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File audit to assess sustained fidelity to a recovery and wellbeing oriented mental health service model: An Australian case study

Journal Article


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 (n = 116) from a large community managed mental health organisation participated in the study. Sustained fidelity to the Collaborative Recovery Model (CRM) was determined by comparing results from the file audit to a similar audit conducted 3 years earlier. 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.

Publication Date


  • 2019

Citation


  • Jones, C. L., Deane, F. P., Wolstencroft, K., & Zimmermann, A. (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, 77(1). doi:10.1186/s13690-019-0377-6

Scopus Eid


  • 2-s2.0-85075564982

Web Of Science Accession Number


Volume


  • 77

Issue


  • 1

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 (n = 116) from a large community managed mental health organisation participated in the study. Sustained fidelity to the Collaborative Recovery Model (CRM) was determined by comparing results from the file audit to a similar audit conducted 3 years earlier. 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.

Publication Date


  • 2019

Citation


  • Jones, C. L., Deane, F. P., Wolstencroft, K., & Zimmermann, A. (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, 77(1). doi:10.1186/s13690-019-0377-6

Scopus Eid


  • 2-s2.0-85075564982

Web Of Science Accession Number


Volume


  • 77

Issue


  • 1