Date of Submission

2016

Degree Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Psychology

Department Chair

Robert A DiTomasso, PhD, ABPP, Chair, Department of Psychology

First Advisor

Bruce S Zahn, EdD, ABPP, Chairperson

Second Advisor

Stephen R Poteau, PhD

Third Advisor

Peter Vernig, PhD

Abstract

In 2003, the New Freedom Commission on Mental Health articulated a call for mental-health-care service systems to transform their service systems to a recovery-oriented model. Current research regarding the integration of recovery-based services has predominantly been conducted in outpatient and community provider settings (Crane-Ross, Lutz & Roth, 2006; Deegan et al., 2008; Matthias et al., 2012; Salyers & Tsemeris, 2007; Solomon & Stanhope, 2004). The following study examines whether adult inpatients with serious mental illnesses perceive their treatment to meet recovery-related standards at a private psychiatric hospital that uses a recovery-oriented treatment system. The study will further identify if there is a relationship between patient perception of adherence to recovery-informed practices and participation in therapeutic services, the administration of medication (PRN), level of family involvement, interaction with peer specialists, the level of perceived self-stigma, and the perception of shared decision-making. The sample consisted of patients discharging from Friend's Hospital. Data were collected from 70 adult participants who were discharging from Friends Hospital. The current study used a correlational analysis to examine the relationship between scores on the dependent variables scores for both the Clinical Decision-Making Style scale and the Self-Stigma of Mental Illness Scale- Short Form, number of notes regarding family contact, number of PRN medications administered, and amount of time spent with peer specialists and the dependent variable scores on the Recovery Self-Assessment scale. A MANOVA test was used to determine if there was a difference in means between patients who were admitted voluntarily versus involuntarily and scores on the Recovery Self-Assessment scale, the Clinical Decision-Making Style scale, and the Self-Stigma of Mental Illness Scale-Short Form. A multiple regression was conducted to determine the relationship between scores on the Recovery Self-Assessment scale and the Self-Stigma of Mental Illness Scale-Short Form and the Clinical Decision-Making Style scale. Results concluded that there were significant relationships between scores on the Recovery Self-Assessment scale, client rating of their perception of inclusion in decision-making, and level of self-stigma. Limitations of the study were that some variables were difficult to measure. Future research may want to further revise how inpatient treatment providers can employ strategies to encourage patient participation in decision-making and to lower self-stigma.

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