Illness management and recovery program for mental health problems: reducing symptoms and increasing social
Chay Huang Sharon Tan1, Rohaida Binte Ishak1, Tan Xiong Gentatsu Lim2
1Institute of Mental Health, Community Mental Health Team, Singapore, Singapore.
Journal of Clinical Nursing
|December 30, 2016
Summary
The Illness Management and Recovery Program significantly reduced symptoms and hospitalizations while improving social functioning in Asian individuals with mental illness. This mental health intervention shows effectiveness across diverse cultural settings.
Area of Science:
- Mental Health Research
- Psychiatric Rehabilitation
- Clinical Psychology
Background:
- Shift in mental health treatment focus from symptom management to recovery and higher functioning.
- Barriers to recovery include limited community mental health resources and negative healthcare professional attitudes.
- Need for effective programs to train professionals in recovery-oriented techniques for societal integration.
Purpose of the Study:
- To evaluate the effectiveness of the Illness Management and Recovery (IMR) Program.
- Comparison against standard care for symptom reduction, rehospitalization rates, and social functioning in an Asian population.
- To assess IMR's impact in a cultural context different from its origin.
Main Methods:
- Time series experimental quantitative design.
- Fifty participants randomly assigned to an experimental (IMR) or control (standard care) group.
- Intervention delivered over a 12-month period by community psychiatric nurses.
Main Results:
- Experimental group showed significantly fewer admissions and shorter hospital stays.
- Lower Brief Psychiatric Rating Scale scores in the IMR group, indicating symptom reduction.
- Higher scores on Illness Management and Recovery Scale and Global Assessment Scale in the IMR group, indicating improved functioning.
Conclusions:
- The IMR program is effective in reducing symptoms and hospitalizations for Asian individuals with mental illness.
- IMR also significantly improves social functioning, demonstrating cross-cultural applicability.
- The study successfully raised the standard of community mental health care and facilitated recovery.
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