented practice framework – the Collaborative Recovery Model could be sustained over time.MethodThe study setting was an Australian community managed mental health organisation. A file audit of consumer support plans was undertaken using the Goal and Action Plan Instrument for Quality audit tool (GAP-IQ). The audit tool assessed 17 areas for quality. Consumers (n = 116) from a large community managed mental health organisation participated in the study. Sustained fidelity to the Collaborative Recovery Model (CRM) was determined by comparing results from the file audit to a similar audit conducted 3 years earlier.ResultsThe file audit revealed a significant increase in fidelity to CRM practices between 2011 and 2014. Fidelity to individual audit items that comprise the GAP-IQ was also found to significantly increase across 16 of the 17 GAP-IQ audit items, with the exception of the ‘Action Plan Review’ audit item.ConclusionsA comparison of file audit data across different time points within the same setting can provide useful feedback about whether or not a practice is being sustained over time. Although fidelity increased overtime the study design does not allow conclusions that training and coaching practices implemented by the organisation were responsible.

Highlights

  • Over the past decade there has been increasing attention to implementing recovery-oriented approaches within mental health service practice and enhancing fidelity to such approaches

  • The file audit revealed a significant increase in fidelity to Collaborative Recovery Model (CRM) practices between 2011 and 2014

  • A comparison of file audit data across different time points within the same setting can provide useful feedback about whether or not a practice is being sustained over time

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Summary

Introduction

Over the past decade there has been increasing attention to implementing recovery-oriented approaches within mental health service practice and enhancing fidelity to such approaches. To assist translation at the service and practice level a National Framework for recovery-oriented services was published in 2013 to provide guidance for all people working in the mental health sector for what a recovery-orientation is and how it can be implemented [10]. Highlevel policies and guidance documents are important but not sufficient to ensure recovery-oriented care is delivered. Even when these recovery values are espoused at the level of individual organisations these values may not be translated into practice

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