Original Paper

Community Mental Health Journal

, Volume 46, Issue 4, pp 319-329

First online:

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

  • Michelle P. SalyersAffiliated withVA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VA Medical CenterACT Center of IndianaDepartment of Psychology, Indiana University Purdue University Indianapolis (IUPUI)Regenstrief Institute, Inc. Email author 
  • , Alan B. McGuireAffiliated withVA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VA Medical CenterACT Center of IndianaDepartment of Psychology, Indiana University Purdue University Indianapolis (IUPUI)
  • , Angela L. RollinsAffiliated withACT Center of IndianaDepartment of Psychology, Indiana University Purdue University Indianapolis (IUPUI)
  • , Gary R. BondAffiliated withDepartment of Psychiatry, Dartmouth Medical SchoolDartmouth Psychiatric Research Center
  • , Kim T. MueserAffiliated withDartmouth Psychiatric Research CenterDepartments of Psychiatry and Community and Family Medicine, Dartmouth Medical School
  • , Veronica R. MacyAffiliated withRecovery Network Unlimited

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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.

Keywords

Illness management and recovery Assertive community treatment Fidelity Mental illness Evidence-based practice