Illness management and recovery in community practice.
Illness management and recovery in community practice.
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DOI：
10.1037/prj0000200
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发表时间：
2016-12
影响因子：
1.9
通讯作者：
Salyers, Michelle P.
中科院分区：
文献类型：
--
作者：
McGuire, Alan B.;Bartholomew, Tom;Anderson, Adrienne I.;Bauer, Sarah M.;McGrew, John H.;White, Dominique A.;Luther, Lauren;Rollins, Angela;Pereira, Angela;Salyers, Michelle P.
检查提供者在提供疾病管理和恢复（IMR）方面的能力，这是一项针对严重精神疾病患者的循证自我管理计划，以及实施支持与IMR能力之间的关联。使用IMR治疗完整性量表分析了43个提供者/提供者对提供的IMR会话记录的IMR能力。供应商还报告说，他们收到了普遍提供的实施支助（例如，培训、咨询）。平均IMR能力得分在“需要改进”范围内。临床医生在几个IMR要素中表现出较低的能力：重要的其他参与，每周行动计划，行动计划随访，认知行为技术和药物管理的行为定制。IMR会议通常没有这些内容。在动机增强策略和认知行为技术的能力不同的基础上，在一个会议所涵盖的模块主题。一般来说，执行支持的接收与能力的提高无关，但是，动机访谈培训与行动规划和审查能力的提高有关。在社区内实施的婴儿死亡率可能缺乏足够的能力，通常可获得的实施支助似乎也不够。需要针对临床医生增长区域的其他实施支持。
To examine provider competence in providing Illness Management and Recovery (IMR), an evidence-based self-management program for people with severe mental illness, and the association between implementation supports and IMR competence. IMR session recordings, provided by 43 providers/provider pairs, were analyzed for IMR competence using the IMR treatment integrity scale. Providers also reported on receipt of commonly available implementation supports (e.g., training, consultation). Average IMR competence scores were in the “Needs Improvement” range. Clinicians demonstrated low competence in several IMR elements: significant other involvement, weekly action planning, action plan follow-up, cognitive-behavioral techniques, and behavioral tailoring for medication management. These elements were commonly absent from IMR sessions. Competence in motivational enhancement strategies and cognitive-behavioral techniques differed based on the module topic covered in a session. Generally, receipt of implementation supports was not associated with increased competence; however, motivational interviewing training was associated with increased competence in action planning and review. IMR, as implemented in the community, may lack adequate competence and commonly available implementation supports do not appear to be adequate. Additional implementation supports that target clinician growth areas are needed.
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DOI：
10.1176/appi.ps.201200274
发表时间：
2014-02-01
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
McGuire AB;Kukla M;Green A;Gilbride D;Mueser KT;Salyers MP
通讯作者：
Salyers MP
影响因子：
3.8
作者：
Lu, Weili;Yanos, Philip T.;Mueser, Kim T.
通讯作者：
Mueser, Kim T.
影响因子：
1.9
作者：
Bartholomew, Tom;Zechner, Michelle
通讯作者：
Zechner, Michelle
影响因子：
3.8
作者：
Hasson-Ohayon, Ilanit;Roe, David;Kravetz, Shlomo
通讯作者：
Kravetz, Shlomo
影响因子：
3.8
作者：
McGuire, Alan B.;Stull, Laura G.;Salyers, Michelle P.
通讯作者：
Salyers, Michelle P.