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The Relationship Between Provider Competence, Content Exposure, and Consumer Outcomes in Illness Management and Recovery Programs

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Abstract

Provider competence may affect the impact of a practice. The current study examined this relationship in sixty-three providers engaging in Illness Management and Recovery with 236 consumers. Improving upon previous research, the present study utilized a psychometrically validated competence measure in the ratings of multiple Illness Management and Recovery sessions from community providers, and mapped outcomes onto the theory underlying the practice. Provider competence was positively associated with illness self-management and adaptive coping. Results also indicated baseline self-management skills and working alliance may affect the relationship between competence and outcomes.

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References

  • Baer, J. S., Ball, S. A., Campbell, B. K., Miele, G. M., Schoener, E. P., & Tracy, K. (2007). Training and fidelity monitoring of behavioral interventions in multi-site addictions research. Drug and Alcohol Dependence, 87(2–3), 107–118. doi:10.1016/j.drugalcdep.2006.08.028.

    Article  PubMed  Google Scholar 

  • Bell, B. A., Schoeneberger, J. A., Morgan, G. B., Kromrey, J. D., & Ferron, J. M. (2010). Fundamental diagnostics for two-level mixed models: The SAS Macro MIXED_DX. Paper presented at the Proceedings of the annual SAS Global Forum. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.176.3100&rep=rep1&type=pdf.

  • Buchanan, J. (1995). Social support and schizophrenia: A review of the literature. Archives of Psychiatric Nursing, 9, 68–76. doi:10.1016/S0883-9417(95)80003-4.

    Article  CAS  PubMed  Google Scholar 

  • Burns, D. D., & Spangler, D. L. (2000). Does psychotherapy homework lead to improvements in depression in cognitive–behavioral therapy or does improvement lead to increased homework compliance? Journal of Consulting and Clinical Psychology, 68(1), 46. doi:10.1037/0022-006X.68.1.46.

    Article  CAS  PubMed  Google Scholar 

  • Busseri, M. A., & Tyler, J. D. (2003). Interchangeability of the working alliance inventory and working alliance inventory, short form. Psychological Assessment, 15(2), 193–197. doi:10.1037/1040-3590.15.2.193.

    Article  PubMed  Google Scholar 

  • Cecil, H., Stanley, M., Carrion, P. G., & Swann, A. (1995). Psychometric properties of the MSPSS and NOS in psychiatric outpatients. Journal of Clinical Psychology, 51, 593–602. doi:10.1002/1097-4679(199509)51:5%3C593::AID-JCLP2270510503%3E3.0.CO;2-W.

    Article  CAS  PubMed  Google Scholar 

  • Copeland, M. E. (2002). Wellness recovery action plan: A system for monitoring, reducing and eliminating uncomfortable or dangerous physical symptoms and emotional feelings. Occupational Therapy in Mental Health, 17(3–4), 127–150. doi:10.1300/J004v17n03_09.

    Article  Google Scholar 

  • Cronbach, L. J., & Meehl, P. E. (1955). Construct validity in psychological tests. Psychological Bulletin, 52(4), 281. doi:10.1037/h0040957.

    Article  CAS  PubMed  Google Scholar 

  • 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 (Vol. 63(6-B)): 3004.

  • Drake, R. E., Bond, G. R., & Rapp, C. (2006). Explaining the variance within supported employment programs: Comment on “What predicts supported employment outcomes?”. Community Mental Health Journal, 42(3), 315–318. doi:10.1007/s10597-006-9038-7.

    Article  PubMed  Google Scholar 

  • Drake, R. E., McHugo, G. J., Clark, R. E., Teague, G. B., Xie, H., Miles, K., & Ackerson, T. H. (1998). Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder: A clinical trial. American Journal of Orthopsychiatry, 68(2), 201–215. doi:10.1037/h0080330.

    Article  CAS  PubMed  Google Scholar 

  • Erickson, D. H., Beiser, M., Iacono, W. G., Fleming, J. A., & Lin, T. Y. (1989). The role of social relationships in the course of first-episode schizophrenia and affective psychosis. American Journal of Psychiatry, 146(11), 1456–1461. Retrieved from http://search.proquest.com/docview/220455463?pq-origsite=gscholar.

  • Färdig, R., Lewander, T., Fredriksson, A., & Melin, L. (2011). Evaluation of the Illness Management and Recovery Scale in schizophrenia and schizoaffective disorder. Schizophrenia Research, 132, 157–164. doi:10.1016/j.schres.2011.07.001.

    Article  PubMed  Google Scholar 

  • Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231). Retrieved from http://www.popline.org/node/266329.

  • Gehrs, M., & Goering, P. (1994). The relationship between the working alliance and rehabilitation outcomes of schizophrenia. Psychosocial Rehabilitation Journal, 18(2), 43–54. doi:10.1037/h0095517.

    Article  Google Scholar 

  • 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. doi:10.1176/ps.2007.58.11.1461.

    Article  PubMed  Google Scholar 

  • Hasson-Ohayon, I., Roe, D., & Kravetz, S. (2008). The psychometric properties of the Illness Management and Recovery scale: Client and clinician versions. Psychiatry Research, 160(2), 228–235. doi:10.1016/j.psychres.2007.06.013.

    Article  PubMed  Google Scholar 

  • Henggeler, S. W., Melton, G. B., Brondino, M. J., Scherer, D. G., & Hanley, J. H. (1997). Multisystemic therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination. Journal of Consulting and Clinical Psychology, 65(5), 821–833. doi:10.1037/0022-006X.65.5.821.

    Article  CAS  PubMed  Google Scholar 

  • Herz, M. I., Lamberti, J. S., Mintz, J., Scott, R., O’Dell, S. P., McCartan, L., & Nix, G. (2000). A program for relapse prevention in schizophrenia: A controlled study. Archives of General Psychiatry, 57(3), 277–283. doi:10.1001/archpsyc.57.3.277.

    Article  CAS  PubMed  Google Scholar 

  • Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36(2), 223. doi:10.1037/0022-0167.36.2.223.

    Article  Google Scholar 

  • Horvath, A. O., & Symonds, B. D. (1991). Relation between working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology, 38(2), 139. doi:10.1037/0022-0167.38.2.139.

    Article  Google Scholar 

  • Lam, D. H., Bright, J., Jones, S., Hayward, P., Schuck, N., Chisholm, D., & Sham, P. (2000). Cognitive therapy for bipolar illness—a pilot study of relapse prevention. Cognitive Therapy and Research, 24, 503–520. doi:10.1023/A:1005557911051.

    Article  Google Scholar 

  • Liberman, R. P., Mueser, K. T., Wallace, C. J., Jacobs, H. E., Eckman, T., & Massel, H. K. (1986). Training skills in the psychiatrically disabled: Learning coping and competence. Schizophrenia Bulletin, 12, 631–647. doi:10.1093/schbul/12.4.631.

    Article  CAS  PubMed  Google Scholar 

  • McGrew, J. H., Johannesen, J. K., Griss, M. E., Born, D., & Vogler, T. (2004). Results-based funding in Indiana: Process, outcomes and caveats. Paper presented at the National Conference of the Association of Persons in Supported Employment, Indianapolis, IN.

  • McGuire, A. B., Kukla, M., Green, A., Gilbride, D., Mueser, K. T., & Salyers, M. P. (2013). Illness management and recovery: A review of the literature. Psychiatric Services,. doi:10.1176/appi.ps.201200274.

    PubMed  Google Scholar 

  • McGuire, A. B., Stull, L. G., Mueser, K. T., Santos, M., Mook, A., Rose, N., & Salyers, M. P. (2012). Development and reliability of a measure of clinician competence in providing illness management and recovery. Psychiatric Services, 63(8), 772–778. doi:10.1176/appi.ps.201100144.

    Article  PubMed  Google Scholar 

  • Mowrer, O., & Jones, H. (1945). Habit strength as a function of the pattern of reinforcement. Journal of Experimental Psychology, 35(4), 293. doi:10.1037/h0056678.

    Article  Google Scholar 

  • Mueser, K. T., Corrigan, P. W., Hilton, D. W., Tanzman, B., Schaub, A., Gingerich, S., & Herz, M. I. (2002). Illness management and recovery: A review of the research. Psychiatric Services, 53, 1272–1284. doi:10.1176/appi.ps.53.10.1272.

    Article  PubMed  Google Scholar 

  • Mueser, K. T., Foy, D. W., & Carter, M. J. (1986). Social skills training for job maintenance in psychiatric patients. Journal of Counseling Psychology, 33, 360–362. doi:10.1037/0022-0167.33.3.360.

    Article  Google Scholar 

  • Mueser, K. T., Gingerich, S., Salyers, M. P., McGuire, A. B., Reyes, R. U., & Cunningham, H. (2004). The Illness Management and Recovery (IMR) Scale. Concord, NH: New Hampshire-Dartmouth Psychiatric Research.

    Google Scholar 

  • 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. doi:10.1093/schbul/sbl022.

    Article  Google Scholar 

  • Perepletchikova, F., Treat, T. A., & Kazdin, A. E. (2007). Treatment integrity in psychotherapy research: Analysis of the studies and examination of the associated factors. Journal of Consulting and Clinical Psychology, 75(6), 829–841. doi:10.1037/0022-006X.75.6.829.

    Article  PubMed  Google Scholar 

  • Perry, A., Tarrier, N., Morriss, R., McCarthy, E., & Limb, K. (1999). Randomised controlled trial of efficacy of teaching patients with bipolar disorder to identify early symptoms of relapse and obtain treatment. British Medical Journal, 318, 149–153. doi:10.1136/bmj.318.7177.149.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pilling, S., Bebbington, P., Kuipers, E., Garety, P., Geddes, J., Martindale, B., & Morgan, C. (2002). Psychological treatments in schizophrenia: II. Meta-analyses of randomized controlled trials of social skills training and cognitive remediation. Psychological Medicine, 32(5), 783–791. doi:10.1017/S0033291702005640.

    CAS  PubMed  Google Scholar 

  • Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration Policy and Mental Health and Mental Health Services, 36(1), 24–34. doi:10.1007/s10488-008-0197-4.

    Article  Google Scholar 

  • Proctor, E. K., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., & Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76. doi:10.1007/s10488-010-0319-7.

    Article  PubMed  Google Scholar 

  • 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. doi:10.1007/s10597-007-9087-6.

    Article  PubMed  Google Scholar 

  • SAMHSA (2012). SAMHSA’s working definition of recovery: 10 Guiding principles of recovery. 1–8. Retrieved from https://store.samhsa.gov/shin/content/PEP12-RECDEF/PEP12-RECDEF.pdf website: https://store.samhsa.gov/shin/content/PEP12-RECDEF/PEP12-RECDEF.pdf.

  • Scott, J., Garland, A., & Moorhead, S. (2001). A pilot study of cognitive therapy in bipolar disorders. Psychological Medicine, 31, 459–467. doi:10.1017/S0033291701003373.

    Article  CAS  PubMed  Google Scholar 

  • Snijders, T. A. B., & Bosker, R. J. (1999). Multilevel analysis: An introduction to basic and advanced multilevel modeling. London: Sage.

    Google Scholar 

  • 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. doi:10.1037/0022-3514.70.2.321.

    Article  CAS  PubMed  Google Scholar 

  • Squires, J. E., Estabrooks, C. A., O’Rourke, H. M., Gustavsson, P., Newburn-Cook, C. V., & Wallin, L. (2011). A systematic review of the psychometric properties of self-report research utilization measures used in healthcare. Implementation Science, 6(1), 83. doi:10.1186/1748-5908-6-83.

    Article  PubMed  PubMed Central  Google Scholar 

  • Starnino, V. R., Mariscal, S., Holter, M. C., Davidson, L. J., Cook, K. S., Fukui, S., & Rapp, C. A. (2010). Outcomes of an illness self-management group using wellness recovery action planning. Psychiatric Rehabilitation Journal, 34(1), 57–60. doi:10.2975/34.1.2010.57.60.

    Article  PubMed  Google Scholar 

  • Strauss, J. S., & Carpenter, W. T. (1977). Prediction of outcome in schizophrenia III. Five-year outcome and its predictors. Archives of General Psychiatry, 34, 159–163. doi:10.1001/archpsyc.1977.01770140049005.

    Article  CAS  PubMed  Google Scholar 

  • Torrey, W. C., Lynde, D. W., & Gorman, P. (2005). Promoting the implementation of practices that are supported by research: The national implementing evidence-based practice project. Child & Adolescent Psychiatry Clinics of North America, 14(2), 297–306. doi:10.1016/j.chc.2004.05.004.

    Article  Google Scholar 

  • Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the working alliance inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(3), 207–210. doi:10.1037/1040-3590.1.3.207.

    Article  Google Scholar 

  • Trepka, C., Rees, A., Shapiro, D. A., Hardy, G. E., & Barkham, M. (2004). Therapist competence and outcome of cognitive therapy for depression. Cognitive Therapy and Research, 28(2), 143–157. doi:10.1023/B:COTR.0000021536.39173.66.

    Article  Google Scholar 

  • Veiel, H. O. (1985). Dimensions of social support: A conceptual framework for research. Social Psychiatry, 20(4), 156–162. doi:10.1023/B:COTR.0000021536.39173.66.

    Article  CAS  PubMed  Google Scholar 

  • Webb, C. A., DeRubeis, R. J., & Barber, J. P. (2010). Therapist adherence/competence and treatment outcome: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 200. doi:10.1037/a0018912.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensinoal scale of perceived social support. Journal of Personality Assessment, 52, 30–42. doi:10.1080/00223891.1990.9674095.

    Article  Google Scholar 

  • Zubin, J., & Spring, B. (1977). Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology, 86, 103–126. doi:10.1037/0021-843X.86.2.103.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, 1481 West 10th Street, Indianapolis, IN, 46202, USA

    Alan B. McGuire & Angela L. Rollins

  2. ACT Center of Indiana, Indianapolis, IN, USA

    Alan B. McGuire, John H. McGrew, Angela L. Rollins & Michelle P. Salyers

  3. Department of Psychology, Indiana University Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA

    Alan B. McGuire, Dominique A. White, John H. McGrew, Angela L. Rollins & Michelle P. Salyers

  4. Department of Psychiatric Rehabilitation and the Counseling Professions, Rutgers University, Newark, NJ, USA

    Tom Bartholomew

  5. Indiana University (IU) Center for Health Services and Outcomes Research, Indianapolis, IN, USA

    Mindy E. Flanagan

  6. Regenstrief Institute, Inc, Indianapolis, IN, USA

    Angela L. Rollins & Michelle P. Salyers

  7. Center for Psychiatric Rehabilitation, Boston University, Boston, MA, USA

    Kim T. Mueser

  8. Department of Occupational Therapy, Boston University, Boston, MA, USA

    Kim T. Mueser

  9. Department of Psychiatry, Dartmouth Medical School, Hanover, NH, USA

    Kim T. Mueser

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  1. Alan B. McGuire
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  2. Dominique A. White
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Correspondence to Alan B. McGuire.

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McGuire, A.B., White, D.A., Bartholomew, T. et al. The Relationship Between Provider Competence, Content Exposure, and Consumer Outcomes in Illness Management and Recovery Programs. Adm Policy Ment Health 44, 81–91 (2017). https://doi.org/10.1007/s10488-015-0701-6

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