Recovery Oriented Systems Indicators Measure (ROSI)
Dumont‚ Ridgway‚ Onken‚ Dornan‚ & Ralph‚ 2005‚ 2015
Email: [email protected]
E-mail: [email protected]
Recovery Oriented System Indicators (ROSI) 2015
Adult Satisfaction Survey
1. There is at least one person who believes in me.
2. I have a place to live that feels like a comfortable home to me.
3. I am encouraged to use consumer-run programs (for example‚ support groups‚ drop-in centers‚ etc.).
4. I do not have the support I need to function in the roles I want in my community.
5. I do not have enough good service options to choose from.
6. Mental health services helped me get housing in a place I feel safe.
7. Staff do not understand my experience as a person with mental health problems.
8. The mental health staff ignore my physical health.
9. Staff respect me as a whole person.
10.Mental health and/or substance abuse services have caused me emotional or physical harm.
11.I cannot get the mental health/substance abuse services I need when I need them.
12.Mental health/substance abuse services helped me get medical benefits that meet my needs.
13.Mental health/substance abuse services led me to be more dependent‚ not independent.
14.I lack the information or resources I need to uphold my client rights and basic human rights.
15.I have enough income to live on.
16.Services help me develop the skills I need.
17.Substance abuse services help me be better able to deal with my alcohol or drug problem.
18.Substance abuse services help me be better understanding of my addiction.
Section Two: Please read each statement and then circle the response that best represents your situation during the past six months. The responses range from “Never/Rarely‚ Sometimes‚ Often‚ Almost Always/Always Does not apply to me.”
19.I have housing that I can afford.
20.I have a chance to advance my education if I want to.
21.I have reliable transportation to get where I need to go.
22.Mental health services helped me get or keep employment.
23.Staff see me as an equal partner in my treatment program.
24.Mental health staff support my self-care or wellness.
25.I have a say in what happens to me when I am in crisis.
26.Staff believe that I can grow‚ change and recover.
27.Staff use pressure‚ threats‚ or force in my treatment.
28.There was a consumer peer advocate to turn to when I needed one.
29.There are consumers working as paid employees in the mental health/substance abuse agency where I receive services.
30.Staff give me complete information in words I understand before I consent to treatment or medication.
31.Staff encourage me to do things that are meaningful to me.
32.Staff stood up for me to get the services and resources I needed.
33.Staff treat me with respect regarding my cultural background (think of race‚ ethnicity‚ religion‚ language‚ age‚ sexual orientation‚ etc).
34.Staff listen carefully to what I say.
35.Staff lack up-to-date knowledge on the most effective treatments.
36.Mental health/substance abuse staff interfere with my personal relationships.
37.Mental health/substance staff help me build on my strengths.
38.My right to refuse treatment is respected.
39.My treatment plan goals are stated in my own words.
40.The doctor worked with me to get on medications that were most helpful for me.
41.I am treated as a psychiatric label rather than as a person.
42.I can see a therapist when I need to.
43.My family gets the education or supports they need to be helpful to me.
44.I have information or guidance to get the services and supports I need‚ both inside and outside my mental health agency.
Section Three: Are there other issues related to how services help or hinder your recovery? Please explain.
Section Four: Please answer the following questions to let us know a little about you. We are asking you to provide this information so we are able to have a general description of the participants taking this survey. Please circle the answer that best fits your response to the question or write in your answer on the line provided. What is your gender? 1=Female‚ 2=Male
45. What is your gender? ___ Female ___ Male
46.What is your age? _____ years
47. What is your racial or ethnic background? (Check the one that applies best.)
a. American Indian/ Alaska Native
b. Asian
c. Black or African American
d. Native Hawaiian/ Other Pacific Islander
e. White/Caucasian
f. More than one race or ethnic
g. Other: ____________________________
48.Do you consider yourself Hispanic or Latino/a? 1=Yes‚ 2= No
49.Your level of education is: (Check the highest level you reached or currently are in.)
a. Less than High School
b. High School/GED
c. College/Technical Training
d. Graduate School
e. Other: ____________________________
50.Are you currently receiving mental health and/or substance abuse services?
1 = Mental Health only‚ 2 = Substance Abuse only‚ 3 = Mental Health and Substance Abuse services
51.How long have your been receiving mental health and/or substance services?
a. Less than 1 year
b. 1 to 2 years
c. 3 to 5 years
d. More than 5 years
52.Which services have you used in the past six months? (Circle all that apply.)
1 = Community Support Program (CSP)‚ 2 = Comprehensive Community Services (CCS)
53.What type of place do you live in? (Circle the one that applies best.)
a. My own home or apartment
b. Supervised/supported apartment
c. Residential facility
d. Boarding house
e. Homeless or homeless shelter
f. Other (describe: _____________)
54.What Wisconsin county do you currently live in? ____________ county‚ WI
55. Do have any other comments about the services you received in the last 6 months?
++++++++++++++++++++++++++++++++
Recovery Oriented System Indicators (ROSI)‚ 2005
1. There is at least one person who believes in me.
2. I have a place to live that feels like a comfortable home to me.
3. I am encouraged to use consumer-run programs (for example‚ support groups‚ drop-in centers‚ etc.).
4. I do not have the support I need to function in the roles Iwant in my community.
5. I do not have enough good service options to choose from.
6. Mental health services helped me get housing in a place I feel safe.
7. Staff do not understand my experience as a person with mental health problems.
8. The mental health staff ignore my physical health.
9. Staff respect me as a whole person.
10.Mental health services have caused me emotional or physical harm.
11.I cannot get the services I need when I need them.
1. Please circle the response that best represents your situation during the past six months.
12.Mental health services helped me get medical benefits that
2. meet my needs.
13.Mental health services led me to be more dependent‚ not independent.
14.I lack the information or resources I need to uphold my client rights and basic human
15.I have enough income to live on.
16.Services help me develop the skills I need.
Section Two Directions: Please read each statement and then circle the response that best represents your situation during the past six months. The responses range from “Never/Rarely‚ Sometimes‚ Often‚ Almost Always/Always‚ Almost Always/Always.” If the statement was about something you did not experience‚ circle the last response “Does Not Apply To Me.”
17.I have housing that I can afford.
18.I have a chance to advance my education if I want to.
19.I have reliable transportation to get where I need to go.
20.Mental health services helped me get or keep employment.
21.Staff see me as an equal partner in my treatment program.
22.Mental health staff support my self-care or wellness.
23.I have a say in what happens to me when I am in crisis.
24.Staff believe that I can grow‚ change and recover.
25.Staff use pressure‚ threats‚ or force in my treatment.
26.There was a consumer peer advocate to turn to when I needed one.
27.There are consumers working as paid employees in the mental health agency where I receive services.
28.Staff give me complete information in words I understand before I consent to treatment or medication.
29.Staff encourage me to do things that are meaningful to me.
30.Staff stood up for me to get the services and resources I needed.
31.Staff treat me with respect regarding my cultural background (think of race‚ ethnicity‚ religion‚ language‚ age‚ sexual orientation‚ etc).
32.Staff listen carefully to what I say.
33.Staff lack up-to-date knowledge on the most effective treatments.
34.Mental health staff interfere with my personal relationships.
35.Mental health staff help me build on my strengths.
36.My right to refuse treatment is respected.
37.My treatment plan goals are stated in my own words.
38.The doctor worked with me to get on medications that were most helpful for me.
39.I am treated as a psychiatric label rather than as a person.
40.I can see a therapist when I need to.
41.My family gets the education or supports they need to be helpful to me.
42.I have information or guidance to get the services and supports I need‚ both inside and outside my mental health agency.
Section Three Directions: Are there other issues related to how services help or hinder your recovery? Please explain.
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Section Four Directions: We are asking you to provide the following information in order for us to be able to have a general description of participants taking this survey. Please check the answer that best fits your response to the question or write in the answer in the line provided. Only answer those items you wish to answer. Please do not write your name or address on this survey. This keeps your identity confidential.
1. What is your gender? a. Female b. Male
2. What is your age? (Write your current age in the two boxes.) --‚--
3. What is your racial or ethnic background? (Check the one that applies best.)
a. American Indian/ Alaska Native
b. Asian
c. Black or African American
d. Native Hawaiian/ Other Pacific Islander
e. White/Caucasian
f. More than one race
g. Other: ____________________________
Do you consider yourself Hispanic or Latino/a? a. Yes b. No
4. Your level of education is: (Check the highest level you reached or currently are in.)
a. Less than High School
b. High School/GED
c. College/Technical Training
d. Graduate School
e. Other: ____________________________
5. How long have your been receiving mental health services?
a. Less than 1 year
b. 1 to 2 years
c. 3 to 5 years
d. More than 5 years
6. Which services have you used in the past six months? (Check all that apply.)
a. Counseling/Psychotherapy
b. Housing/Residential Services
c. Medication Management
d. Self-help/Consumer Run Service
e. Assertive Community Treatment (ACT)
f. Psychosocial Rehabilitation
g. Employment/Vocational Services
h. Alcohol/ Drug Abuse Treatment
i. Case Management
j. Clubhouse
k. Other: ____________________________
[To survey administrator: Please collect this additional background information (if possible).]
7. The town‚ city or community you live in is mostly:
a. Urban
b. Suburban
c. Rural
d. Remote/Frontier
8. What type of place do you live in?
a. Living in my own home or apartment
b. Living in supervised/supported apartment
c. Living in a residential facility
d. Living in a boarding house
e. Homeless or homeless shelter
f. Other: ___________________________________
9. Are you a person who currently has both mental health and substance abuse (alcohol‚ drug addiction) problems?
a. Yes b. No
This instrument can be found at: http://www.power2u.org/downloads/ROSI-Recovery%20Oriented%20Systems%20Indicators.pdf & https://www.dhs.wisconsin.gov/forms/f0/f01389.pdf
Dumont‚ J. M.‚ Ridgway‚ P.‚ Onken‚ S. J.‚ Dornan‚ D. H.‚ & Ralph‚ R. O. (2005). Mental health recovery: What helps and what hinders? A national research project for the development of recovery facilitating system performance indicators. Phase II technical report: Development of the recovery oriented system indicators (ROSI) measures to advance mental health system transformation. Alexandria‚ VA: National Technical Assistance Center for State Mental Health Planning. Soon available online through the NTAC Web site: http://www.nasmhpd.org/ntac.cfm
Onken‚ S. J.‚ Dumont‚ J. M.‚ Ridgway‚ P.‚ Dornan‚ D. H.‚ & Ralph‚ R. O. (2002‚ October). Mental health recovery: What helps and what hinders? A national research project for the development of recovery facilitating system performance indicators. Phase one research report: A national study of consumer perspectives on what helps and hinders mental health recovery. Alexandria‚ VA: National Technical Assistance Center for State Mental Health Planning.