Arch Public Health. 2019 Nov 23;77:50. doi: 10.1186/s13690-019-0377-6. eCollection 2019.
File audit to assess sustained fidelity to a recovery and wellbeing oriented mental health service model: an Australian case study.
Archives of public health = Archives belges de sante publique
Cara L Jones, Frank P Deane, Keren Wolstencroft, Adam Zimmermann
Affiliations
Affiliations
- 1Clinical Psychologist, School of Psychology, University of Wollongong, Wollongong, Australia.
- 2Illawarra Institute for Mental Health, Building 22, School of Psychology, University of Wollongong, Wollongong, NSW 2522 Australia.
- 3Neami National, Wollongong, NSW Australia.
- 4KPMG Australia Services Pty Ltd, Sydney, Australia.
PMID: 31768253
PMCID: PMC6874813 DOI: 10.1186/s13690-019-0377-6
Abstract
BACKGROUND: Over the past decade there has been increasing attention to implementing recovery-oriented approaches within mental health service practice and enhancing fidelity to such approaches. However, as is often the case with evidence-based practices, less attention has been paid to the sustainability of recovery-oriented approaches over time. This study sought to investigate whether fidelity to a recovery-oriented practice framework - the Collaborative Recovery Model could be sustained over time.
METHOD: The study setting was an Australian community managed mental health organisation. A file audit of consumer support plans was undertaken using the Goal and Action Plan Instrument for Quality audit tool (GAP-IQ). The audit tool assessed 17 areas for quality. Consumers (
RESULTS: The file audit revealed a significant increase in fidelity to CRM practices between 2011 and 2014. Fidelity to individual audit items that comprise the GAP-IQ was also found to significantly increase across 16 of the 17 GAP-IQ audit items, with the exception of the 'Action Plan Review' audit item.
CONCLUSIONS: A comparison of file audit data across different time points within the same setting can provide useful feedback about whether or not a practice is being sustained over time. Although fidelity increased overtime the study design does not allow conclusions that training and coaching practices implemented by the organisation were responsible.
© The Author(s). 2019.
Keywords: Collaborative recovery model; Evidence-based practice; Implementation; Sustainability
Conflict of interest statement
Competing interestsAt the time that this research was conducted KW and AZ were employed by Neami National which funded this study. FD was employed by the University of Wollongong which provided an exc
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