VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VA Medical Center, 1481 W. 10th St. (11H), Indianapolis, IN 46202, USA.
Community Ment Health J. 2010 Aug;46(4):319-29. doi: 10.1007/s10597-009-9284-6. Epub 2010 Jan 14.
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.
以同伴专家作为 IMR 从业者的主张性社区治疗（ACT）和疾病管理与康复（IMR）。四个 ACT 团队中的两个被随机分配实施 IMR。在 2 年期间，ACT-IMR 团队对 IMR 模型达到了中等程度的保真度，但渗透率较低：在研究期间，有 47 名（25.7%）消费者参加了任何 IMR 会议，有 7 名（3.8%）完成了该项目。总体而言，在 ACT 团队层面上，消费者的结果没有差异；然而，接受 IMR 的消费者随着时间的推移住院使用减少。
