Fidelity and Clinical Competence in Providing Illness Management and Recovery: An Explorative Study
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Published:2023-05-30
Issue:8
Volume:59
Page:1508-1520
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ISSN:0010-3853
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Container-title:Community Mental Health Journal
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language:en
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Short-container-title:Community Ment Health J
Author:
Roosenschoon Bert-JanORCID, van Weeghel Jaap, Deen Mathijs L., van Esveld Emmie W., Kamperman Astrid M., Mulder Cornelis L.
Abstract
AbstractIllness Management and Recovery (IMR) is a psychosocial intervention supporting people with serious mental illnesses. In this study, 15 IMR groups were assessed for fidelity and clinician competency to establish the implementation level of all IMR elements and explore complementarity of the IMR Treatment Integrity Scale (IT-IS) to the standard IMR Fidelity Scale. Use of the IT-IS was adapted, similar to the IMR Fidelity Scale. Descriptive statistics were applied. Implementation success of IMR elements varied widely on the IMR Fidelity Scale and IT-IS (M = 3.94, SD = 1.13, and M = 3.29, SD = 1.05, respectively). Twelve IMR elements (60%) were well-implemented, whereas eight (40%) were implemented insufficiently, including some critical cognitive-behavioral techniques (e.g., role-playing). The scales appeared largely complementary, though strongly correlated (r (13) = 0.74, p = 0.002). Providing all IMR elements adequately requires a variety of clinical skills. Specific additional training and supervision may be necessary.
Funder
Parnassia Groep Janssen-Cilag B. V.
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Health (social science)
Reference44 articles.
1. Bond, G. R., & Drake, R. E. (2020). Assessing the Fidelity of evidence-based Practices: History and current status of a standardized measurement methodology. Administration And Policy in Mental Health, 47(6), 874–884. https://doi.org/10.1007/s10488-019-00991-6 2. Bond, G. R., Drake, R. E., McHugo, G. J., Rapp, C. A., & Whitley, R. (2009). Strategies for improving Fidelity in the National evidence-based Practices Project. Research on Social Work Practice, 19(5), 569–581. 3. Cohen, J. (1988). Statistical power analysis for behavioral Sciences, Second Edition. Lawrence Erlbaum Associates. 4. Dalum, H. S., Waldemar, A. K., Korsbek, L., Hjorthoj, C., Mikkelsen, J. H., Thomsen, K., Kistrup, K., Olander, M., Lindschou, J., Nordentoft, M., & Eplov, L. F. (2016). Participants’ and staffs’ evaluation of the Illness Management and Recovery program: A randomized clinical trial. Journal of Mental Health, 27(1), 30–37. https://doi.org/10.1080/09638237.2016.1244716 5. Dalum, H. S., Waldemar, A. K., Korsbek, L., Hjorthoj, C., Mikkelsen, J. H., Thomsen, K., Kistrup, K., Olander, M., Lindschou, J., Nordentoft, M., & Eplov, L. F. (2018). Illness management and recovery: Clinical outcomes of a randomized clinical trial in community mental health centers. PLoS One, 13(4), e0194027. https://doi.org/10.1371/journal.pone.0194027
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