Partners in Recovery program evaluation: changes in unmet needs and recovery
Abstract
Objective: Partners in Recovery (PIR) is an Australian government initiative designed to provide support and service linkage for individuals with complex needs living with severe and persistent mental illness. The aim of the present study was to examine whether consumers engaged in PIR programs in two large regions of Sydney experienced: (1) a reduction in unmet needs (either via self- or staff report); and (2) progress in their self-reported mental health recovery. Methods: Unmet needs were measured using the Camberwell Assessment of Need Short Appraisal Scale and recovery was measured using the Recovery Assessment Scale – Domains and Stages. For individuals with initial and follow-up data, paired t-tests were used to examine change over time. Results: At follow-up, individuals reported an average of two to three fewer unmet needs, and recovery scores increased by approximately 5% across each domain and the total score. At follow-up, the most common unmet needs were in the areas of ‘company’ and ‘daytime activities’. Conclusions: The results of the present study suggest that PIR services in these two geographical regions have achieved positive results. Individuals with severe and persistent mental illness engaged with PIR appear to have reduced their unmet needs and enhanced their mental health recovery. What is known about the topic?: PIR services were established to support individuals with severe and persistent mental illness by creating service linkages to address unmet needs in order to facilitate recovery. Services were delivered through the new role of ‘support facilitator’. What does this paper add?: By examining routinely collected outcome measures, this paper shows the success of the PIR program. Individuals engaged with PIR reported fewer unmet needs and enhanced recovery over the time they were involved with the program. However, they still faced serious challenges in building successful social interactions, such as developing friendships, and participating in meaningful activities. What are the implications for practitioners?: The support facilitator role developed as part of PIR appears to be a useful method of supporting individuals to reduce unmet needs and enhance recovery. However, further work is required to address the challenges associated with overcoming social isolation and participation in meaningful activities.
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Coordination of services in the Partners in Recovery program was effective in meeting participants' health and social needs and improving their overall psychosocial functioning.
“Further, the coordination of services in the Partners in Recovery program was effective in meeting participants' health and social needs, improving their overall psychosocial functioning (Urbis 2015; Gulliver et al. 2018;Hancock et al. 2018;Isaacs et al. 2019).”
From Effect of community mental health care programs in Australia: A systematic review (2020) · cites this paper as Hancock et al. 2018
Cites
Recovery from mental illness: the guiding vision of the mental health service system in the 1990s
Anthony, W. A. (1993) · Psychosocial Rehabilitation Journal · doi:10.1037/h0095655 · Cited by 3,700 · see citing works
People living with psychotic illness in 2010: the second Australian national survey of psychosis
Morgan, V. A., Waterreus, A., Jablensky, A., Mackinnon, A., McGrath, J. J., Carr, V., Bush, R., Castle, D., Cohen, M., Harvey, C., et al. (2012) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867412449877 · Cited by 504 · see citing works
Comorbidity of Severe Psychotic Disorders With Measures of Substance Use
Hartz, S. M., Pato, C. N., Medeiros, H., Cavazos‐Rehg, P. A., Sobell, J. L., Knowles, J. A., Bierut, L. J., & Pato, M. T. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.3726 · Cited by 397 · see citing works
Bellack, A. S., Bennett, M. E., Gearon, J. S., Brown, C. H., & Yang, Y. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.4.426 · Cited by 285 · see citing works
Hunt, G. E., Malhi, G. S., Cleary, M., Lai, H. M. X., & Sitharthan, T. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.07.011 · Cited by 242 · see citing works
Duff, C. (2012) · Health & Place · doi:10.1016/j.healthplace.2012.07.003 · Cited by 221 · see citing works
Patient-rated mental health needs and quality of life improvement
Slade, M., Leese, M., Cahill, S., Thornicroft, G., & Kuipers, E. (2005) · The British Journal of Psychiatry · doi:10.1192/bjp.187.3.256 · Cited by 189 · see citing works
Estimating treatment rates for mental disorders in Australia
Whiteford, H. A., Buckingham, W. J., Harris, M. G., Burgess, P. M., Pirkis, J. E., Barendregt, J. J., & Hall, W. D. (2014) · Australian Health Review · doi:10.1071/ah13142 · Cited by 163 · see citing works
Corrigan, P. W., Sokol, K. A., & Rüsch, N. (2011) · Community Mental Health Journal · doi:10.1007/s10597-011-9445-2 · Cited by 132 · see citing works
Talking or avoiding? Mental health nurses' views about discussing sexual health with consumers
Quinn, C., Happell, B., & Browne, G. (2011) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2010.00705.x · Cited by 115 · see citing works
Stigma and the Sexual Isolation of People with Serious Mental Illness
Wright, E. R., Wright, D. E., Perry, B. L., & Foote, C. E. (2007) · Social Problems · doi:10.1525/sp.2007.54.1.78 · Cited by 103 · see citing works
Experience of meaning in everyday occupations among unemployed people with severe mental illness
Argentzell, E., Håkansson, C., & Eklund, M. (2012) · Scandinavian Journal of Occupational Therapy · doi:10.3109/11038128.2010.540038 · Cited by 97 · see citing works
Hancock, N., Scanlan, J. N., Honey, A., Bundy, A. C., & O’Shea, K. (2014) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867414564084 · Cited by 92 · see citing works
Self-citationInterrater Reliability of the Camberwell Assessment of Need Short Appraisal Schedule
Andresen, R., Caputi, P., & Oades, L. G. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2000.00814.x · Cited by 83 · see citing works
Peer Support Within Clubhouse: A Grounded Theory Study
Coniglio, F., Hancock, N., & Ellis, L. A. (2010) · Community Mental Health Journal · doi:10.1007/s10597-010-9358-5 · Cited by 55 · see citing works
Self-citationMacpherson, R., Varah, M., Summerfield, L., Foy, C. J. W., & Slade, M. (2003) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-003-0669-5 · Cited by 54 · see citing works
Impact of care coordination on Australia’s mental health service delivery system
Brophy, L. M., Hodges, C., Halloran, K., Grigg, M., & Swift, M. (2014) · Australian Health Review · doi:10.1071/ah13181 · Cited by 38 · see citing works
Talking about sex as part of our role: Making and sustaining practice change
Quinn, C., Happell, B., & Welch, A. (2012) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2012.00865.x · Cited by 37 · see citing works
Measuring the Later Stages of the Recovery Journey: Insights Gained from Clubhouse Members
Hancock, N., Bundy, A. C., Honey, A., Helich, S., & Tamsett, S. (2012) · Community Mental Health Journal · doi:10.1007/s10597-012-9533-y · Cited by 37 · see citing works
Self-citationSources of meaning derived from occupational engagement for people recovering from mental illness
Hancock, N., Honey, A., & Bundy, A. C. (2015) · British Journal of Occupational Therapy · doi:10.1177/0308022614562789 · Cited by 35 · see citing works
Self-citationIsaacs, A. N., Sutton, K., Dalziel, K., & Maybery, D. J. (2016) · International Journal of Social Psychiatry · doi:10.1177/0020764016678014 · Cited by 35 · see citing works
Integrated mental health atlas of the Western Sydney Local Health District: gaps and recommendations
Fernández, A., Gillespie, J., Smith‐Merry, J., Feng, X., Astell‐Burt, T., Maas, C., & Salvador‐Carulla, L. (2016) · Australian Health Review · doi:10.1071/ah15154 · Cited by 34 · see citing works
Self-citationDoing mental health care integration: a qualitative study of a new work role
Smith‐Merry, J., Gillespie, J., Hancock, N., & Yen, I. (2015) · International Journal of Mental Health Systems · doi:10.1186/s13033-015-0025-7 · Cited by 31 · see citing works
Self-citationTalking About Sexuality With Consumers of Mental Health Services
Quinn, C., & Happell, B. (2012) · Perspectives In Psychiatric Care · doi:10.1111/j.1744-6163.2012.00334.x · Cited by 26 · see citing works
Sutton, K., Isaacs, A. N., Dalziel, K., & Maybery, D. J. (2016) · Australian Health Review · doi:10.1071/ah15183 · Cited by 20 · see citing works
Hancock, N., Smith‐Merry, J., Gillespie, J., & Yen, I. (2016) · Australian Health Review · doi:10.1071/ah15248 · Cited by 19 · see citing works
Self-citationFactors Influencing Occupational Engagement in Day Centers for People with Psychiatric Disabilities
Tjörnstrand, C., Bejerholm, U., & Eklund, M. (2014) · Community Mental Health Journal · doi:10.1007/s10597-014-9765-0 · Cited by 18 · see citing works
Routine Outcome Measurement in Mental Health: Feasibility for Examining Effectiveness of an NGO
Kightley, M., Einfeld, S., & Hancock, N. (2010) · Australasian Psychiatry · doi:10.3109/10398560903473660 · Cited by 9 · see citing works
Self-citation
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Cited by
Sorted by citations
Scanlan, J. N., Hancock, N., & Honey, A. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1469-x · Cited by 58 · see citing works
Self-citationHarvey, C., Zirnsak, T.-M., Brasier, C., Ennals, P., Fletcher, J., Hamilton, B., Killaspy, H., McKenzie, P., Kennedy, H., & Brophy, L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1259944 · Cited by 37 · see citing works
van Os, J., Scheepers, F. E., Milo, M., Ockeloen, G., Gülöksüz, S., & Delespaul, P. (2023) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/0117450179271206231114064736 · Cited by 33 · see citing works
Care Coordination Can Reduce Unmet Needs of Persons With Severe and Persistent Mental Illness
Isaacs, A. N., Beauchamp, A., Sutton, K., & Kocaali, N. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00563 · Cited by 30 · see citing works
Hancock, N., Smith-Merry, J., Jessup, G., Wayland, S., & Kokany, A. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1703-1 · Cited by 25 · see citing works
Self-citationHsieh, W., Li, I. H., & Liu, W. (2023) · International Journal of Mental Health Nursing · doi:10.1111/inm.13123 · Cited by 24 · see citing works
Scanlan, J. N., Hancock, N., & Honey, A. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.01.042 · Cited by 21 · see citing works
Self-citationOutcomes identified and prioritised by consumers of Partners in Recovery: a consumer-led study
Waks, S., Scanlan, J. N., Berry, B., Schweizer, R., Hancock, N., & Honey, A. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1498-5 · Cited by 20 · see citing works
Self-citationEffect of community mental health care programs in Australia: A systematic review
O'Donnell, R., Savaglio, M., Vicary, D., & Skouteris, H. (2020) · Australian Journal of Primary Health · doi:10.1071/py20147 · Cited by 19 · see citing works
Trankle, S. A., & Reath, J. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4360-2 · Cited by 15 · see citing works
Armoon, B., LESAGE, A. D., Mohammadi, R., Khoshnazar, Z., Varnousfaderani, M. R., Hosseini, A., Fotovvati, F., Mohammadjani, F., Khosravi, L., Beigzadeh, M., et al. (2025) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-025-01446-x · Cited by 15 · see citing works
A mixed methods evaluation of an integrated adult mental health service model
Beere, D., Page, I. S., Diminic, S., & Harris, M. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4501-7 · Cited by 13 · see citing works
The relationship between mental toughness and subjective mental illness recovery
Ramshaw, G., & Clair‐Thompson, H. S. (2021) · New Ideas in Psychology · doi:10.1016/j.newideapsych.2021.100881 · Cited by 11 · see citing works
Isaacs, A. N., Dalziel, K., Sutton, K., & Maybery, D. J. (2018) · Australasian Psychiatry · doi:10.1177/1039856218759408 · Cited by 10 · see citing works
Gulliver, A., Morse, A. R., Wilson, N., Sargent, G., & Banfield, M. (2018) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2018.03.001 · Cited by 6 · see citing works
Honey, A., Hancock, N., & Scanlan, J. N. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04996-2 · Cited by 6 · see citing works
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Hickie, I. B., & Rosenberg, S. P. (2024) · Australian Health Review · doi:10.1071/ah24194 · Cited by 5 · see citing works
Silva, K. T. D., Cockshaw, W. D., Rehm, I. C., & Hancock, N. (2021) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2563 · Cited by 5 · see citing works
Self-citationLiu, W., Hsieh, W., Lai, J. C.-T., Liu, C.-C., Tai, Y., & Liu, C. (2024) · BMC Nursing · doi:10.1186/s12912-024-01986-x · Cited by 9 · see citing works
Chang, K. J., Yen, I., Bobo, F. T., Hollier, J., & Smith‐Merry, J. (2026) · Community Mental Health Journal · doi:10.1007/s10597-025-01583-5 · Cited by 1 · see citing works
Self-citationSmith‐Merry, J., Hollier, J., Hancock, N., Gye, B., Salvador‐Carulla, L., Halloran, K., Campos, W., & Rosenberg, S. P. (2026) · International Journal of Integrated Care · doi:10.5334/ijic.9129 · Cited by 1 · see citing works
Self-citationHarris, P., Barry, M., Sleep, L. N., Griffiths, J., & Briggs, L. (2020) · Evaluation Journal of Australasia · doi:10.1177/1035719x20944010 · Cited by 1 · see citing works
Hollier, J., & Smith-Merry, J. (2026) · Australian Social Work · doi:10.1080/0312407x.2026.2723027
Self-citation
- Authors
- Hancock, N., Scanlan, J. N., Gillespie, J. A., Smith-Merry, J., & Yen, I.
- Affiliations
- The University of Sydney (AU)
- AThe University of Sydney, Faculty of Health Sciences, PO Box 170, Lidcombe, NSW 1825, Australia. Email: justin.scanlan@sydney.edu.au
- Corresponding author
- Hancock, Nicola
- Venue
- Australian Health Review
- Publisher
- CSIRO Publishing
- Published
- 2017-07-11
- Volume
- 42
- Issue
- 4
- Pages
- 445-452
- ISSN
- 0156-5788 (ISSN-L)
- 1449-8944
- OpenAlex
- W2735887002
- Cited by
- 23
- References
- 28
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 4 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 2
- FWCI
- 4.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian Health Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- severe and persistent mental illness, unmet needs, mental health recovery, service linkage, Recovery Assessment Scale, social isolation, meaningful activities, program evaluation
- MeSH terms
- Adult, Attitude to Health, Mental Disorders, Community Mental Health Services, Female, Humans, Male, Middle Aged, New South Wales, Surveys and Questionnaires, Patient Satisfaction, Outcome Assessment, Health Care, Needs Assessment, Self Report
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