Operationalization of the SAMHSA model of recovery: a quality of life perspective

Qual Life Res. 2010 Feb;19(1):1-13. doi: 10.1007/s11136-009-9555-2. Epub 2009 Nov 18.


Purpose: To test empirically the Substance Abuse and Mental Health Services Administration (SAMHSA) recovery model.

Methods: Two hundred and four attendants aged 18-60, with schizophrenia spectrum disorder, from two participating outpatient clinics were interviewed with a number of inventories, including health-related quality of life measure (WHOQOL-BREF (HK)). Canonical correlation analysis was performed on two sets of variables (SAMHSA recovery components and QoL domain scores).

Results: There were significant correlations between most recovery components proposed in the SAMHSA recovery statement and the health-related quality of life measure. Age, duration of untreated psychosis, the degree of social support, the interaction of singlehood and the number of confidants, engagement in competitive careers, and the duration of participation in community support services were all found to be important predictors.

Conclusions: The SAMHSA consensus statement appeared to contain valid concepts for Chinese subjects. It presented new challenges for psychiatric rehabilitation and reminded the policy makers that there is much more psychiatric rehabilitation can achieve beyond symptom control and patient management. It also demonstrated that resolve and the commitment of resources to combat stigma, develop resilience, and foster patient empowerment were very much needed in Hong Kong and perhaps in Asia and elsewhere.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Aged, 80 and over
  • China
  • Community Mental Health Services / organization & administration
  • Female
  • Humans
  • Interpersonal Relations
  • Male
  • Middle Aged
  • Models, Psychological*
  • Outcome Assessment, Health Care
  • Outpatients / psychology*
  • Patient Compliance / psychology*
  • Program Evaluation
  • Psychiatric Status Rating Scales
  • Quality of Life / psychology*
  • Schizophrenia / rehabilitation*
  • Schizophrenic Psychology
  • Social Support*
  • Young Adult