Category: Dissemination / Implementation

Symposium

Implementing Illness Management and Recovery Within Assertive Community Treatment: Facilitators, Barriers, and Benefits

Friday, November 17
4:15 PM - 5:45 PM
Location: Indigo Ballroom A, Level 2, Indigo Level

Keywords: Community-Based Assessment / Intervention | Implementation
Presentation Type: Symposium

Background: It is essential to examine factors affecting implementation and sustainment of evidence-based practices (EBPs) in real world community behavioral health settings. This becomes further complicated when integrating two different EBPs within multidisciplinary team-based settings, such as Assertive Community Treatment (ACT) teams. In particular, early attempts to integrate Illness Management and Recovery (IMR) within ACT teams have faced several implementation and methodological challenges.


Methods: We conducted a mixed-methods qualitative evaluation of the implementation of ACT+IMR in seven ACT teams across two states. Methods included individual interviews with staff (N= 55) and consumers (N=14), and staff focus groups with all seven ACT teams that implemented IMR in both the feasibility and randomized controlled trials of our research and development grant. Questions focused on examining facilitators and barriers to implementation, as well as successes and challenges within the program. Qualitative data were dual coded by pairs of research staff, then finalized based on consensus rating calls within the research team.


Results: Findings were coded into four categories: 1) advantages (e.g., recovery focus, specific staff and client benefits from IMR); 2) barriers (e.g., participant symptoms and lower functioning, poor communication and team integration; 3) facilitators and remedial strategies (e.g., peer support, using a flexible approach to the model); and 4) lessons learned/recommendations (e.g., more tailored IMR training, refining staff roles specific to IMR implementation).


Discussion: This study identified several factors that impacted the implementation of IMR within ACT teams, as well as benefits of integrating IMR and lessons learned that can guide future ACT+IMR implementation efforts. Future studies should also apply an implementation framework such as the Exploration, Preparation, Implementation, Sustainment (EPIS) model, in order to highlight and specify the roles of both outer (system) context and inner (organizational context) to support more effective implementation of ACT+IMR.

Maria Monroe-DeVita

Assistant Professor
University of Washington

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