There has been an increasing emphasis on community integration, consumer involvement, and recovery-focused treatment; but the extent to which these recovery-oriented principles have been adopted in state hospitals is unknown. This study surveyed 1,150 staff at three state hospitals and 230 staff at four community mental health centers on personal optimism, consumer optimism, and agency recovery orientation. Responses were obtained from 729 (63.4%) hospital staff and 181 (78.7%) community staff. Staff at state hospitals scored significantly lower on all three recovery measures even after controlling for background differences. Treatment setting may be an important factor in the dissemination of recovery-oriented care principles.
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One staff member was missing information about his or her position.
One filler and one real item were inadvertently omitted from the printed version of the scale. In another dataset with the full LOT-R in a sample of 334 undergraduate psychology students, the alpha for the full version was 0.832 and for the reduced version was 0.823. A principal components factor analysis of these data showed one factor (loadings ranged from 0.65 to 0.82), with the inadvertently omitted item having the lowest factor loading. Further, the correlation between the two scales was 0.98 suggesting the two forms of the test were nearly equivalent.
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This study was supported in part by grants from the Substance Abuse and Mental Health Services Administration (SM56140-01) and a contract with the Division of Mental Health and Addiction, Indiana Family and Social Services Administration. We would like to thank Tim Gearhart and Angela Lobb for their helpful comments on earlier drafts of this work.
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Tsai, J., Salyers, M.P. Recovery Orientation in Hospital and Community Settings. J Behav Health Serv Res 37, 385–399 (2010). https://doi.org/10.1007/s11414-008-9158-7
- state hospital
- community mental health centers