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01-08-2010 | Original Paper

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

Authors: Michelle P. Salyers, Alan B. McGuire, Angela L. Rollins, Gary R. Bond, Kim T. Mueser, Veronica R. Macy

Published in: Community Mental Health Journal | Issue 4/2010

Abstract

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.

Ahern, L., & Fisher, D. (2001). Recovery at your own PACE (personal assistance in community existence). Journal of Psychosocial Nursing & Mental Health Services, 39(4), 22–32.

Allness, D. J., & Knoedler, W. H. (2003). The PACT model of community-based treatment for persons with severe and persistent mental illness: A manual for PACT start-up. Arlington, VA: NAMI.

Basto, P. M., Pratt, C. W., Gill, K. J., & Barrett, N. M. (2000). The organizational assimilation of consumer providers: A quantitative examination. Psychiatric Rehabilitation Skills, 4(1), 105–119.

Bond, G. R., & DeGraaf-Kaser, R. (1990). Group approaches for persons with severe mental illness. Social Work with Groups, 13(1), 21–36.CrossRef

Bond, G. R., Drake, R. E., Mueser, K. T., & Latimer, E. (2001). Assertive community treatment for people with severe mental illness: Critical ingredients and impact on patients. Disease Management & Health Outcomes, 9, 141–159.CrossRef

Bond, G. R., McDonel, E. C., Miller, L. D., & Pensec, M. (1991). Assertive community treatment and reference groups: An evaluation of their effectiveness for young adults with serious mental illness and substance abuse problems Special Issue: Serving persons with dual disorders of mental illness and substance use. Psychosocial Rehabilitation Journal, 15(2), 31–43.

Bond, G. R., & Salyers, M. P. (2004). Prediction of outcome from the Dartmouth assertive community treatment fidelity scale. CNS Spectrums, 9(12), 937–942.PubMed

Carlson, L. S., Rapp, C. A., & McDiarmid, D. (2001). Hiring consumer-providers: Barriers and alternative solutions. Community Mental Health Journal, 37(3), 199–213.CrossRefPubMed

Dickerson, R. J. (2002). Hope and self-esteem as outcome measures of a psychiatric inpatient cognitive-behavioral treatment program. Dissertation Abstracts International: Section B: The Sciences & Engineering, 63(6-B), 3004.

Drake, R. E., Goldman, H. H., Leff, H. S., Lehman, A. F., Dixon, L., Mueser, K. T., et al. (2001). Implementing evidence-based practices in routine mental health service settings. Psychiatric Services, 52(2), 179–182.CrossRefPubMed

Gingerich, S., & Mueser, K. T. (2005). Illness management and recovery. In R. E. Drake, M. R. Merrens, & D. W. Lynde (Eds.), Evidence-Based Mental Health Practice: A Textbook (pp. 395–424). New York: Norton.

Gomory, T. (2001). A critique of the effectiveness of assertive community treatment. Psychiatric Services, 52, 1394.CrossRefPubMed

Hasson-Ohayon, I., Roe, D., & Kravetz, S. (2007). A randomized controlled trial of the effectiveness of the illness management and recovery program. Psychiatric Services, 58(11), 1461–1466.CrossRefPubMed

Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2, 197–207.CrossRefPubMed

McGrew, J. H., Bond, G. R., Dietzen, L. L., McKasson, M., & Miller, L. D. (1995). A multi-site study of client outcomes in assertive community treatment. Psychiatric Services, 46, 696–701.PubMed

McGrew, J. H., Johannesen, J. K., Griss, M. E., Born, D., & Katuin, C. (2005). Performance-based funding of supported employment: A multi-site controlled trial. Journal of Vocational Rehabilitation, 23, 81–99.

McGrew, J. H., Wilson, R., & Bond, G. R. (2002). An exploratory study of what clients like least about assertive community treatment. Psychiatric Services, 53, 761–763.CrossRefPubMed

McHugo, G. J., Drake, R. E., Teague, G. B., & Xie, H. (1999). The relationship between model fidelity and client outcomes in the New Hampshire Dual Disorders Study. Psychiatric Services, 50, 818–824.PubMed

McHugo, G. J., Drake, R. E., Whitley, R., Bond, G. R., Campbell, K., Rapp, C. A., et al. (2007). Fidelity outcomes in the national implementing evidence-based practices project. Psychiatric Services, 58(10), 1279–1284.CrossRefPubMed

Mowbray, C. T., Moxley, D. P., Jasper, C. A., & Howell, L. L. (1997). Consumers as providers in psychiatric rehabilitation. Columbia, MD: IAPSRS Publications.

Mueser, K. T., Corrigan, P. W., Hilton, D. W., Tanzman, B., Schaub, A., Gingerich, S., et al. (2002a). Illness management and recovery: A review of the research. Psychiatric Services, 53, 1272–1284.CrossRefPubMed

Mueser, K. T., & Gingerich, S. (Eds.). (2002). Illness Management and Recovery Implementation Resource Kit. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

Mueser, K. T., Gingerich, S., Bond, G. R., Campbell, K., & Williams, J. (2002b). Illness Management and Recovery Fidelity Scale. In K. T. Mueser & S. Gingerich (Eds.), Illness Management and Recovery Implementation Resource Kit. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

Mueser, K. T., Meyer, P. S., Penn, D. L., Clancy, R., Clancy, D. M., & Salyers, M. P. (2006). The illness management and recovery program: Rationale, development, and preliminary findings. Schizophrenia Bulletin, 32(1), 32–43.CrossRef

Phillips, S. D., Burns, B. J., Edgar, E. R., Mueser, K. T., Linkins, K. W., Rosenheck, R. A., et al. (2001). Moving assertive community treatment into standard practice. Psychiatric Services, 52(6), 771–779.CrossRefPubMed

President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final Report. DHHS Pub. No. SMA-03-3832. Rockville, MD: Substance Abuse and Mental Health Services Administration.

Press, A., Marty, D., & Rapp, C. (2003). Consumer Outcomes Monitoring Package. Lawrence, KS: The University of Kansas School of Social Welfare.

Rivera, J. J., Sullivan, A. M., & Valenti, S. S. (2007). Adding consumer-providers to intensive case management: Does it improve outcome? Psychiatric Services, 58(6), 802–809.CrossRefPubMed

Salyers, M. P., Godfrey, J. L., McGuire, A. B., Gearhart, T., Rollins, A. L., & Boyle, C. (2009a). Implementing the illness management and recovery program for consumers with severe mental illness. Psychiatric Services, 60(4), 483–490.CrossRefPubMed

Salyers, M. P., Godfrey, J. L., Mueser, K. T., & Labriola, S. (2007). Measuring illness management outcomes: A psychometric study of clinician and consumer rating scales for illness self management and recovery. Community Mental Health Journal, 43(5), 459–480.CrossRefPubMed

Salyers, M. P., Hicks, L. J., McGuire, A. B., Baumgardner, H., Ring, K., & Kim, H. W. (2009b). A pilot to enhance the recovery orientation of assertive community treatment through peer provided illness management and recovery. American Journal of Psychiatric Rehabilitation, 12(3), 191–204.CrossRef

Salyers, M. P., & Tsemberis, S. (2007). ACT and recovery: integrating evidence-based practice and recovery orientation on assertive community treatment teams. Community Mental Health Journal, 43(6), 619–641.CrossRefPubMed

Snyder, C. R., Sympson, S. C., Ybasco, F. C., Borders, T. F., Babyak, M. A., & Higgins, R. L. (1996). Development and validation of the State Hope Scale. Journal of Personality and Social Psychology, 70(2), 321–335.CrossRefPubMed

Solomon, P. (2004). Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatric Rehabilitation Journal, 27(4), 392–401.CrossRefPubMed

Teague, G. B., Bond, G. R., & Drake, R. E. (1998). Program fidelity in assertive community treatment: Development and use of a measure. American Journal of Orthopsychiatry, 68(2), 216–232.CrossRefPubMed

Whitley, R., Gingerich, S., Lutz, W. J., & Mueser, K. T. (2009). Implementing the illness management and recovery program in community mental health settings: Facilitators and barriers. Psychiatric Services, 60, 202–209.CrossRefPubMed

Title: Integrating Assertive Community Treatment and Illness Management and Recovery for Consumers with Severe Mental Illness
Authors: Michelle P. Salyers
Alan B. McGuire
Angela L. Rollins
Gary R. Bond
Kim T. Mueser
Veronica R. Macy
Publication date: 01-08-2010
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 4/2010
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-009-9284-6

2024 ASCO Annual Meeting

Springer Medicine

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

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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