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 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.
Salyers
Michelle P
MP
VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VA Medical Center, 1481 W. 10th St. (11H), Indianapolis, IN 46202, USA. mpsalyer@iupui.edu
McGuire
Alan B
AB
Rollins
Angela L
AL
Bond
Gary R
GR
Mueser
Kim T
KT
Macy
Veronica R
VR
D000328:Adult; D003156:Community Mental Health Services / Q000458:organization & administration*; D019468:Disease Management; D055317:Evidence-Based Practice; D005260:Female; D006040:Goals; D006801:Humans; D007196:Indiana; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D010379:Peer Group; D011594:Psychometrics; D011618:Psychotic Disorders / Q000534:rehabilitation*; D012648:Self Care / Q000523:psychology