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Client personal recovery and recovery orientation of an Irish suicide intervention charity

Published online by Cambridge University Press:  02 August 2017

C. Conway*
Affiliation:
St. Patrick’s University Hospital, Dublin, Ireland
P. W. G. Surgenor
Affiliation:
Pieta House, Dublin, Ireland
T. B. Thekiso
Affiliation:
St. Patrick’s University Hospital, Dublin, Ireland Trinity College, University of Dublin, Dublin, Ireland
A. Moore
Affiliation:
Pieta House, Dublin, Ireland
A. Campion
Affiliation:
Pieta House, Dublin, Ireland
A. Tormey
Affiliation:
Pieta House, Dublin, Ireland
G. Rush
Affiliation:
St. Patrick’s University Hospital, Dublin, Ireland
*
*Address for correspondence: C. Conway, Registrar, St. Patrick’s University Hospital, James’s Street, Dublin 8, Ireland. (Email: conwayca@tcd.ie)

Abstract

Background

Recovery is a key goal for individuals, and services’ recovery orientation can facilitate this process. The independent mental health sector is increasingly important in Ireland, particularly in counselling and suicide prevention. We aimed to evaluate Pieta House as a recovery-oriented service through clients’ self-rated recovery; and clients’ and therapists’ evaluation of the service.

Methods

Clients completing therapy over a 3-month period were invited to complete the Recovery Assessment Scale (RAS) and the Recovery Self Assessment-Revised (RSA-R). Therapists completed the RSA-R staff version.

Results

Response rate was 36.7% for clients (n=88), 98% for therapists (n=49). Personal recovery was endorsed by 73.8% of clients, with highest agreement for factors ‘Willingness to Ask for Help’ (84.5%), and ‘Reliance on Others’ (82.1%). A smaller number agreed with factors ‘Personal Confidence and Hope’ (61.3%) and ‘No Domination by Symptoms’ (66.6%). Clients’ and therapists’ evaluation of the service showed high levels of agreement with factors of ‘Choice’ (90.9% clients, 100% therapists); ‘Life Goals’ (84.1% clients, 98% therapists) and ‘Individually Tailored Services’ (80.6% clients, 79.6% therapists). Client involvement in service management had the lowest level of agreement (36.4% clients, 30.6% therapists). Clients’ self-rated recovery correlated with their rating of the service (correlation value 0.993, p=0.01).

Conclusions

Clients’ self-rated recovery and the recovery orientation of Pieta House were rated highly, with areas for improvement in service user involvement, peer support and advocacy. The correlation of personal recovery and recovery orientation of the service may merit further study.

Type
Original Research
Copyright
© College of Psychiatrists of Ireland 2017 

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