Are recovery and quality of life different outcome measures for community-based psychosocial program?. Issue 4 (3rd July 2016)

• Record Type: Journal Article
• Authors: Young, Daniel; Ng, Petrus; Pan, Jiayan; Cheng, Daphne
• Is Part Of: Social work in mental health. Volume 14:Issue 4(2016)
• Page Start: 360
• Page End: 378
• Publication Date: 2016-07-03
• Subjects: Quality of life -- recovery -- severe mental illness; Psychiatric social work -- Periodicals; 362.2042505
• DOI: 10.1080/15332985.2015.1038414
• Languages: English
• ISSNs: 1533-2985

Abstract

ABSTRACT: This research study aims to explore the relationship between quality of life (QoL) and recovery in mental illness in a community-based psychosocial program. By adopting a prospective, naturalistic, longitudinal follow-up research design, a cohort of 87 consumers who were discharged from mental hospitals and participated in a community-based psychosocial program were followed for one year. QoL and recovery of these individuals were assessed at baseline, 6-month and 12-month follow up assessments. At the 12-month follow up, this cohort of participants showed improvement in QoL and achieved a recovery rate of 8%. ANOVA analysis indicated that overall QoL was not related to recovery. Moreover, multiple linear regression analysis showed that overall QoL was predicted significantly by self-efficacy at baseline, improvement in self-efficacy and improvement in functioning (adjusted R 2 = 22.8; F (3, 81) = 9.272, p < .001). Multivariate logistic regression analysis showed that recovery was significantly predicted by baseline functioning level and improvement in open employment (Nagelkerke R 2 : 36.7, Model χ 2 = 13.214, p < .001). Therefore, overall QoL and recovery were predicted by different factors. These results indicate that recovery and QoL should be conceptualized as two different outcome measures. Community-based psychosocial programs should include both recovery and QoL as outcome measures and adopt different strategies to facilitate recovery and QoL for consumers.