To evaluate the extent to which public mental health agencies incorporate recovery principles into their services and operations
Administration Method
Administration Mode
Item Count
Mental Health Challenges

Instrument Citation(s)

Armstrong, N. & Steffen, J.J. (2009). The Recovery Promotion Fidelity Scale: Assessing the
organizational promotion of recovery. Community Mental Health Journal, 45, 163-170.

Instrument Domains

DomainNumber of Items
Consumer Leadership in System Development4
Evidence of meaningful consumer involvement2
System supports meaningful consumer involvement2
Evidence of meaningful caregiver involvement0
Person-Centered Planning and Coordination1
Person-centered planning1
Service Delivery and Effectiveness1
Person's needs met and goals realized0
System Performance and Accountability2
Data management and use2
Evidence-based practice0
Financing and service delivery structures0
Demonstrated competencies when appropriate2
Adequately compensated with benefits0
Culturally competent0
Person-centered approach to services0
Safety of and respect for the worker0
Staff Turnover0
Sufficient workforce numbers dispersion and availability0
Workforce engagement and participation0
Caregiver Support0
Access to resources0
Family caregiver/natural support involvement0
Family caregiver/natural support wellbeing0
Training and skill-building0
Choice and Control0
Choice of services and supports0
Personal choices and goals0
Personal freedoms and dignity of risk0
Community Inclusion0
Meaningful activity0
Resources and settings to facilitate inclusion0
Social connectedness and relationships0
Equitable access and resource allocation0
Transparency and consistency0
Fluctuation of Need0
Holistic Health and Functioning0
Health promotion and prevention0
Individual health and functioning0
Human and Legal Rights0
Freedom from abuse and neglect0
Informed decision-making0
Optimizing the preservation of legal and human rights0
Supporting individuals in exercising their human and legal rights0
Level of Caregiver Well-Being0

Psychometric Citation

  • Armstrong, N., Steffen, J.J. (2009). The recovery promotion fidelity scale: assessing the organizational promotion of recovery. Community Mental Health Journal. 45 (3),163-170. doi: 10.1007/s10597-008-9176-1.

    Type of Publication
    Peer review
    Instrument Language
    Sample: Age (Mean and Range)


    Sample: Age Group

    Not Reported

    Sample: Countries/State

    United States, Hawaii

    Sample: Disability Type

    Mental Health , Mental Health agencies -- Phase 1 (47% Persons in Recovery, 18.5% Significant
    Others, 18.5% Administrators, and 16% Service Providers) -- Phase 2 (46% persons in recovery, 39% researchers, 18% service
    providers, 14% administrators, and 11% significant others)

    Sample: Gender (%male)

    Phase 1 (28%)--Phase 2 (39%)

    Sample: Race/Ethnicity (%)

    Phase 1- (64% White, 10%
    Hawaiian, 10% Japanese, 10% more than One Race, 3%
    Korean, 3% Filipino) -- Phase 2 (71% white, 14% more than One race, 7% Japanese, 4% Korean, 4% Chinese)

    Sample: Sampling Strategy

    Convenience Sample

    Sample: Size

    Phase 1 Focus group (39)-- Phase 2 (28)

    Validity: Content Validity (e.g., Expert Judgement)

    The sample they considered for phase 2 was only composed of self reported expert--The two items under each of the six domains that received
    the highest ratings were retained for inclusion on the
    fidelity measure. The two items in the miscellaneous
    cluster that received the highest ratings were moved into
    one of the other five clusters that best suited their content,
    resulting in five final clusters that were used as final scale
    domains. Thus, 12 total recovery items within 5 recovery
    domains comprised the final fidelity scale

    Validity: Other Evidence

    Phase 1 focus group to sort out, categorize items using focus group. Phase 2: using survey method, 28 , self reported expert, rated the items by appropriateness and feasibility.

    Study design