A site visit protocol for assessing recovery promotion at the program level: An example from the Veterans Health Administration
Department of Psychiatry; Implementation Science and Practice Advances Research Center
Health Services Administration | Health Services Research | Mental and Social Health | Military and Veterans Studies | Psychiatry | Psychiatry and Psychology | Rehabilitation and Therapy
OBJECTIVE: A site visit protocol was developed to assess recovery promotion in the organizational climate and culture of programs for veterans with serious mental illnesses.
METHOD: The protocol was pilot-tested in 4 programs: 2 that had scored high on the pilot version of a staff survey measure of program-level recovery promotion and 2 that had scored low. Two-person teams conducted onsite visits and assigned global and organizational domain ratings. Interrater agreement was assessed by examining adjacent agreement and computing weighted kappa.
RESULTS: The on-site protocol had good interrater agreement and discriminated between sites that scored high and low on the staff survey.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: This site visit protocol and procedure shows promise for evaluating recovery promotion in milieu-based programs. After further refinement of this tool, adaptations could be developed for accreditation protocols or for program self-assessment and quality improvement efforts. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
recovery, program evaluation, protocol, veterans, psychosocial rehabilitation
DOI of Published Version
Psychiatr Rehabil J. 2019 Sep;42(3):323-328. doi: 10.1037/prj0000369. Epub 2019 Jun 24. Link to article on publisher's site
Psychiatric rehabilitation journal
Wewiorski NJ, Gorman JA, Ellison ML, Hunt MG, Evans L, Charns MP. (2019). A site visit protocol for assessing recovery promotion at the program level: An example from the Veterans Health Administration. Psychiatry Publications and Presentations. https://doi.org/10.1037/prj0000369. Retrieved from https://escholarship.umassmed.edu/psych_pp/885