Salyers Michelle P, Godfrey Jenna L, McGuire Alan B, Gearhart Tim, Rollins Angela L, Boyle Charles
Department of Psychology, Indiana University-Purdue University Indianapolis, Indiana, USA.
Psychiatr Serv. 2009 Apr;60(4):483-90. doi: 10.1176/ps.2009.60.4.483.
The primary purpose of this study was to evaluate the statewide implementation of the illness management and recovery program, a curriculum-based intervention for adults with severe mental illnesses.
Using knowledge gained from the National Evidence-Based Practices Project, the ACT Center of Indiana assisted seven community mental health centers with implementation of the illness management and recovery program. Implementation was conducted by trainers, who provided in-depth skills training, ongoing monitoring and supervision, and consultation as needed. At six and 12 months, the fidelity of implementation was assessed by use of the Illness Management and Recovery Fidelity Scale, and changes in illness self-management, hope, and satisfaction with services were assessed for 324 consumers with severe mental illness by use of the Illness Management and Recovery Scale, the Adult State Hope Scale, and the Satisfaction With Services Scale, respectively.
The illness management and recovery program was successfully implemented at six of seven sites; five sites achieved high fidelity by 12 months and the sixth by 24 months. Self-reports of consumers and clinicians indicated significant changes in illness self-management. Consumers reported increased hope but no changes in satisfaction with services.
The illness management and recovery program can be implemented with a high degree of fidelity and may be a meaningful way for mental health providers to promote recovery and provide an evidence-based intervention.
本研究的主要目的是评估疾病管理与康复项目在全州范围内的实施情况，该项目是针对患有严重精神疾病的成年人的一项基于课程的干预措施。
利用从国家循证实践项目中获得的知识，印第安纳州ACT中心协助七个社区心理健康中心实施疾病管理与康复项目。实施工作由培训人员进行，他们提供深入的技能培训、持续的监测和监督，并根据需要提供咨询。在6个月和12个月时，使用疾病管理与康复保真度量表评估实施的保真度，并分别使用疾病管理与康复量表、成人状态希望量表和服务满意度量表，对324名患有严重精神疾病的消费者的疾病自我管理、希望和服务满意度的变化进行评估。
疾病管理与康复项目在七个地点中的六个成功实施；五个地点在12个月时达到高保真度，第六个在24个月时达到。消费者和临床医生的自我报告表明，疾病自我管理有显著变化。消费者报告希望增加，但服务满意度没有变化。
疾病管理与康复项目可以高度保真地实施，可能是心理健康提供者促进康复和提供循证干预的一种有意义的方式。
