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

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

doi:10.1007/s10597-009-9284-6

Cited by 73 publications

(95 citation statements)

References 30 publications

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“…Prior research on illness management and recovery has shown positive results, primarily with self-reported or clinician-reported measures of illness self-management and coping (4,6,8,9). This study is an important next step in documenting the utility of the program by going beyond such measures and observing actual service use.…”

Section: Discussionmentioning

confidence: 99%

“…Illness management and recovery services were provided individually to consumers on the teams. Because of participation in prior studies, three of the teams had fidelity assessments, and by 12 months had reached a “good” level of implementation (that is, a score of 4 out of 5) (8,9). …”

Section: Methodsmentioning

confidence: 99%

“…Initial research, including two randomized trials (4,5) and several pre-post studies (6–8), have shown improvements in self-management, achievement of personal goals, and coping. Salyers and colleagues (9) also showed a reduction in hospitalization.…”

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confidence: 86%

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Impact of Illness Management and Recovery Programs on Hospital and Emergency Room Use by Medicaid Enrollees

Salyers

Rollins²,

Clendenning³

et al. 2011

Psychiatric Services

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Objective Illness management and recovery is a structured program that helps consumers with severe mental illness learn effective ways to manage illness and pursue recovery goals. This study examined the impact of the program on health service utilization. Methods This was a retrospective cohort study of five assertive community treatment (ACT) teams in Indiana that implemented illness management and recovery. With Medicaid claims data from July 1, 2003, to June 30, 2008, panel data were created with person-months as the level of analysis, resulting in 14,261 observations, for a total of 498 unique individuals. Zero-inflated negative binomial regression models were used to predict hospitalization days and emergency room visits, including covariates of demographic characteristics, employment status, psychiatric diagnosis, and concurrent substance use disorder. The main predictor variables of interest were receipt of illness management and recovery services, dropout from the program, and program graduation status. Results Consumers who received some illness management and recovery services had fewer hospitalization days than those receiving only ACT. Graduates had fewer emergency room visits than did ACT-only consumers. Conclusions This is the first study to examine the impact of illness management and recovery on service utilization. Controlling for a number of background variables, the study showed that illness management and recovery programs were associated with reduced inpatient hospitalization and emergency room use over and above ACT.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Impact of Illness Management and Recovery Programs on Hospital and Emergency Room Use by Medicaid Enrollees

Salyers

Rollins²,

Clendenning³

et al. 2011

Psychiatric Services

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“…The parent study used a modified response scale with items rated from 1 (definitely false) to 4 (definitely true), which has been used successfully in samples of clients with severe mental illness (Bonfils et al, 2014;McGrew et al, 2004;Salyers et al, 2009;Salyers et al, 2010). An example item from the State Hope Scale is, "There are a lot of ways around any problem that I am facing now."…”

Section: Methodsmentioning

confidence: 99%

Language and hope in schizophrenia-spectrum disorders

Bonfils

Luther

Firmin

et al. 2016

Psychiatry Research

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Highlights Hope is integral to recovery in schizophrenia, but its relation to speech is unknown  Lexical analysis of transcribed life narratives were examined  Total hope, agency hope, and pathways hope correlated with lexical variables  Anger words most strongly predicted total and pathways hope Abstract Hope is integral to recovery for those with schizophrenia. Considering recent advancements in the examination of clients' lexical qualities, we were interested in how clients' words reflect hope. Using computerized lexical analysis, we examined social, emotion, and future words' relations to hope and its pathways and agency components. Forty-five clients provided detailed narratives about their life and mental illness. Transcripts were analyzed using the Linguistic Inquiry and Word Count program (LIWC), which assigns words to categories (e.g., "anxiety") based on a pre-existing dictionary. Correlations and linear multiple regression were used to examine relationships between lexical qualities and hope. Hope and its subcomponents had significant or trending bivariate correlations in expected directions with several emotion-related word categories (anger and sadness) but were not associated with expected categories such as social words, positive emotions, optimism, achievement, and future words. In linear multiple regressions, no LIWC variable significantly predicted hope agency, but anger words significantly predicted both total hope and hope pathways. Our findings indicate lexical analysis tools can be used to investigate recovery-oriented concepts such as hope, and results may inform clinical practice. Future research should aim to replicate our findings in larger samples.

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“…For example, current health care processes, norms and professional roles do not provide for the time, the information or the communication requirements for shared decision making with patients (Kennedy et al 2007; Torrey and Drake 2010). As a result, health services often fail to fully implement self-management support (Salyers et al 2010;Uppal et al 2010;Torrey et al 2012).…”

Section: A Model In a Mental Health Settingmentioning

confidence: 99%

Changing practice to support self-management and recovery in mental illness: application of an implementation model

Harris

Jones²,

Heartfield

et al. 2015

Aust. J. Prim. Health

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Health services introducing practice changes need effective implementation methods. Within the setting of a community mental health service offering recovery-oriented psychosocial support for people with mental illness, we aimed to: (i) identify a well-founded implementation model; and (ii) assess its practical usefulness in introducing a new programme for recovery-oriented self-management support. We reviewed the literature to identify implementation models applicable to community mental health organisations, and that also had corresponding measurement tools. We used one of these models to inform organisational change strategies. The literature review showed few models with corresponding tools. The Promoting Action on Research Implementation in Health Services (PARIHS) model and the related Organisational Readiness to Change Assessment (ORCA) tool were used. The PARIHS proposes prerequisites for health service change and the ORCA measures the extent to which these prerequisites are present. Application of the ORCA at two time points during implementation of the new programme showed strategy-related gains for some prerequisites but not for others, reflecting observed implementation progress. Additional strategies to address target prerequisites could be drawn from the PARIHS model. The PARIHS model and ORCA tool have potential in designing and monitoring practice change strategies in community mental health organisations. Further practical use and testing of implementation models appears justified in overcoming barriers to change.

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

Cited by 73 publications

References 30 publications

Impact of Illness Management and Recovery Programs on Hospital and Emergency Room Use by Medicaid Enrollees

Impact of Illness Management and Recovery Programs on Hospital and Emergency Room Use by Medicaid Enrollees

Language and hope in schizophrenia-spectrum disorders

Changing practice to support self-management and recovery in mental illness: application of an implementation model

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