Skip to main content

Advertisement

SpringerLink
Log in

Barriers and Facilitators in Implementing Illness Management and Recovery for Consumers with Severe Mental Illness: Trainee Perspectives

  • Original Paper
  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

We conducted an on-line survey of clinicians who attended training on illness management and recovery (IMR) to identify the extent of implementation and barriers and facilitators of IMR practice. Of 89 direct service providers, 50.6% reported using the formal IMR curriculum, 25.8% reported using parts of IMR, and 23.6% never used IMR following training. Factor analysis of facilitator items revealed three internally consistent factors: agency leadership support, program level structure, and job-related structural support. Participants who used formal IMR endorsed a greater percentage of overall facilitators, and scored higher on each of the three factors of agency leadership support, program-level structures (e.g., fidelity reports) and job-related structures (e.g., presence of weekly supervision). In addition to training and toolkit materials, attention needs to be given to other elements to support IMR implementation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Becker, D. R., Smith, J., Tanzman, B., Drake, R. E., & Tremblay, T. (2001). Fidelity of supported employment programs and employment outcomes. Psychiatric Services (Washington, DC), 52(6), 834–836. doi:10.1176/appi.ps.52.6.834.

    CAS  Google Scholar 

  • Braitman, A., Counts, P., Davenport, R., Zurlinden, B., Rogers, M., Clauss, J., et al. (1995). Comparison of barriers to employment for unemployed and employed clients in a case management program: An exploratory study. Psychiatric Rehabilitation Journal, 19(1), 3–8.

    Google Scholar 

  • Chinman, M., Allende, M., Weingarten, R., Steiner, J., Tworkowski, S., & Davidson, L. (1999). On the road to collaborative treatment planning: Consumer and provider perspectives. The Journal of Behavioral Health Services & Research, 26(2), 211–218. doi:10.1007/BF02287492.

    Article  CAS  Google Scholar 

  • Davis, D., Thomson O’Brien, M., Freemantle, N., Wolf, F. M., Mazmanian, P., & Taylor-Vaisey, A. (1999). Impact of formal continuing medical education: Do conferences, workshops, rounds, and other traditional continuing education activities change physician behaviors or health care outcomes? Journal of the American Medical Association, 282(9), 867–874. doi:10.1001/jama.282.9.867.

    Article  PubMed  CAS  Google Scholar 

  • 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 (Washington, DC), 52(2), 179–182.

    CAS  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: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).

    Google Scholar 

  • 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: Norton.

    Google Scholar 

  • Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. The Milbank Quarterly, 82(4), 581–629. doi:10.1111/j.0887-378X.2004.00325.x.

    Article  PubMed  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 (Washington, DC), 58(11), 1461–1466. doi:10.1176/appi.ps.58.11.1461.

    Google Scholar 

  • Marinopoulos, S. S., Dorman, T., Ratanawongsa, N., Wilson, L. M., Ashar, B. H., & Magaziner, J. L., et al. (2007). Effectiveness of Continuing Medical Education. Evidence Report/Technology Assessment No. 149 (Prepared by the Johns Hopkins Evidence-based Practice Center, under Contract No. 290-02-0018.) AHRQ Publication No. 07-E006. Rockville, MD.

  • McHugo, G. J., Drake, R. E., Teague, G. B., & Xie, H. (1999). The relationship between model fidelity and client outcomes in the New Hampshire dual disorders study. Psychiatric Services (Washington, DC), 50, 818–824.

    CAS  Google Scholar 

  • Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks: Sage.

    Google Scholar 

  • Moser, L. L., De Luca, N. L., Rollins, A. L., & Bond, G. R. (2004). Implementing evidence based psychosocial practices: Lessons learned from statewide implementation of two practices. CNS Spectrums, 9(12), 926–936.

    PubMed  Google Scholar 

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

    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 

  • Rogers, E. (1995). Diffusion of innovations. New York: The Free Press.

    Google Scholar 

  • Salyers, M. P., Godfrey, J. L., McGuire, A. B., Gearhart, T., Rollins, A. L., & Boyle, C. (in press-a). Implementing illness management and recovery for consumers with severe mental illness. Psychiatric Services.

  • Salyers, M. P., Hicks, L. J., McGuire, A. B., Baumgardner, H., Ring, K., & Kim, H. W. (in press-b). A pilot to enhance the recovery orientation of assertive community treatment through peer provided illness management and recovery. American Journal of Psychiatric Rehabilitation.

  • Salyers, M. P., McGuire, A. B., Bond, G. R., Hardin, T., Rollins, A. L., & Harding, B., et al. (2008). What makes the difference? Understanding success and failure in two effective psychiatric rehabilitation approaches. Journal of Vocational Rehabilitation, 28(2), 105–114.

    Google Scholar 

  • Salyers, M. P., McKasson, R. M., Bond, G. R., McGrew, J. M., Rollins, A. L., & Boyle, C. (2007). The role of technical assistance centers in implementing evidence-based practices: Lessons learned. American Journal of Psychiatric Rehabilitation, 10(2), 85–101. doi:10.1080/15487760701345968.

    Article  Google Scholar 

  • Titler, M. G., & Everett, L. Q. (2001). Translating research into practice: Considerations for critical care investigators. Critical Care Nursing Clinics of North America, 13(4), 587–604.

    PubMed  CAS  Google Scholar 

  • Torrey, W. C., Drake, R. E., Dixon, L., Burns, B. J., Flynn, L., Rush, A. J., et al. (2001). Implementing evidence-based practices for persons with severe mental illnesses. Psychiatric Services, 52(1), 45–50.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This study was supported by grants from the National Institute of Disability and Rehabilitation Research (H133G030106), the Substance Abuse and Mental Health Services Administration (SM56140-01), and a contract with the Division of Mental Health and Addiction, Indiana Family and Social Services Administration. We thank Jennifer Lydick, Kathryn Snow, and Jenna Godfrey for their help on this study, and we thank reviewers for helpful comments on an earlier draft of this manuscript.

Author information

Authors and Affiliations

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

    Michelle P. Salyers, Angela L. Rollins, Alan B. McGuire & Tim Gearhart

  2. VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VAMC and IU Center for Health Services and Outcomes Research, Regenstrief Institute, Inc, 1481 W. 10th St. (11H), Indianapolis, IN, 46202, USA

    Michelle P. Salyers

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

    Michelle P. Salyers, Angela L. Rollins, Alan B. McGuire & Tim Gearhart

Authors
  1. Michelle P. Salyers
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Angela L. Rollins
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Alan B. McGuire
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tim Gearhart
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michelle P. Salyers.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Salyers, M.P., Rollins, A.L., McGuire, A.B. et al. Barriers and Facilitators in Implementing Illness Management and Recovery for Consumers with Severe Mental Illness: Trainee Perspectives. Adm Policy Ment Health 36, 102–111 (2009). https://doi.org/10.1007/s10488-008-0200-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-008-0200-0

Keywords

Search

Navigation