Patterns of Recovery from Severe Mental Illness: A Pilot Study of OutcomesReportar como inadecuado

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Community Mental Health Journal

, Volume 46, Issue 2, pp 177–187

First Online: 24 June 2009Received: 30 July 2008Accepted: 04 June 2009

AbstractWe performed a pilot study examining the patterns of recovery from severe mental illness in a model integrated service delivery system using measures from the Milestones of Recovery Scale MORS, a valid and reliable measure of recovery outcomes which ranges from 1 to 8 8 levels. For purposes of presentation, we constructed an aggregate MORS 6 levels where the levels are described as follows: 1 extreme risk; 2 unengaged, poorly self-coordinating; 3 engaged, poorly self-coordinating; 4 coping and rehabilitating; 5 early recovery, and 6 self reliant. We analyzed MORS data on individuals followed over time from The Village in Long Beach, California 658 observations. Using Markov Chains, we estimated origin-destination transition probabilities, simulating recovery outcomes for 100 months. Our models suggest that after 12 months only 8% of -extreme risk- clients remain such. Over 40% have moved to -engaged, poorly self-coordinating.- After 2 years, almost half of the initial -extreme Risk- clients are -coping-rehabilitating- -early recovery- or -Self reliant.- Most gains occur within 2 years.

KeywordsRecovery Markov model Integrated service delivery system  Download fulltext PDF

Autor: Leonard Miller - Timothy T. Brown - David Pilon - Richard M. Scheffler - Monica Davis


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