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User-led assessment of a recovery service using DREEM

Glenbourne Unit, Morlaix Drive, Plymouth PL6 5AF, email: stephendinniss{at}hotmail.com

Glenn Roberts, Consultant Psychiatrist

Rehabilitation and Recovery, Wonford House Hospital, Exeter

Charlotte Hubbard, Fieldworker

Exeter Mental Health Service User Project

Jenny Hounsell

Service User Group, Exeter

Rachel Webb, Ward Manager

Russell Clinic, Wonford House Hospital, Exeter

Declaration of interest

None.

AIMS AND METHOD

To develop a service development plan supporting recovery-based practice through collaborative service user-led methodology, and contribute to the National Institute for Mental Health in England (NIMHE) pilot evaluation of recovery sensitive measures. Staff, residents and service user group representatives collaborated in implementing the Developing Recovery Enhancing Environments Measure (DREEM) in a residential rehabilitation service.

RESULTS

Staff and residents demonstrated a shared vision of recovery. Many areas were being addressed to a high level but others showed areas of deficiency, and illustrated discrepant views between staff and residents, which provided a focus for the development of a clinical service action plan.

CLINICAL IMPLICATIONS

As an experimental measure DREEM provides a user-led structure, which enables services to measure their commitment to, and effectiveness in, providing recovery-based care. It focuses service development and enhances collaborative work with service users, thus mirroring the principles of recovery it measures. It merits further evaluation and consolidation.

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