Yale ROSE Study

Participate in the first nationwide study of Recovery-Oriented Care in Community Mental Health Centers.

Do you work at a mental health agency that:

  • Provides outpatient mental health services to adults with serious mental illness?
  • Is state-funded or receives Medicaid?

If you answer "yes" to both questions, please participate in our study by emailing timothy.schmutte@yale.edu, the survey director.


We are seeking surveys from:

  • agency administrators/directors,
  • clinical supervisors/team leaders,
  • direct care providers (e.g., psychiatrists, counselors/therapists, case managers, nurses, vocational therapists),
  • peer support staff

Agencies with multiple staff responses are eligible to receive a free Recovery-Oriented Services benchmarking report and up to $10,000 of technical assistance from thought leaders at Yale.


Email timothy.schmutte@yale.edu, the survey director, to participate in the study.


Overview: This is the first federally-funded, nationally representative study of recovery-oriented practices in community mental health centers and as they relate to service utilization and treatment outcomes for adults with serious mental illness.

Specific Aims:

  • Describe the extent to which recovery-oriented practices are being adopted by community mental health centers and to understand the organizational- and provider-level factors associated with agency use of recovery practices;
  • Identify structural, functional, and contextual characteristics of an agency that are associated with enhanced consumer outcomes and engagement in/adherence to care;
  • Identify specific recovery-oriented practices that are associated with adherence to and involvement in care and positive consumer outcomes, and specific organizational and provider characteristics that may impact the magnitude or path of the relationship between recovery-oriented practices and consumer outcomes; and
  • Gain an in-depth understanding, using qualitative research methods, of the mechanisms by which an organization adopts a recovery-oriented framework for care delivery.

Research Phases:

  • Phase 1: Conduct a national survey of community mental health agencies focusing on the organizational factors associated with the degree of adoption of recovery-oriented practices.
  • Phase 2: Examine the relationship between agency implementation of recovery-oriented practices and consumer-level outcomes using large, existing national datasets.
  • Phase 3: Perform in-depth exploration of the facilitators and barriers associated with agency uptake of recovery-oriented practices via collective case study analysis.

Project Title: Recovery-Oriented Structures, Practices and Outcomes in CMHCs: A National Study

PI: Maria O'Connell, Ph.D.

NIMH Grant #: R01MH097796

IRB Protocol #: 1401013285

Click here for sample Recovery-Oriented Services benchmarking report