Community Mental Health Journal

, Volume 43, Issue 5, pp 459–480 | Cite as

Measuring Illness Management Outcomes: A Psychometric Study of Clinician and Consumer Rating Scales for Illness Self Management and Recovery

  • Michelle P. Salyers
  • Jenna L. Godfrey
  • Kim T. Mueser
  • Shauna Labriola
Article
First Online:
Received:
Accepted:

Abstract

Psychometric properties of the Illness Management and Recovery (IMR) Scales (consumer and clinician versions), new 15–item instruments measuring illness self-management and pursuit of recovery goals, were evaluated in consumers with severe mental illness. Both versions had moderate internal consistency and high 2-week test-retest reliability. In addition, the consumer version was correlated with self-ratings of recovery and symptoms, and the clinician version was correlated with clinician ratings of community functioning, indicating convergent validity. The results suggest the IMR Scales have adequate psychometric properties and may be useful in treatment planning and assessing recovery in individuals with severe mental illness.

Keywords

Illness Management and Recovery severe mental illness validity reliability. 
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Notes

Acknowledgments

The study was funded in part by National Institute of Disability and Rehabilitation Research (NIDRR) H133G030106 (Integrating Assertive Community Treatment (ACT) and Illness Management and Recovery (IMR) for Clients with Severe Mental Illness (SMI)) and Substance Abuse and Mental Health Services Administration (SAMHSA) SM56140 Implementing and Evaluating IMR in Indiana. We would like to thank Thresholds Psychiatric Rehabilitation Centers in Chicago, IL for their participation in this study.

References

  1. Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16, 11–23Google Scholar
  2. Barker, S., Barron, N., McFarland, B., & Bigelow, D. (1994). A community ability scale for chronically mentally ill consumers: Part I. Reliability and validity. Community Mental Health Journal, 30, 363–383PubMedCrossRefGoogle Scholar
  3. Barker, S., Barron, N., & McFarlane, B. (1994). Multnomah community ability scale: Users manual. Portland, OR: Western Mental Health Research Center, Oregon Health Sciences UniversityGoogle Scholar
  4. Bellack, A. S. (2006). Scientific and consumer models of recovery in schizophrenia: Concordance, contrasts, and implications. Schizophrenia Bulletin, 32, 432–442PubMedCrossRefGoogle Scholar
  5. Bond, G. R., Resnick, S. R., Drake, R. E., Xie, H., McHugo, G. J., & Bebout, R. R. (2001). Does competitive employment improve nonvocational outcomes for people with severe mental illness? Journal of Consulting and Clinical Psychology, 69, 489–501PubMedCrossRefGoogle Scholar
  6. Copeland, M. E. (1997). Wellness recovery action plan. Brattleboro, VT: Peach PressGoogle Scholar
  7. Corrigan, P. W., Giffort, D., Rashid, F., Leary, M., & Okeke, I. (1999). Recovery as a psychological construct. Community Mental Health Journal, 35(3), 231–240PubMedCrossRefGoogle Scholar
  8. Deegan, P. E. (1988). Recovery: The lived experience of rehabilitation. Psychosocial Rehabilitation Journal, 11(4), 12–19Google Scholar
  9. 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, 179–182PubMedCrossRefGoogle Scholar
  10. Drake, R. E., Mueser, K. T., & McHugo, G. J. (1996). Clinician Rating Scales: Alcohol Use Scale (AUS), Drug Use Scale (DUS), and Substance Abuse Treatment Scale (SATS). In L. I. Sederer, & B. Dickey (Eds.). Outcomes assessment in clinical practice (pp. 113–116). Baltimore, MD: Williams & WilkinsGoogle Scholar
  11. 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: NortonGoogle Scholar
  12. Hendryx, M., Dyck, D., McBride, M., & Whitbeck, J. (2001). A test of the reliability and validity of the Multnomah Community Ability Scale. Community Mental Health Journal, 37, 157–168PubMedCrossRefGoogle Scholar
  13. 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, 631–647PubMedGoogle Scholar
  14. McHugo, G. J., Drake, R. E., Burton, H. L., & Ackerson, T. H. (1995). A scale for assessing the stage of substance abuse treatment in persons with severe mental illness. Journal of Nervous and Mental Disease, 183(12), 762–767PubMedCrossRefGoogle Scholar
  15. Mead, S., & Copeland, M. (2000). What recovery means to us: Consumers’ perspectives. Community Mental Health Journal, 36, 315–328PubMedCrossRefGoogle Scholar
  16. Mueser, K. T., Corrigan, P. W., Hilton, D., Tanzman, B., Schaub, A., Gingerich, S., et al. (2002). Illness management and recovery for severe mental illness: A review of the research. Psychiatric Services, 53(10), 1272–1284PubMedCrossRefGoogle Scholar
  17. Mueser, K. T., & Gingerich, S. (2005). Illness Management and Recovery (IMR) Scales. In T. Campbell-Orde, J. Chamberlin, J. Carpenter, & H. S. Leff (Eds.). Measuring the promise: A compendium of recovery measures (pp. 124–132). Cambridge, MA: The Evaluation Center @ Human Services Research InstituteGoogle Scholar
  18. 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(Suppl. 1), S32–S43PubMedCrossRefGoogle Scholar
  19. Mueser, K. T., Torrey, W. C., Lynde, D., Singer, P., & Drake, R. E. (2003). Implementing evidence-based practices for people with severe mental illness. Behavior Modification, 27, 387–411PubMedCrossRefGoogle Scholar
  20. Noordsy, D., Torrey, W., Mueser, K. T., Mead, S., O’Keefe, C., & Fox, L. (2002). Recovery from severe mental illness: An interpersonal and functional outcome definition. International Review of Psychiatry, 14(4), 318–326CrossRefGoogle Scholar
  21. Nuechterlein, K. H., & Dawson, M. E. (1984). A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia Bulletin, 10, 300–312PubMedGoogle Scholar
  22. Nuechterlein, K. H., Dawson, M. E., Gitlin, M., Ventura, J., Goldstein, M. J., Snyder, K. S., Yee, C. M., & Mintz, J. (1992). Developmental processes in schizophrenic disorders: Longitudinal studies of vulnerability and stress. Schizophrenia Bulletin, 18, 387–425PubMedGoogle Scholar
  23. Resnick, S. G., Rosenheck, R. A., & Lehman, A. F. (2004). An exploratory analysis of correlates of recovery. Psychiatric Services, 55(5), 540–547PubMedCrossRefGoogle Scholar
  24. Ridgway, P. (2001). Restorying psychiatric disability: Learning from first person recovery narratives. Psychiatric Rehabilitation Journal, 24(4), 335–343PubMedGoogle Scholar
  25. Shern, D., Lee, B., & Coen, A. (1996). The Colorado Symptom Inventory: A self-report measure for psychiatric symptoms. Unpublished manuscript, Tampa, FL: Louis de la Parte Mental Health InstituteGoogle Scholar
  26. Zani, B., McFarland, B., Wachal, M., Barker, S., & Barron, N. (1999). Statewide replication of predictive validation for the Multnomah Community Ability Scale. Community Mental Health Journal, 35(3), 223–229PubMedCrossRefGoogle Scholar
  27. Zubin, J., & Spring, B. (1977). Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology, 86, 103–126PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Michelle P. Salyers
    • 1
    • 2
    • 3
  • Jenna L. Godfrey
    • 3
  • Kim T. Mueser
    • 4
    • 5
    • 6
  • Shauna Labriola
    • 7
  1. 1.ACT Center of IndianaRoudebush VA Medical CenterIndianapolisUSA
  2. 2.Research Development, VA HSR&D Center on Implementing Evidence-based Practice Roudebush, VAMCIndianapolisUSA
  3. 3.Department of PsychologyIndiana University Purdue University IndianapolisIndianapolisUSA
  4. 4.Department of PsychiatryDartmouth Medical SchoolHanoverUSA
  5. 5.Department Community and Family MedicineDartmouth Medical SchoolHanoverUSA
  6. 6.New Hampshire-Dartmouth Psychiatric Research CenterLebanonUSA
  7. 7.Thresholds Research DepartmentChicagoUSA

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