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

被引：60

作者：

Salyers, Michelle P. ^{[1
,2
,3
,4
]}

McGuire, Alan B. ^{[1
,2
,3
]}

Rollins, Angela L. ^{[2
,3
]}

Bond, Gary R. ^{[5
,6
]}

Mueser, Kim T. ^{[5
,6
,7
]}

Macy, Veronica R. ^{[8
]}

机构：

[1] Roudebush VA Med Ctr, VA HSR&D Ctr Implementing Evidence Based Practice, Indianapolis, IN 46202 USA

[2] ACT Ctr Indiana, Indianapolis, IN USA

[3] Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46205 USA

[4] Regenstrief Inst Inc, Indianapolis, IN USA

[5] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Psychiat, Hanover, NH 03756 USA

[6] Dartmouth Psychiat Res Ctr, Lebanon, NH USA

[7] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Community & Family Med, Hanover, NH 03756 USA

[8] Recovery Network Unlimited, Indianapolis, IN USA

来源：

COMMUNITY MENTAL HEALTH JOURNAL | 2010年 / 46卷 / 04期

关键词：

Illness management and recovery; Assertive community treatment; Fidelity; Mental illness; Evidence-based practice; CLIENT OUTCOMES; FIDELITY; PROGRAM; ORIENTATION; MULTISITE; PROVIDERS;

D O I：

10.1007/s10597-009-9284-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页码：319 / 329

页数：11

共 34 条

[1]

Ahern L, 2001, J Psychosoc Nurs Ment Health Serv, V39, P22

[2]

Allness D.J., 2003, The PACT model of community-based treatment for Persons with severe and persistent mental illness: A manual for PACT startup, V2nd

[3]

[Anonymous], PSYCHIAT REHABILITAT

[4]

Bond G.R., 1991, Psychosocial Rehabilitation Journal, V15, P31, DOI [DOI 10.1037/H0095785, 10.1037/h0095785]

[5] GROUP APPROACHES FOR PERSONS WITH SEVERE MENTAL-ILLNESS - A TYPOLOGY [J].

BOND, GR ;

DEGRAAFKASER, R .

SOCIAL WORK WITH GROUPS, 1990, 13 (01) :21-36

[6] Prediction of outcome from the Dartmouth assertive community treatment fidelity scale [J].

Bond, GR ;

Salyers, MP .

CNS SPECTRUMS, 2004, 9 (12) :937-942

[7] Assertive community treatment for people with severe mental illness - Critical ingredients and impact on patients [J].

Bond, GR ;

Drake, RE ;

Mueser, KT ;

Latimer, E .

DISEASE MANAGEMENT & HEALTH OUTCOMES, 2001, 9 (03) :141-159

[8] Hiring consumer-providers: Barriers and alternative solutions [J].

Carlson, LS ;

Rapp, CA ;

McDiarmid, D .

COMMUNITY MENTAL HEALTH JOURNAL, 2001, 37 (03) :199-213

[9]

Dickerson R.J., 2002, Dissertation Abstracts International: Section B: The Sciences Engineering, V63, P3004

[10] Implementing evidence-based practices in routine mental health service settings [J].

Drake, RE ;

Goldman, HH ;

Leff, HS ;

Lehman, AF ;

Dixon, L ;

Mueser, KT ;

Torrey, WC .

PSYCHIATRIC SERVICES, 2001, 52 (02) :179-182

← 1 2 3 4 →