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Randomized Controlled Trial
. 2011 Aug 17:12:195.
doi: 10.1186/1745-6215-12-195.

Illness management and recovery (IMR) in Danish community mental health centres

Helle Stentoft Dalum  1 , Lisa Korsbek, John Hagel Mikkelsen, Karin Thomsen, Kristen Kistrup, Mette Olander, Jane Lindschou Hansen, Merete Nordentoft, Lene Falgaard Eplov
Affiliations
Randomized Controlled Trial

Illness management and recovery (IMR) in Danish community mental health centres

Helle Stentoft Dalum et al. Trials. .

Abstract

Background: Schizophrenia and bipolar disorder are severe mental illnesses that can have a significant disabling impact on the lives of people. Psychosocial interventions that stress hope and recovery as a part of a multi-dimensional approach are possibly indicated to support people with severe mental illness in facilitating recovery. Illness Management and Recovery (IMR) is a curriculum-based psychosocial intervention designed as structured program with a recovery-oriented approach. The aim of IMR is to rehabilitate people with severe mental illnesses by helping them acquire knowledge and skills in managing their illness and achieve personal recovery goals. Previous randomised clinical trials indicate that IMR can be implemented with a good effect and a high fidelity though further trials are crucial to demonstrate the potential effectiveness of IMR.

Methods/design: The trial design is a randomised, assessor-blinded, multi-centre, clinical trial of the IMR program compared with treatment as usual for 200 participants diagnosed with schizophrenia or bipolar disorder under the care of two community mental health centres in the Capital Region of Denmark. The primary outcome is level of functioning at the end of treatment. The secondary outcomes are disease symptoms; use of alcohol/drugs; individual meaning of recovery; hope; hospital admissions and out-patient psychiatric treatment at the end of treatment and the abovementioned and level of functioning at follow-up 21 months after baseline.

Discussion: If the results of this trial show IMR to be effective these positive results will strengthen the evidence of IMR as an effective comprehensive psychosocial intervention with a recovery-oriented approach for people with severe mental illness. This will have significant implications for the treatment and recovery of people with severe mental illness.

Trial registration: ClinicalTrials.gov NCT01361698.

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Figures

Figure 1
Figure 1
The theoretical foundation for Illness Management and Recovery. The trans-theoretical model and the stress-vulnerability model are the theoretical underpinning of the IMR program.
See this image and copyright information in PMC

References

    1. Kopelowicz A, Liberman RP. Integrating treatment with rehabilitation for persons with major mental illnesses. Psychiatr Serv. 2003;54:1491–1498. doi: 10.1176/appi.ps.54.11.1491. - DOI - PubMed
    1. Buchanan RW, Kreyenbuhl J, Kelly DL, Noel JM, Boggs DL, Fischer BA, Himelhoch S, Fang B, Peterson E, Aquino P, Keller W. The 2009 Schizophrenia PORT Psychopharmacological Treatment Recommendations and Summary Statements. Schizophr Bull. 2010;36:71–93. doi: 10.1093/schbul/sbp116. - DOI - PMC - PubMed
    1. Harrison G, Hopper K, Craig T, Laska E, Siegel C, Wanderling J, Dube KC, Ganev K, Giel R, an der Heiden W, Holmberg SK, Janca A, Lee PW, Leon CA, Malhotra S, Marsella AJ, Nakane Y, Sartorius N, Shen Y, Skoda C, Thara R, Tsirkin SJ, Varma VK, Walsh D, Wiersma D. Recovery from psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry. 2001;178:506–517. doi: 10.1192/bjp.178.6.506. - DOI - PubMed
    1. Hopper K, Janca A, Statorius N. In: A Report from the WHO Collaborative Project, the International Study of Schizophrenia. Statorius N, Hopper K, Janca A, editor. Oxford, Oxford Univerisity Press; 2007. Recovery from Schizophrenia: An International Perspective.
    1. Corrigan PW, Mueser KT, Bond GR, Drake RE, Solomon P. An empirical approach. New York, The Guilford Press; 2008. Principles and practice of psychiatric rehabilitation.

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