Recovery Enhancing Environment Scale (REE)

Recovery Enhancing Environment Scale (REE)
DevelopingRecovery Enhancing Environment Measure (DREEM)
Ridgway & Press‚ 2004‚ 2011
RECOVERY ENHANCING ENVIRONMENT – Michigan (REE-MI)
I. A FEW QUESTIONS ABOUT YOU
1.  What age group are you in (Check your current age group)?  
___18‐25  
___26‐35  
___36‐45
___46‐55   
___56‐65
___66‐75
___76 or older
2.  What is your gender?  
___Male
___Female
3.  What is your racial or ethnic background?
___White
___ Black or African American
___ Hispanic or Latino
___ American Indian or Alaskan Native
___ Asian
___ Native Hawaiian or other Pacific Islander
___ Arab‐Chaldean
___ Other Category:
4.  In total‚ how long have you received any form of mental health services?
___Less than one year
___One year or more but less than 5 years
___Between 5 and 10 years
___More than 10 years
5. Do you currently receive any community mental health services from programs other than this one?
__ Yes
__ No
II. YOUR INVOLVEMENT IN THE RECOVERY PROCESS
Which of the following statements is most true for you?  
(Check only one)
__ I have never heard of‚ or thought about‚ recovery from psychiatric disability.
__ I do not believe I have any need to recover from psychiatric problems.
__ I have not had the time to really consider mental health recovery.
__ I've been thinking about recovery‚ but haven't decided to move on it yet.
__ I am committed to my recovery‚ and am making plans to take action very soon.
__ I am actively involved in the process of recovery from psychiatric disability.
__ I was actively moving toward recovery‚ but now I'm not because:   
     ________________________________________________________
__ I feel that I am fully recovered; I just have to maintain my gains.
__Other (specify) _____________________________________________
III. ELEMENTS OF RECOVERY AND RECOVERY-ENHANCING
For each of the following questions you should circle one of these answers:  
SA  ‐‐If you strongly agree with the statement.
A  ‐‐If you agree with the statement
D  ‐‐If you disagree with the statement.
SD  ‐‐If you strongly disagree with the statement.  
1. ha‎ving a positive sense of personal identity beyond my psychiatric disorder is important to my recovery. SA‚ A‚ D‚ SD
a)    Staff view me as more than a "case" or a diagnosis; they want to know me as a person. SA‚ A‚ D‚ SD
b)   The program offers individualized services to meet my unique needs. SA‚ A‚ D‚ SD
c)    Staff treat me as a whole person with a body‚ mind‚ emotions‚ important relationships and spirit. SA‚ A‚ D‚ SD
2.  ha‎ving a sense of meaning in life is important to my recovery. SA‚ A‚ D‚ SD
a)    Staff help me make sense out of what is happening in my life. SA‚ A‚ D‚ SD
b)   Staff ask me what is meaningful to me. SA‚ A‚ D‚ SD
c)    This program encourages me do things that give my life meaning. SA‚ A‚ D‚ SD
3. ha‎ving hope is important to my recovery. SA‚ A‚ D‚ SD
a)    Staff believe I have a positive future. SA‚ A‚ D‚ SD
b)   Staff encourage me to feel hopeful again when I'm discouraged or have a setback. SA‚ A‚ D‚ SD
c)    Staff tell me most people do recover from psychiatric problems over time. SA‚ A‚ D‚ SD
4. Being able to self‐manage symptoms and avoid relapse is important to my recovery. SA‚ A‚ D‚ SD
a)    This program helps me identify and monitor triggers/early signs of relapse. SA‚ A‚ D‚ SD
b)   This program helps me develop personalized coping skills so I can manage stress well. SA‚ A‚ D‚ SD
c)    This program teaches me ways to self‐monitor and self‐control psychiatric symptoms. SA‚ A‚ D‚ SD
5. Improving my general health and wellness is important to my recovery. SA‚ A‚ D‚ SD
a)    Staff pay careful attention to my physical health. SA‚ A‚ D‚ SD
b)   This program encourages me to achieve a higher level of wellness. SA‚ A‚ D‚ SD
c)    This program offers wellness programming such as nutrition‚ movement‚ relaxation. SA‚ A‚ D‚ SD
6. ha‎ving my rights respected and upheld is important to my recovery. SA‚ A‚ D‚ SD
a)    Staff inform me of my rights. SA‚ A‚ D‚ SD
b)   There is a clear grievance policy if any of my rights are violated. SA‚ A‚ D‚ SD
c)    Staff uphold my rights. SA‚ A‚ D‚ SD
7. ha‎ving positive relationships is important to my recovery. SA‚ A‚ D‚ SD
a)    Staff assist me in ha‎ving positive relationships with my peers. SA‚ A‚ D‚ SD
b)   Staff support me in building or rebuilding positive relationships with family members. SA‚ A‚ D‚ SD
c)    Staff assist me in forming friendships with people outside the mental health system. SA‚ A‚ D‚ SD
8. ha‎ving my basic needs met is important to my recovery. SA‚ A‚ D‚ SD
a)    This program assists me to get a basic income and/or benefits. SA‚ A‚ D‚ SD
b)   This program helps me get decent‚ affordable housing and/or rent subsidies. SA‚ A‚ D‚ SD
c)    This program helps me gain access to health care. SA‚ A‚ D‚ SD
9. ha‎ving a sense of control over my life and feeling empowered is important to my recovery. SA‚ A‚ D‚ SD
a) Staff encourage and support my sense of empowerment. SA‚ A‚ D‚ SD
b) Staff assist me to gain or maintain control over important decisions in my life. SA‚ A‚ D‚ SD
c) Staff do not try to maintain power and control over me. SA‚ A‚ D‚ SD
10. Taking on new challenges and moving out of my comfort zone is important to my recovery. SA‚ A‚ D‚ SD
a)    Staff encourage me to take on new challenges. SA‚ A‚ D‚ SD
b)   I feel supported when I try new things that seemed out of my reach before. SA‚ A‚ D‚ SD
c)    Staff encourage me to stretch myself and grow. SA‚ A‚ D‚ SD
IV. SPECIAL NEEDS
The next five questions relate only to specific groups of people.  If you are NOT a member of the specific group being asked about‚ answer “no” and go onto the next question.
1.  Are you are a member of an ethnic‚ racial or cultural minority group?
­ Yes   (Please answer questions a‐c‚ below)
­ No   (Go to question 2)
ha‎ving my ethnic & cultural background respected is important to my recovery SA‚ A‚ D‚ SD
a)    Staff here are respectful to me as a person of a racial‚ ethnic‚ or cultural minority SA‚ A‚ D‚ SD
b)   This program understands and supports my cultural values/language/customs. SA‚ A‚ D‚ SD
c)    Staff are aware of‚ and sensitive to my cultural heritage and needs. SA‚ A‚ D‚ SD
2. Do you have a substance abuse problem?  
­ Yes   (Please answer questions a‐c‚ below)
­ No   (Go to question 3)
ha‎ving help with alcohol or drug problems is important to my recovery. SA‚ A‚ D‚ SD
a)    This program has resources to help me with both alcohol and psychiatric problems. SA‚ A‚ D‚ SD
b)   This program has resources to help me with both drug and psychiatric problems. SA‚ A‚ D‚ SD
c)    This program links me to self‐help groups that deal with dual diagnoses/ substance abuse.  SA‚ A‚ D‚ SD
3. Do you have a history of trauma or abuse?    
­ Yes   (Please answer questions a‐c‚ below)
­ No   (Go to question 4)
Healing from trauma‚ including sexual abuse and/or physical abuse‚ is important to my recovery. SA‚ A‚ D‚ SD
a)    This program has resources to help me heal from abuse and/or trauma. SA‚ A‚ D‚ SD
b)   It feels safe to open up about abuse or trauma in this program. SA‚ A‚ D‚ SD
c)    Staff deal effectively with abuse and trauma. SA‚ A‚ D‚ SD
4. Are you a lesbian‚ gay‚ bi‐sexual or transgendered person?   
a)    Yes   (Please answer questions a‐c‚ below)
b)   ­No   (Go to question 5)
ha‎ving support for my sexual orientation is important to my recovery.  SA‚ A‚ D‚ SD
a)    Staff of this program are not homophobic (very negative about gay‚ lesbian‚ bi‐sexual or transgendered people). SA‚ A‚ D‚ SD
b)   Staff of the program are respectful to me as a lesbian‚ gay‚ bi‐sexual or transgendered person. SA‚ A‚ D‚ SD
c)    Staff deal effectively with issues of sexual orientation. SA‚ A‚ D‚ SD
5. Are you a parent?   
Yes   (Please answer questions a‐c‚ below)
­No   (Go to next section)
ha‎ving support as a parent is important to my recovery. SA‚ A‚ D‚ SD
a)    Staff support me in my role as parent. SA‚ A‚ D‚ SD
b)   Staff assist me to be an effective parent. SA‚ A‚ D‚ SD
c)    Staff help me uphold my rights in custody disputes. SA‚ A‚ D‚ SD
V. RECOVERY MARKERS –Revised (RM-R)
For each of the following questions‚ circle the one answer that is most true for you right now.  
1.  My living situation feels like a safe home to me. SA‚ A‚ D‚ SD
2.  I have people I trust whom I can turn to for help. SA‚ A‚ D‚ SD
3.  I have at least one close mutual (give‐and‐take) relationship. SA‚ A‚ D‚ SD
4.  I am involved in activities I find meaningful. SA‚ A‚ D‚ SD
5.  My psychiatric symptoms are under control. SA‚ A‚ D‚ SD
6.  I have enough income to meet my needs. SA‚ A‚ D‚ SD
7.  I am learning new things that are important to me. SA‚ A‚ D‚ SD
8.  I am in good physical health. SA‚ A‚ D‚ SD
9.  I have a positive spiritual life/connection to a higher power. SA‚ A‚ D‚ SD
10.  I like and respect myself. SA‚ A‚ D‚ SD
11.  I'm using my personal strengths‚ skills or talents. SA‚ A‚ D‚ SD
12.  I have goals I'm working to achieve. SA‚ A‚ D‚ SD
13.  I have reasons to get out of bed in the morning. SA‚ A‚ D‚ SD
14.  I have more good days than bad. SA‚ A‚ D‚ SD
15.  I have a decent quality of life. SA‚ A‚ D‚ SD
16.  I control the important decisions in my life. SA‚ A‚ D‚ SD
17.  I contribute to my community. SA‚ A‚ D‚ SD
18.  I am growing as a person. SA‚ A‚ D‚ SD
19.  I have a sense of belonging. SA‚ A‚ D‚ SD
20.  I feel alert and alive. SA‚ A‚ D‚ SD
21.  I feel hopeful about my future. SA‚ A‚ D‚ SD
22.  I am able to deal with stress. SA‚ A‚ D‚ SD
23.  I believe I can make positive changes in my life. SA‚ A‚ D‚ SD
True False
24.   I'm not working‚ but see myself working within 6 months. True False
25.  I am working part time (less than 35 hours a week). True False
26.  I am working full time (35 or more hours per week). True False
27.  I am in school. True False
Recovery Enhancing Environment Scale (REE) - 2004
A FEW QUESTIONS ABOUT YOU
1. What age group are you in (Check your current age group)?
___18-25
___26-35
___36-45
___46-55
___56 and over
2. What is your gender?
___Male
___Female
3. What is your racial or ethnic background?
___White
___ Black or African American
___ Hispanic or Latino
___ American Indian or Alaskan Native
___ Asian
___ Native Hawaiian or other Pacific Islander
___ Arab‐Chaldean
___ Other Category
4. In total‚ how long have you received any form of mental health services?
___Less than one year
___One year or more but less than five years
___Between five and ten years
___More than ten years
YOUR INVOLVEMENT IN THE RECOVERY PROCESS
Which of the following statements is most true for you? (Check only one)
__ I have never heard of‚ or thought about‚ recovery from psychiatric disability.
__ I do not believe I have any need to recover from psychiatric problems.
__ I have not had the time to really consider recovery.
__ I've been thinking about recovery‚ but haven't decided to move on it yet.
__ I am committed to my recovery‚ and am making plans to take action very soon.
__ I am actively involved in the process of recovery from psychiatric disability.
__ I was actively moving toward recovery‚ but now I'm not because:
_________________________________________
__ I feel that I am fully recovered; I just have to maintain my gains.
__Other (specify) _____________________________________________
ELEMENTS OF RECOVERY AND RECOVERY-ENHANCING PROGRAMS
For each of the following questions you should circle one of these answers:
SA -‎-If you strongly agree with the statement.
A -‎-If you agree with the statement
N -‎-If you are not sure‚ or neither agree nor disagree‚ or you are neutral.
D -‎-If you disagree with the statement.
SD -‎-If you strongly disagree with the statement.
1. ha‎ving a positive sense of personal identity beyond my psychiatric disorder is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff view me as more than a "case" or a diagnosis; they want to know me as a person. SA‚ A‚ N‚ D‚ SD
b)   The program offers individualized services to meet my unique needs. SA‚ A‚ N‚ D‚ SD
c)    Staff treat me as a whole person with a body‚ mind‚ emotions‚ important relationships and spirit. SA‚ A‚ N‚ D‚ SD
2. ha‎ving a sense of meaning in life is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff help me make sense out of what is happening in my life. SA‚ A‚ N‚ D‚ SD
b)   Staff ask me what is meaningful to me. SA‚ A‚ N‚ D‚ SD
c)    This program encourages me do things that give my life meaning. SA‚ A‚ N‚ D‚ SD
3. ha‎ving hope is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff believe I have a positive future. SA‚ A‚ N‚ D‚ SD
b)   Staff encourage me to feel hopeful again when I'm discouraged or have a setback. SA‚ A‚ N‚ D‚ SD
c)    Staff tell me most people do recover from psychiatric problems over time. SA‚ A‚ N‚ D‚ SD
4. ha‎ving up-to-date knowledge about psychiatric disorders and the most effective treatments is important in my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff teaches me about my psychiatric disorder and symptoms. SA‚ A‚ N‚ D‚ SD
b)   The program provides me up-to-date information about effective treatments. SA‚ A‚ N‚ D‚ SD
c)    Staff gives me enough information about my treatment options and their risks and benefits‚ for me to give informed consent for treatment. SA‚ A‚ N‚ D‚ SD
4. Being able to self-manage symptoms and avoid relapse is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    This program helps me identify and monitor triggers/early signs of relapse. SA‚ A‚ N‚ D‚ SD
b)   This program helps me develop personalized coping skills so I can manage stress well. SA‚ A‚ N‚ D‚ SD
c)    This program teaches me ways to self-monitor and self-control psychiatric symptoms. SA‚ A‚ N‚ D‚ SD
6. Improving my general health and wellness is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff pay careful attention to my physical health. SA‚ A‚ N‚ D‚ SD
b)   This program encourages me to achieve a higher level of wellness. SA‚ A‚ N‚ D‚ SD
c)    This program offers wellness programming such as nutrition‚ movement‚ relaxation. SA‚ A‚ N‚ D‚ SD
7. Being an active consumer and directing my own recovery is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff assist me to explore options and set my own personal goals. SA‚ A‚ N‚ D‚ SD
b)   Staff treat me as a responsible partner in decision making. SA‚ A‚ N‚ D‚ SD
c)    I direct my own treatment in this program. SA‚ A‚ N‚ D‚ SD
8. ha‎ving my rights respected and upheld is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff inform me of my rights. SA‚ A‚ N‚ D‚ SD
b)   There is a clear grievance policy if any of my rights are violated. SA‚ A‚ N‚ D‚ SD
c)    Staff uphold my rights. SA‚ A‚ N‚ D‚ SD
9. Mutual self-help/ peer support is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    This program encourages consumers to help and support one another. SA‚ A‚ N‚ D‚ SD
b)   Self-help groups and peer support opportunities are available in this program. SA‚ A‚ N‚ D‚ SD
c)    This program actively links me to self-help groups and self-help resources in the community. SA‚ A‚ N‚ D‚ SD
10. Being involved in meaningful activities is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff encourages me to get involved in meaningful activities. SA‚ A‚ N‚ D‚ SD
b)   Program activities are meaningful. SA‚ A‚ N‚ D‚ SD
c)    The program assists me to become involved in meaningful activities (such as working‚ furthering my education‚ creativity‚ volunteerism). SA‚ A‚ N‚ D‚ SD
11. Being involved in‚ and a part of‚ the larger community is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff helps me find and use community resources. SA‚ A‚ N‚ D‚ SD
b)   Staff help me gain individualized supports so I can live‚ learn & work in the community. SA‚ A‚ N‚ D‚ SD
c)    I don't feel cut-off from the "real world" in this program. SA‚ A‚ N‚ D‚ SD
12. ha‎ving positive relationships is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff assist me in ha‎ving positive relationships with my peers. SA‚ A‚ N‚ D‚ SD
b)   Staff support me in building or rebuilding positive relationships with family members. SA‚ A‚ N‚ D‚ SD
c)    Staff assist me in forming friendships with people outside the mental health system. SA‚ A‚ N‚ D‚ SD
13. Identifying and building on my personal strengths is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff recognize and focus on my positive attributes and talents. SA‚ A‚ N‚ D‚ SD
b)   Staff help me explore my dreams‚ values and goals. SA‚ A‚ N‚ D‚ SD
c)    Staff link me to opportunities and resources that build on and reflect my strengths. SA‚ A‚ N‚ D‚ SD
14. Developing new skills is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff help me assess how I am functioning and identify skills I need to develop. SA‚ A‚ N‚ D‚ SD
b)   This program teaches me the skills I want and need. SA‚ A‚ N‚ D‚ SD
c)    This program connects me to places and people who help me build important skills. SA‚ A‚ N‚ D‚ SD
15. ha‎ving my basic needs met is important to my recovery. SA‚ A‚ N‚ D‚ SD
·         This program assists me to get a basic income and/or benefits. SA‚ A‚ N‚ D‚ SD
·         This program helps me get decent‚ affordable housing and/or rent subsidies. SA‚ A‚ N‚ D‚ SD
·         This program helps me gain access to health care. SA‚ A‚ N‚ D‚ SD
16. ha‎ving a sense of control over my life and feeling empowered is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff encourage and support my sense of empowerment. SA‚ A‚ N‚ D‚ SD
b)   Staff assist me to gain or maintain control over important decisions in my life. SA‚ A‚ N‚ D‚ SD
c)    Staff do not try to maintain power and control over me. SA‚ A‚ N‚ D‚ SD
17. Spirituality is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff ask me about my spiritual beliefs. SA‚ A‚ N‚ D‚ SD
b)   Staff helps me connect with spiritual resources and groups‚ if I so desire. SA‚ A‚ N‚ D‚ SD
c)    Staff encourage me to explore spiritual practices such as prayer or meditation that can support wellbeing. SA‚ A‚ N‚ D‚ SD
18. Taking on‚ and succeeding in‚ normal social roles is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff would help me get a real job and succeed as an employee. SA‚ A‚ N‚ D‚ SD
b)   Staff would assist me to return to school and be a successful student. SA‚ A‚ N‚ D‚ SD
c)    Staff would help me get housing and be a successful tenant. SA‚ A‚ N‚ D‚ SD
19. Challenging stigma and discrimination is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    This program helps me overcome internalized stigma (feeling badly about myself because of my psychiatric label). SA‚ A‚ N‚ D‚ SD
b)   This program raises my awareness of stigma and discrimination. SA‚ A‚ N‚ D‚ SD
c)    This program teaches me to be an effective self advocate for my civil‚ human and personal rights. SA‚ A‚ N‚ D‚ SD
20. Taking on new challenges and moving out of my comfort zone is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff encourage me to take on new challenges. SA‚ A‚ N‚ D‚ SD
b)   I feel supported when I try new things that seemed out of my reach before. SA‚ A‚ N‚ D‚ SD
c)    Staff encourage me to stretch myself and grow. SA‚ A‚ N‚ D‚ SD
21. ha‎ving positive role models is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    This program employs people who are positive role models of recovery. SA‚ A‚ N‚ D‚ SD
b)   Staff help me learn from others who have successfully recovered (e.g. share consumer life stories‚ internet sites‚ speakers‚ mentors). SA‚ A‚ N‚ D‚ SD
c)    I have opportunities to become a provider or role model in the program‚ if I so choose. SA‚ A‚ N‚ D‚ SD
22. ha‎ving assistance when I am in crisis is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    This program has help available immediately if I am in crisis. SA‚ A‚ N‚ D‚ SD
b)   Staff hang in with me through hard times‚ they help me see setbacks are a part of recovery. SA‚ A‚ N‚ D‚ SD
c)    This program has good options if I am in crisis that help me avoid involuntary treatment and hospitalization. SA‚ A‚ N‚ D‚ SD
23. Intimacy and sexuality are important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    This program supports me in forming and succeeding in intimate relationships. SA‚ A‚ N‚ D‚ SD
b)   This program adequately addresses my sexuality. SA‚ A‚ N‚ D‚ SD
c)    This program provides information on sexuality‚ such as safe sex‚ and med side effects and sexuality. SA‚ A‚ N‚ D‚ SD
24. ha‎ving helpers who really care about me and my recovery is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    The staff here really listen to me. SA‚ A‚ N‚ D‚ SD
b)   Staff here spend enough quality time with me on activities that promote my recovery. SA‚ A‚ N‚ D‚ SD
c)    Staff encourage‚ motivate and support me to move toward recovery. SA‚ A‚ N‚ D‚ SD
SPECIAL NEEDS
These questions relate to specific groups of people. If you are not a member of the specific special needs group being asked about‚ place a check mark beside the question and go onto the next question.
____ 1. If you are not a member of a minority group check here and skip to question 2.
ha‎ving my ethnic & cultural background respected is important to my recovery SA‚ A‚ N‚ D‚ SD
a)    Staff here are respectful to me as a person of a racial‚ ethnic‚ or cultural minority SA‚ A‚ N‚ D‚ SD
b)   This program understands and supports my cultural values/language/customs. SA‚ A‚ N‚ D‚ SD
c)    Staff are aware of‚ and sensitive to my cultural heritage and needs. SA‚ A‚ N‚ D‚ SD
_____ 2. If you do not have both psychiatric problems and substance abuse check here and
ha‎ving help with alcohol or drug problems is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    This program has resources to help me with both alcohol and psychiatric problems. SA‚ A‚ N‚ D‚ SD
b)   This program has resources to help me with both drug and psychiatric problems. SA‚ A‚ N‚ D‚ SD
c)    This program links me to self-help groups that deal with dual diagnoses/ substance abuse. SA‚ A‚ N‚ D‚ SD
_____ 3. If you do not have a history of abuse and/or trauma check here and skip to question 4.
Healing trauma‚ including sexual abuse and/or physical abuse‚ is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    This program has resources to help me heal from abuse and/or trauma. SA‚ A‚ N‚ D‚ SD
b)   It feels safe to open up about abuse or trauma in this program. SA‚ A‚ N‚ D‚ SD
c)    Staff deal effectively with abuse and trauma. SA‚ A‚ N‚ D‚ SD
____ 4. If you are not lesbian‚ gay‚ or bi-sexual put a check here and go to question 5.
ha‎ving support for my sexual orientation is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff of this program are not homophobic (very negative about gay‚ lesbian or bi-sexual people). SA‚ A‚ N‚ D‚ SD
b)   Staff of the program are respectful to me as a lesbian‚ gay or bi-sexual person. SA‚ A‚ N‚ D‚ SD
c)    Staff deal effectively with issues of sexual preference . SA‚ A‚ N‚ D‚ SD
_____ 5. If you are not a parent put a check here and go on to the next section.
ha‎ving support as a parent is important to my recovery. SA‚ A‚ N‚ D‚ SD
a)    Staff support me in my role as parent. SA‚ A‚ N‚ D‚ SD
b)   Staff assist me to be an effective parent. SA‚ A‚ N‚ D‚ SD
c)    Staff help me uphold my rights in custody disputes. SA‚ A‚ N‚ D‚ SD
ORGANIZATIONAL CLIMATE
Circle the answer that best describes whether your organization has the quality we are asking about. These qualities support resilience or the ability to rebound from adversity.
1. The program promotes learning striving‚ and growth. SA‚ A‚ N‚ D‚ SD
2. The program is a hopeful environment that promotes positive expectations. SA‚ A‚ N‚ D‚ SD
3. The program is inspiring and encouraging. SA‚ A‚ N‚ D‚ SD
4. Staff of this program are caring and compassionate. SA‚ A‚ N‚ D‚ SD
5. The program has enough resources to meet peoples' needs. SA‚ A‚ N‚ D‚ SD
6. The program provides opportunities for meaningful participation and contribution. SA‚ A‚ N‚ D‚ SD
7. The program helps people feel valued‚ respected and powerful. SA‚ A‚ N‚ D‚ SD
8. The program helps people feel connected to others in positive ways. SA‚ A‚ N‚ D‚ SD
9. The program is safe and attractive. SA‚ A‚ N‚ D‚ SD
10. All levels of staff are welcoming. SA‚ A‚ N‚ D‚ SD
11. There are creative and interesting things going on in the program. SA‚ A‚ N‚ D‚ SD
12. The program provides real choices‚ desirable options‚ and opportunities. SA‚ A‚ N‚ D‚ SD
13. The program asks for consumer feedback. SA‚ A‚ N‚ D‚ SD
14. The program makes changes based on consumer satisfaction. SA‚ A‚ N‚ D‚ SD
RECOVERY MARKERS
For each of the following questions you should circle one of these answers that is true for you now.
1. My living situation is safe and feels like home to me. SA‚ A‚ N‚ D‚ SD
2. I have trusted people I can turn to for help. SA‚ A‚ N‚ D‚ SD
3. I have at least one close mutual (give-and-take) relationship. SA‚ A‚ N‚ D‚ SD
4. I am involved in meaningful productive activities. SA‚ A‚ N‚ D‚ SD
5. My psychiatric symptoms are under control. SA‚ A‚ N‚ D‚ SD
6. I have enough income to meet my needs. SA‚ A‚ N‚ D‚ SD
7. I'm not working‚ but see myself working within 6 months. SA‚ A‚ N‚ D‚ SD
8. I am learning new things that are important to me. SA‚ A‚ N‚ D‚ SD
9. I am in good physical health. SA‚ A‚ N‚ D‚ SD
10. I have a positive spiritual life/connection to a higher power. SA‚ A‚ N‚ D‚ SD
11. I like and respect myself. SA‚ A‚ N‚ D‚ SD
12. I'm using my personal strengths‚ skills or talents. SA‚ A‚ N‚ D‚ SD
13. I have goals I'm working to achieve. SA‚ A‚ N‚ D‚ SD
14. I have reasons to get out of bed in the morning. SA‚ A‚ N‚ D‚ SD
15. I have more good days than bad. SA‚ A‚ N‚ D‚ SD
16. I have a decent quality of life. SA‚ A‚ N‚ D‚ SD
17. I control the important decisions in my life. SA
18. I contribute to my community. SA‚ A‚ N‚ D‚ SD
19. I am growing as a person. SA‚ A‚ N‚ D‚ SD
20. I have a sense of belonging. SA‚ A‚ N‚ D‚ SD
21. I feel alert and alive. SA‚ A‚ N‚ D‚ SD
22. I feel hopeful about my future. SA‚ A‚ N‚ D‚ SD
23. I am able to deal with stress. SA‚ A‚ N‚ D‚ SD
24. I believe I can make positive changes in my life. SA‚ A‚ N‚ D‚ SD
Check the box that is true for you now.
25. I am working part time (less than 35 hours a week). YES‚ NO
26. I am working full time (35 or more hours per week). YES‚ NO
27. I am in school. YES‚ NO
FINAL QUESTIONS
1. What are one or two of the most important things a mental health program and its staff can do to support people with psychiatric disabilities in their mental health recovery?
_________________________________________
_________________________________________
2. What are one or two of the most important thing you have learned so far on your journey of
recovery?
_______________________________________
_______________________________________
3. What one or two things would you want to say to a person who is just beginning his or her journey
of recovery from psychiatric disability?
______________________________________
____________________________________
4. Are there any other comments or ideas that could improve the program that you want to include in the survey?
_____________________________________
_____________________________________
Demographics‚ Stage of Recovery‚ Importance Ratings on Elements of Recovery‚ Program Performance Indicators‚ Special Needs‚ Organizational Climate‚ Recovery Markers‚ and ConsumerFeedback

Ridgway‚ P. (2003‚ May 28). The Recovery Enhancing Environment Measure (REE): Using measurement tools to understand and shape recovery-oriented practice. Plenary paper presentation. Washington‚ DC: The 2003 Joint National Conference on Mental Health Block Grants and National Conference on Mental Health Statistics.

Ridgway‚ P.‚ Press‚ A.‚ Anderson‚ D. & Deegan‚ P.E. (2004). Field testing the Recovery Enhancing Environment Measure: The Massachusetts experience. Byfield‚ MA: Pat Deegan & Associates.

Ridgway‚ P.A.‚ & Press‚ A.N. (2004‚ June 3). An instrument to assess the recovery and resiliency orientation of community mental health programs: The Recovery Enhancing Environment Measure (REE). Conference presentation. Washington‚ DC: The 2004 Joint National Conference on Mental Health Block Grants and Mental Health Statistics.

Ridgway‚ P.‚ & Press‚ A. (2004). Assessing the recovery-orientation of your mental health program: A user’s guide for the Recovery-Enhancing Environment scale (REE). Version 1. Lawrence‚ Kansas: University of Kansas‚ School of Social Welfare‚ Office of Mental Health Training and Research.

Ridgway‚ P.A.‚ Press‚ A.N.‚ Ratzlaff‚ S.‚ Davidson‚ L. & Rapp‚ C.A. (2003). Report on field testing the Recovery Enhancing Environment Measure. Lawrence‚ KS: University of Kansas School of Social Welfare Office of Mental Health Research and Training.