Illness Management and Recovery An Evidence-Based Practice.

Illness Management and Recovery

An Evidence-Based Practice

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What Are Evidence-Based What Are Evidence-Based Practices?Practices?

Services that have consistently Services that have consistently demonstrated their demonstrated their effectivenesseffectiveness in in helping people with mental illnesses helping people with mental illnesses achieve their desired goals achieve their desired goals

Effectiveness was established by Effectiveness was established by different people who conducted different people who conducted rigorous studies and obtained similar rigorous studies and obtained similar outcomesoutcomes

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Examples of Evidence-Based Examples of Evidence-Based PracticesPractices

Illness Management and Recovery Illness Management and Recovery

Integrated Treatment for Co-Integrated Treatment for Co-Occurring DisordersOccurring Disorders

Supported EmploymentSupported Employment

Assertive Community TreatmentAssertive Community Treatment

Family PsychoeducationFamily Psychoeducation

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Why Implement Evidence-Based Why Implement Evidence-Based Practices?Practices?

According to the New Freedom Commission According to the New Freedom Commission on Mental Health:on Mental Health:

State-of-the-art treatments, based on State-of-the-art treatments, based on decades of research, are not being decades of research, are not being transferred from research to transferred from research to community settingscommunity settings

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Why Implement Evidence-Based Why Implement Evidence-Based Practices?Practices?(continued)(continued)

According to the New Freedom Commission According to the New Freedom Commission on Mental Health:on Mental Health:

IIf effective treatments were more f effective treatments were more efficiently delivered through our efficiently delivered through our mental health services system … mental health services system … millions of Americans would be more millions of Americans would be more successful in school, at work, and in successful in school, at work, and in their communitiestheir communities

——Michael Hogan, ChairmanMichael Hogan, Chairman

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What Is Illness Management and What Is Illness Management and Recovery (IMR)?Recovery (IMR)?

By providing information about mental By providing information about mental illnesses and coping skills,illnesses and coping skills, IMR IMR empowers consumers to:empowers consumers to:

Manage their illnesses;Manage their illnesses;

Develop their own goals for recovery; Develop their own goals for recovery; andand

Make informed decisions about their Make informed decisions about their treatment.treatment.

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Practice PrinciplesPractice Principles

Consumers define Consumers define recovery.recovery.

Education about Education about mental illnesses is mental illnesses is the foundation of the foundation of informed informed decisionmaking.decisionmaking.

The Stress-The Stress-Vulnerability Model Vulnerability Model provides a blueprint provides a blueprint for illness for illness management.management.

Collaborating with Collaborating with professionals and professionals and significant others helps significant others helps consumers achieve their consumers achieve their recovery goals.recovery goals.

Relapse prevention Relapse prevention planning reduces relapses planning reduces relapses and rehospitalizations.and rehospitalizations.

Consumers can learn new Consumers can learn new strategies for managing strategies for managing their symptoms, coping their symptoms, coping with stress, and improving with stress, and improving their quality of life.their quality of life.

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How Is IMR provided?How Is IMR provided?

Trained IMR practitioners meet weekly Trained IMR practitioners meet weekly with consumers either individually or with consumers either individually or as a group for 3 to 10 months.as a group for 3 to 10 months.

Critical components of IMR are Critical components of IMR are summarized in educational handouts summarized in educational handouts that practitioners distribute and that practitioners distribute and review with consumers during the review with consumers during the sessions.sessions.

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Topic Areas in IMR HandoutsTopic Areas in IMR Handouts

Recovery strategiesRecovery strategies

Practical facts on Practical facts on mental illnessmental illness

Stress-Vulnerability Stress-Vulnerability Model and treatment Model and treatment strategiesstrategies

Building social supportBuilding social support

Using medication Using medication effectivelyeffectively

Drug and alcohol Drug and alcohol useuse

Reducing relapsesReducing relapses

Coping with stressCoping with stress

Coping with Coping with problems and problems and persistent persistent symptomssymptoms

Getting your needs Getting your needs met in the mental met in the mental health systemhealth system

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How Is IMR provided? How Is IMR provided? (continued)(continued)

Practitioners provide a variety of Practitioners provide a variety of interventions including:interventions including:

Psychoeducation;Psychoeducation;

Behavioral tailoring (for consumers Behavioral tailoring (for consumers who choose to take medication);who choose to take medication);

Relapse prevention; andRelapse prevention; and

Coping skills training.Coping skills training.

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PsychoeducationPsychoeducation

Psychoeducation uses evidence-Psychoeducation uses evidence-based teaching methods to based teaching methods to provide basic information about provide basic information about mental illnesses and treatment.mental illnesses and treatment.

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Behavioral TailoringBehavioral Tailoring

Consumers who choose to take Consumers who choose to take medications learn strategies to medications learn strategies to help manage daily medication help manage daily medication regimes.regimes.

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Relapse PreventionRelapse Prevention

Relapse prevention involves Relapse prevention involves helping consumers identify helping consumers identify triggers of past relapses and early triggers of past relapses and early warning signs of impending warning signs of impending relapse. relapse.

Consumers learn how to develop Consumers learn how to develop plans for preventing relapses.plans for preventing relapses.

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Coping Skills TrainingCoping Skills Training

Coping skills training helps Coping skills training helps consumers identify and enhance consumers identify and enhance effective strategies that they effective strategies that they currently use to deal with currently use to deal with symptoms. symptoms.

Consumers also learn and practice Consumers also learn and practice using new strategies.using new strategies.

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SummarySummary

IMR provides education about mental IMR provides education about mental illnesses and strategies that help illnesses and strategies that help consumers manage their illnesses and consumers manage their illnesses and pursue personal recovery goals.pursue personal recovery goals.

People are empowered by knowledge. People are empowered by knowledge. The more consumers understand the The more consumers understand the basic facts about their mental illnesses, basic facts about their mental illnesses, the better equipped they are to speak the better equipped they are to speak for themselves and take an active role in for themselves and take an active role in their recovery.their recovery.

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Additional ResourcesAdditional Resources

For more information about For more information about Illness Management and Recovery and Illness Management and Recovery and other evidence-based practices, visit:other evidence-based practices, visit:

http://www.samhsa.gov/SHINhttp://www.samhsa.gov/SHIN