Fidelity and Clinical Competence in Providing Illness Management and Recovery: An Explorative Study

Bert Jan Roosenschoon*, Jaap van Weeghel, Mathijs L. Deen, Emmie W. van Esveld, Astrid M. Kamperman, Cornelis L. Mulder

*Corresponding author for this work

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Illness Management and Recovery (IMR) is a psychosocial intervention supporting people with serious mental illnesses. In this study, 15 IMR groups were assessed for fidelity and clinician competency to establish the implementation level of all IMR elements and explore complementarity of the IMR Treatment Integrity Scale (IT-IS) to the standard IMR Fidelity Scale. Use of the IT-IS was adapted, similar to the IMR Fidelity Scale. Descriptive statistics were applied. Implementation success of IMR elements varied widely on the IMR Fidelity Scale and IT-IS (M = 3.94, SD = 1.13, and M = 3.29, SD = 1.05, respectively). Twelve IMR elements (60%) were well-implemented, whereas eight (40%) were implemented insufficiently, including some critical cognitive-behavioral techniques (e.g., role-playing). The scales appeared largely complementary, though strongly correlated (r (13) = 0.74, p = 0.002). Providing all IMR elements adequately requires a variety of clinical skills. Specific additional training and supervision may be necessary.

Original languageEnglish
Pages (from-to)1508-1520
Number of pages13
JournalCommunity Mental Health Journal
Issue number8
Publication statusPublished - Nov 2023

Bibliographical note

Funding Information:
This work was supported primarily by the Parnassia Group Psychiatric Institute (The Hague/ Rotterdam, The Netherlands). It was also supported by Janssen-Cilag B.V. with additional funding from an unconditional educational grant (1-4H1ZDZ67890). The funding organizations had no role in the study design, data collection, data analysis, data interpretation, writing of the report, or the decision to publish the study.

Publisher Copyright:
© 2023, The Author(s).


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