Recovery-oriented service assessment using Recovery Oriented Service Self-Assessment Toolkit (ROSSAT)
Introduction
Recovery Oriented Service Self-Assessment Toolkit (ROSSAT) is a self-reported assessment tool to review recovery-oriented service provision of an organization. ROSSAT comprised of two tools including: Tools for Organizations (T4O) [1] and Tools for Workers (T4W) [2]. Richmond Fellowship of Hong Kong (RFHK) had used T4O and T4W to review and reflect recovery-oriented service practice in agency and service provision level.
Research period: February – June 2020
Target population: Staff in RFHK
Objectives
- To reflect on recovery orientation service provision at the agency level and identify areas that required further development or adjustments using T4O.
- To reflect beliefs and practices on recovery oriented services, and self-assess own performance and education and training needs using T4W.
Methods
Managerial and non-managerial staff were invited via email to complete a self-administered T4O and T4W, respectively. The T4O assessed the organization’s performance in five categories including Organisational Systems, Leadership, Recovery Oriented Service Provision, Education and Training, and Evaluation. The T4W studied service provision in terms of the Awareness of Values, Principles, and Philosophy underpinning service provision, Recovery Oriented Service Provision, Responsibilities and Roles, and Needs of Education and Training.
Results
- 17 managers and senior management staff completed the T4O (response rate: 94.4%).
- 71 non-managerial staff completed the T4W (response rate: 36.2%).
Figure 1. The top three areas that the agency or the staff were competent or outstanding.
T4O (Agency Level) (% of respondents) | T4W (Service provision level) (% of respondents) | |
| 1. | Aware of people’s physical health and able to provide appropriate referral to professionals. (94.2%) | Aware of every person is unique, has different needs and will have a unique recovery journey. (97.3%) |
| 2. | Provide reasons and referrals to other services for those who are ineligible to our services. (94.1%) | Aware of the principles that people are treated as equals with a shared sense of humanity. (97.2%) |
| 3. | Maintaining privacy, confidentiality, and transparency. (88.3%) | Maintain a person’s privacy and confidentiality. (97.2%) |
Figure 2. The top three areas that the agency or the staff needed further development and improvement.
T4O (Agency Level) (% of respondents) | T4W (Service Provision Level) (% of respondents) | |
| 1. | Strategies for networking and partnership with other organizations. (77.1%) | A solid understanding of the history of recovery and recovery-based practice. (29.2%) |
| 2. | Identifying best practice, tools and training, new technologies, and evaluation tools and frameworks on recovery-oriented services. (70.6%) | Training in cultural competency. (20.9%) |
| 3. | Formal and informal supervision in recovery-oriented practice. (70.6%) | Training on privacy, confidentiality, including relevant legislation. (19.5%) |
Conclusion
- The agency was competent in being aware of service users’ health and making appropriate referrals to professionals, followed by referring to other appropriate services for service users. Maximizing partnership networks, identifying best practices, new tools and technologies for recovery-oriented services, and both formal and informal supervision were the top three priorities that needed further development.
- The staff believed that they performed well in being aware of the uniqueness of each service user and treating people equally. Nearly 30% of our staff believed that a more solid understanding of the history of recovery and recovery-based practice was necessary, followed by training in cultural competency.
- The majority of management and staff believed that they were competent in maintaining privacy, confidentiality, and transparency to service users, nevertheless, nearly 20% of staff would like to have further training on privacy, confidentiality, and relevant legislation.
References
1. Mental Health Coordinating Council and Being | Mental Health & Wellbeing Consumer Advisory Group (2014). Recovery Oriented Service Self-Assessment Toolkit (ROSSAT) Version 2 – ROSSAT Tool for Organisations (T4O).
2. Mental Health Coordinating Council and Being | Mental Health & Wellbeing Consumer Advisory Group (2014). Recovery Oriented Service Self-Assessment Toolkit (ROSSAT) Version 2 – ROSSAT Tool for Workers (T4W).
