Online Program

Validating a brief measure of mental health recovery

Monday, November 4, 2013 : 9:10 a.m. - 9:30 a.m.

Alexander Young, MD, MSHS, Psychiatry, UCLA & Greater Los Angeles VA, Los Angeles, CA
Nikki Armstrong, PhD, US Army Health Clinic, Schofield Barracks, HI
Amy Cohen, PhD, MIRECC, Greater Los Angeles VA, Los Angeles, CA
Gerhard Hellemann, PhD, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA
Christopher Reist, MD, Long Beach VA Medical Center & UC Irvine, Long Beach, CA
Objective: With the groundswell of attention to recovery, there are efforts to transform mental health care. Efficient and standardized approaches to assessing recovery are needed. Although instruments exist, most are burdensome and have multiple domains that may not be separate constructs. This study evaluates the psychometric properties of the Mental Health Recovery Measure (MHRM) and suggests a shortened version, the MHRM-10. Method: Interviews were conducted with a random sample of patients with schizophrenia at eight Veterans Administration mental health clinics (n=795), located across four states. Measures included the MHRM, symptoms, functioning, quality of life, and satisfaction with care. Reliability and validity were assessed through internal consistency, factor analysis, and correlations. Results: A single factor solution explained 37% of MHRM variability, with additional factors accounting for no more than 5% of overall variance. Individual MHRM items loaded strongly on this single recovery factor, with all but three items having factor loadings above .400 . The 10-items with the highest factor loadings were chosen to create the MHRM-10. Internal consistency of the MHRM-10 was good (α = .91) and comparable to the full MHRM (α = .94) and to prior non-Veteran samples (α = .93 and .95). Correlations between the MHRM-10 and quality of life, satisfaction, depression, thought disturbance, occupational functioning, and social functioning were similar to correlations between the full MHRM and those measures. Conclusions: The MHRM is reliable, valid, and best interpreted as a total score. Routine administration of the MHRM-10 could allow for monitoring of progress towards recovery transformation.

Learning Areas:

Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
Describe the psychometric properties of a measure of mental health recovery. Discuss possible uses of this measure for evaluating recovery transformation.

Keyword(s): Recovery, Mental Health Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator of multiple federally funded grants focusing on evaluating and improving care for mental illness. Among my scientific interests has been the development of strategies for evaluating the quality of healthcare services.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.