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Community Ment Health J. 2010 Aug;46(4):319-29. doi: 10.1007/s10597-009-9284-6. Epub 2010 Jan 14.

Integrating assertive community treatment and illness management and recovery for consumers with severe mental illness.

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VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VA Medical Center, 1481 W. 10th St. (11H), Indianapolis, IN 46202, USA.


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.

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