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Recovery Orientation in Hospital and Community Settings

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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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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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Correspondence to Jack Tsai MS.

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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

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  • state hospital
  • recovery
  • optimism
  • community mental health centers