title: Illness management and recovery in community practice.
abstract: To examine provider competence in providing Illness Management and Recovery (IMR), an evidence-based self-management program for people with severe mental illness, and the association between implementation supports and IMR competence.
  
  
  
  IMR session recordings, provided by 43 providers/provider pairs, were analyzed for IMR competence using the IMR Treatment Integrity Scale. Providers also reported on receipt of commonly available implementation supports (e.g., training, consultation).
  
  
  
  Average IMR competence scores were in the "needs improvement" range. Clinicians demonstrated low competence in several IMR elements: significant other involvement, weekly action planning, action plan follow-up, cognitive-behavioral techniques, and behavioral tailoring for medication management. These elements were commonly absent from IMR sessions. Competence in motivational enhancement strategies and cognitive-behavioral techniques differed based on the module topic covered in a session. Generally, receipt of implementation supports was not associated with increased competence; however, motivational interviewing training was associated with increased competence in action planning and review.
  
  
  
  IMR, as implemented in the community, may lack adequate competence and commonly available implementation supports do not appear to be adequate. Additional implementation supports that target clinician growth areas are needed. (PsycINFO Database Record
authors: Health Services Research and Development, Richard L. Roudebush VA Medical Center.
authors: Alan B
authors: AB
authors: McGuire
authors: Psychiatric Rehabilitation and Counseling Professions, Rutgers University.
authors: Tom
authors: T
authors: Bartholomew
authors: Department of Psychology, Indiana University Purdue-University Indianapolis.
authors: Adrienne I
authors: AI
authors: Anderson
authors: Department of Psychology, Indiana University Purdue-University Indianapolis.
authors: Sarah M
authors: SM
authors: Bauer
authors: Department of Psychology, Indiana University Purdue-University Indianapolis.
authors: John H
authors: JH
authors: McGrew
authors: Department of Psychology, Indiana University Purdue-University Indianapolis.
authors: Dominique A
authors: DA
authors: White
authors: Department of Psychology, Indiana University Purdue-University Indianapolis.
authors: Lauren
authors: L
authors: Luther
authors: Health Services Research and Development, Richard L. Roudebush VA Medical Center.
authors: Angela
authors: A
authors: Rollins
authors: Psychiatric Rehabilitation and Counseling Professions, Rutgers University.
authors: Angela
authors: A
authors: Pereira
authors: Health Services Research, Regenstreif Institute.
authors: Michelle P
authors: MP
authors: Salyers
mesh_terms: D003156:Community Mental Health Services; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*