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Abstract

Objective:

Personal recovery measures have been examined among treatment-seeking individuals enrolled in high-quality care. The authors examined whether utilization of mental health services as typically delivered is associated with personal recovery among adults with clinically significant psychological distress.

Methods:

The Kessler Psychological Distress Scale (K-6) measured respondents’ (N=1,954) psychological distress level. The authors also assessed five dimensions of personal recovery—hope, life satisfaction, empowerment, connectedness, and internalized stigma. Multivariable linear regression analyses were used to examine relationships between personal recovery and treatment, self-reported treatment completion, provider type, and adequacy of care, adjusting for covariates including K-6 score.

Results:

Participants who received care >12 months prior to the survey reported lower levels of hope (95% confidence interval [CI]=–0.36, –0.06, p<0.01), empowerment (95% CI=–0.26, –0.02, p<0.05), and connectedness (95% CI=–0.37, –0.06, p<0.01) than those who had not received treatment. Those who received care in the past 12 months reported lower levels of hope (95% CI=–0.47, –0.14, p<0.001) and life satisfaction (95% CI=−0.42, –0.05, p<0.01). However, treatment completion was associated with higher levels of empowerment (95% CI=0.02, 0.56, p<0.05) and hope (95% CI=0.04, 0.62, p<0.05) and lower levels of stigma (95% CI=−1.21, –0.21, p<0.01) compared with noncompletion. Differences according to provider type and adequacy of care were nonsignificant.

Conclusions:

Utilization of mental health services was associated with lower levels of personal recovery, which may indicate that care—as typically utilized and received—does not promote personal recovery. Longitudinal research is needed to determine causal relationships underlying these associations.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 580 - 587
PubMed: 32114940

History

Received: 19 April 2019
Revision received: 20 November 2019
Accepted: 18 December 2019
Published online: 2 March 2020
Published in print: June 01, 2020

Keywords

  1. recovery
  2. hope
  3. life satisfaction
  4. stigma
  5. behavioral health

Authors

Details

Ryan K. McBain, Ph.D. [email protected]
RAND Health Care, RAND Corporation, Boston (McBain); Santa Monica, California (Collins, Wong, Cefalu, Roth, Burnam); and Pittsburgh (Breslau).
Rebecca L. Collins, Ph.D.
RAND Health Care, RAND Corporation, Boston (McBain); Santa Monica, California (Collins, Wong, Cefalu, Roth, Burnam); and Pittsburgh (Breslau).
Eunice C. Wong, Ph.D.
RAND Health Care, RAND Corporation, Boston (McBain); Santa Monica, California (Collins, Wong, Cefalu, Roth, Burnam); and Pittsburgh (Breslau).
Joshua Breslau, Ph.D.
RAND Health Care, RAND Corporation, Boston (McBain); Santa Monica, California (Collins, Wong, Cefalu, Roth, Burnam); and Pittsburgh (Breslau).
Mathew S. Cefalu, Ph.D.
RAND Health Care, RAND Corporation, Boston (McBain); Santa Monica, California (Collins, Wong, Cefalu, Roth, Burnam); and Pittsburgh (Breslau).
Elizabeth Roth, M.A.
RAND Health Care, RAND Corporation, Boston (McBain); Santa Monica, California (Collins, Wong, Cefalu, Roth, Burnam); and Pittsburgh (Breslau).
M. Audrey Burnam, Ph.D.
RAND Health Care, RAND Corporation, Boston (McBain); Santa Monica, California (Collins, Wong, Cefalu, Roth, Burnam); and Pittsburgh (Breslau).

Notes

Send correspondence to Dr. McBain ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

This work was supported by the National Institute of Mental Health (R01MH104381). The 2014 California Well-Being Survey (CWBS) was conducted with funding from the California Mental Health Services Act (Proposition 63), which was administered through the California Mental Health Services Authority.

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