Integrating Assertive Community Treatment and Illness Management and Recovery for Consumers with Severe Mental Illness

This study examined the integration of two evidence-based practices for adults with severe mental illness: Assertive community treatment (ACT) and illness management and recovery (IMR) with peer specialists as IMR practitioners. Two of four ACT teams were randomly assigned to implement IMR. Over 2 y...

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Bibliographic Details
Published in:Community mental health journal 2010-08, Vol.46 (4), p.319-329
Main Authors: Salyers, Michelle P., McGuire, Alan B., Rollins, Angela L., Bond, Gary R., Mueser, Kim T., Macy, Veronica R.
Format: Article
Language:English
Subjects:
Adult
Assertive community treatment
Associated treatments
Biological and medical sciences
Community and Environmental Psychology
Community health care
Community Mental Health Services - organization & administration
Community treatment. Ambulatory treatment. Home care
Consumers
Disease Management
Empowerment
Evidence Based Practice
Evidence-based medicine
Female
Goals
Health care delivery
Health services
Hospitals
Humans
Illness
Indiana
Male
Management
Medical sciences
Medicine
Medicine & Public Health
Mental disorders
Mental health care
Mental Illness
Mentally ill people
Middle Aged
Motivation
Original Paper
Outcome and Process Assessment (Health Care) - statistics & numerical data
Patient Dropouts - psychology
Patient Dropouts - statistics & numerical data
Patient Satisfaction
Peer Group
Peers
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Psychotic Disorders - rehabilitation
Recovery
Reeducation. Readaptation. Sociotherapy
Self Care - psychology
Skill development
Social Integration
Specialists
Teams
Training
Treatments
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Summary:This study examined the integration of two evidence-based practices for adults with severe mental illness: Assertive community treatment (ACT) and illness management and recovery (IMR) with peer specialists as IMR practitioners. Two of four ACT teams were randomly assigned to implement IMR. Over 2 years, the ACT–IMR teams achieved moderate fidelity to the IMR model, but low penetration rates: 47 (25.7%) consumers participated in any IMR sessions and 7 (3.8%) completed the program during the study period. Overall, there were no differences in consumer outcomes at the ACT team level; however, consumers exposed to IMR showed reduced hospital use over time.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-009-9284-6