Search results for ‘Author:"salyers michelle p."’ Sort:
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Integrating assertive community treatment and illness management and recovery for consumers with severe mental illness
- Authors:
- SALYERS Michelle P., et al
- Journal article citation:
- Community Mental Health Journal, 46(4), August 2010, pp.319-329.
- Publisher:
- Springer
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.
ACT and recovery: integrating evidence-based practice and recovery orientation on Assertive Community Treatment Teams
- Authors:
- SALYERS Michelle P., TSEMBERIS Sam
- Journal article citation:
- Community Mental Health Journal, 43(6), December 2007, pp.619-641.
- Publisher:
- Springer
The authors examine whether Assertive Community Treatment (ACT) can successfully incorporate a recovery-oriented approach while continuing to retain program fidelity. The effectiveness of ACT as an evidence-based practice is reviewed, the philosophical similarities and differences between ACT and recovery are explored, and the way in which fidelity standards, a widely used indicator of how ACT teams operate, support or interfere with the adoption of a recovery-oriented practice is examined. Recommendations on how best to incorporate a recovery orientation into existing ACT teams are also provided.
Measuring illness management outcomes: a psychometric study of clinician and consumer rating scales for illness self management and recovery
- Authors:
- SALYERS Michelle P., et al
- Journal article citation:
- Community Mental Health Journal, 43(5), October 2007, pp.459-480.
- Publisher:
- Springer
Psychometric properties of the Illness Management and Recovery (IMR) Scales (consumer and clinician versions), new 15–item instruments measuring illness self-management and pursuit of recovery goals, were evaluated in consumers with severe mental illness. The study sample was drawn from a large psychosocial rehabilitation agency in Chicago. Both versions of the instruments had moderate internal consistency and high 2-week test-retest reliability. In addition, the consumer version was correlated with self-ratings of recovery and symptoms, and the clinician version was correlated with clinician ratings of community functioning, indicating convergent validity. The results suggest the IMR Scales have adequate psychometric properties and may be useful in treatment planning and assessing recovery in individuals with severe mental illness.
Barriers to assessment and treatment of Posttraumatic Stress Disorder and other trauma-related problems in people with severe mental illness: clinician perspectives
- Authors:
- SALYERS Michelle P., et al
- Journal article citation:
- Community Mental Health Journal, 40(1), February 2004, pp.17-31.
- Publisher:
- Springer
The authors conducted a state-wide survey of 251 clinicians serving people with severe mental illness (SMI) in community support programs, to identify barriers to the diagnosis and treatment of PTSD and other trauma-related problems. Most clinicians did not feel competent to effectively treat these problems. Competence/confidence and belief in utility of intervention were positively related to the percentage of clients with whom trauma and PTSD had been discussed, documented in charts, and addressed directly in treatment. Clinicians need training that develops skills and knowledge as well as conveys the value of addressing PTSD and other trauma-related problems in people with SMI.
Attitudes and perceived barriers to working with families of persons with severe mental illness: mental health professionals' perspectives
- Authors:
- KIM Hea-Won, SALYERS Michelle P.
- Journal article citation:
- Community Mental Health Journal, 44(5), October 2008, pp.337-345.
- Publisher:
- Springer
A US state-wide survey of 453 clinicians serving people with severe mental illness in community mental health centres evaluated the degree to which they provide services to families and their perceptions of barriers to developing such services. Most clinicians did not provide many services to families and reported barriers related to the family or client (e.g., family’s lack of interest) and their own work environment (e.g., heavy workload). Clinicians who had received prior training on working with families provided more services, had more positive attitudes toward family, and felt more competent about their knowledge, confirming the importance of staff training.