Provider Expectations for Recovery Scale: Refining a measure of provider attitudes.

OBJECTIVE: The purpose of this study was to refine and test the psychometric properties of a scale to measure provider attitudes about recovery. METHOD: This was a secondary data analysis that combined survey data from 1,128 mental health providers from 3 state hospitals, 6 community mental health centers, and 1 Department of Veterans Affairs (VA) medical center. Rasch analyses were used to examine item-level functioning to reduce the scale to a briefer, unidimensional construct. Convergent validity was assessed through correlations with related measures. RESULTS: The Provider Expectations for Recovery Scale had strong internal consistency, was related to education and setting in expected ways, and was associated with lower levels of burnout and higher levels of job satisfaction. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: A 10-item scale of Provider Expectations for Recovery appears to be a useful tool to measure an important construct in recovery-oriented care. The process of refining the measure also highlights potential factors in how providers view recovery.