Individual Recovery Assessment Tool

 

Self Value, Involvement/ Integration:

1a. I define myself as an individual person, not an illness.

Yes – strongly agree               No – somewhat disagree

Yes – Somewhat agree           No – Strongly disagree

 

1b. Staff defines me as an individual person, not an illness. (Y/N)

 

2a.  I have meaningful activities in the community.

Yes – strongly agree               No – somewhat disagree

Yes – Somewhat agree           No – Strongly disagree

 

2b. Staff thinks I have meaningful activities in the community. (Y/N)

 

Personal Priorities and Choice:

3a. I have the power to make my own decisions.

Yes – strongly agree               No – somewhat disagree

Yes – Somewhat agree           No – Strongly disagree

 

3b. Staff encourage me to make my own decisions. (Y/N)

Sufficient Supports, Needs Met:

4a. My needs are currently being met.

Yes – strongly agree               No – somewhat disagree

Yes – Somewhat agree           No – Strongly disagree

 

4b. Staff believes my current needs are being met. (Y/N)

 

5. Staff are supporting me on what I feel is most important for my life.

Yes – strongly agree               No – somewhat disagree

Yes – Somewhat agree           No – Strongly disagree

 

Hopes and Dreams:

6a. I have hopes and dreams.

Yes – strongly agree               No – somewhat disagree

Yes – Somewhat agree           No – Strongly disagree

 

6b. Staff encourage me to have hopes and dreams. (Y/N)

 

The Road to Recovery:

7. How far along am I in my recovery?  

                   None            a little           a lot           complete

(Contributed by Stairways Behavioral Health)

Agency Recovery Readiness Assessment

 

This questionnaire is a tool to help understand your Agency’s readiness to adopt and implement recovery practices. 

 

Complete the following questions by circling YES or NO or adding the

appropriate %.

 

Governance

1.  Has your Agency Board adopted policies and procedures consistent with a recovery philosophy?   YES     NO

 

2.  Do Consumers have meaningful ways to access your Agency Board and provide input?     YES    NO

 

Administration

3.  Do all your Agency administrative policies support recovery?    

YES    NO

 

4.  Does your Agency have mechanisms in place to empower consumers?     YES    NO

 

Clinical

5.  Does clinical supervision at your Agency focus on incorporating recovery in clinical practices?    YES     NO

 

6.  Are Consumers considered as being part of the treatment team at your Agency?     YES     NO

 

Quality Assurance

7.  Are Consumers members of your Agency Quality Assurance Committee? 

YES    NO

 

8.  Do your Agency outcome measures reflect recovery “friendly” outcome principles and practices?   YES    NO

 

Agency Recovery Readiness Assessment, Page Two

 

Peer Program

9.  Does your Agency facilitate Peers being involved in all aspects of the Agency’s operation?     YES     NO

          9 a.  If yes, does your Agency have a Peer Support Education Program?     YES    NO

 

10.  Are people with acknowledged mental illness employed within your Agency?     YES    NO

 

Training, Education and Validation

11.  Has a recovery training program been developed for your Agency with input by consumers?    YES    NO

          11 a.  If yes, what percentage of staff at your Agency has been trained in Recovery principles, practice, and language?     _____%

 

12.  Does the Recovery training accurately reflect your Agency policies and procedure?    YES    NO

 

 

 

(Contributed by Stairways Behavioral Health.)