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Biomedical subjects

Peter Caputi

Publications and source records attributed to Peter Caputi.

5 recordsLinked to original sources

Effectiveness of a collaborative recovery training program in Australia in promoting positive views about recovery.

OBJECTIVE: This study examined the impact of a two-day, recovery-based training program for mental health workers on knowledge, attitudes, and hopefulness related to the recovery prospects of people with enduring mental illness. METHODS: A self-report pre-post training repeated-measures design was used with 248 mental health workers from the community-based government health sector (N=147) and nongovernment organizations (N= 101) in eastern Australia. RESULTS: Staff attitudes and hopefulness improved after training. Trainees significantly increased their knowledge regarding principles of recovery and belief in the effectiveness of collaboration and consumer autonomy support, motivation enhancement, needs assessment, goal striving, and homework use. CONCLUSIONS: This preliminary evidence indicates that staff recovery orientation can improve with minimal training.

Adult↗

The experience of recovery from schizophrenia: towards an empirically validated stage model.

OBJECTIVE: The consumer movement is advocating that rehabilitation services become recovery-orientated. The objectives of this study are to gain a better understanding of the concept of recovery by: (i) identifying a definition of recovery that reflects consumer accounts; and (ii) developing a conceptual model of recovery to guide research, training and inform clinical practice. METHOD: A review was conducted of published experiential accounts of recovery by people with schizophrenia or other serious mental illness, consumer articles on the concept of recovery, and qualitative research and theoretical literature on recovery. Meanings of recovery used by consumers were sought to identify a definition of recovery. Common themes identified in this literature were used to construct a conceptual model reflecting the personal experiences of consumers. RESULTS: The definition of recovery used by consumers was identified as psychological recovery from the consequences of the illness. Four key processes of recovery were identified: (i) finding hope; (ii) re-establishment of identity; (iii) finding meaning in life; and (iv) taking responsibility for recovery. Five stages were identified: (i) moratorium; (ii) awareness; (iii) preparation; (iv) rebuilding; and (v) growth. CONCLUSION: A five-stage model compatible with psychological recovery is proposed, which offers a way forward for attaining recovery-orientated outcomes. After further empirical investigation, a version of this model could be utilized in quantitative research, clinical training and consumer education.

Attitude↗

Sources of information when rating the Health of the Nation Outcome Scales.

Mental health nurses will play an important role in the administration of the routine outcome measures currently being implemented across Australia, including the Health of the Nation Outcome Scales (HoNOS). Prior research has implied that sources of information may be responsible in part for the mixed reliability and validity of the HoNOS. This study examines which sources of information clinicians use when making a HoNOS rating. Twenty-one mental health clinicians that had been using the HoNOS routinely for 2 years were surveyed to determine the sources of information they used when making a rating. In addition, 12 specific HoNOS ratings were reviewed to obtain data about 'actual' sources utilized. More than half of all information used when completing a HoNOS rating was obtained from interviewing the client or from direct observation of the client. The main secondary sources used included medical records and consulting with family and carers and other staff. Collateral information from general practitioners and police was used in only a small percentage of cases. There was high variability amongst clinicians with regard to how much each source was used. Training mental health workers in routine use of the HoNOS should encourage clinicians to use a range of sources of information when making a rating.

Adult↗

Stages of recovery instrument: development of a measure of recovery from serious mental illness.

OBJECTIVE: In order to realize the vision of recovery-orientated mental health services, there is a need for a model and a method of measuring recovery as the concept is described by mental health consumers. A preliminary five-stage model based on consumer accounts was developed in an earlier study by the authors. This next stage of the research program describes the development and initial testing of a stage measure which, when validated, can be used in testing that model. METHOD: Existing measures of recovery were reviewed to assess their concordance with the model, and a new measure, the Stages of Recovery Instrument (STORI) was subsequently developed. A postal survey was conducted of 94 volunteers from the NISAD Schizophrenia Research Register. Participants completed the STORI and measures of mental health, psychological wellbeing, hope, resilience and recovery. RESULTS: The STORI correlated with all of the psychological health variables, and the five stage subscales were found to be internally consistent. An ordinal relationship between the stage subscales was demonstrated by the intercorrelations of the subscale scores and the pattern of correlations between the subscales and the other measures. However, a cluster analysis of items revealed an overlap in measurement of adjacent stages, with only three clear clusters emerging. CONCLUSIONS: The results provide preliminary empirical validation of the STORI as a measure of the consumer definition of recovery. However, refinement of the measure is needed to improve its capacity to discriminate between the stages of the model. The model could then be comprehensively tested using longitudinal methods and the inclusion of objective measures.

Adaptation, Psychological↗