whatisrecovery.ppt

心生活IMR大師講座 September 17~19, 2012 .tw * * * * * * * * * * * * * * * * * CUCS Study: Quality of Life Scale - Abbreviated Version RCT of IMR in Uppsala, Sweden 瑞典研究 N = 41, randomized to group IMR or Treatment as Usual All schizophrenia or schizoaffective Weekly IMR groups for 9 months Assessments at baseline, post-treatment, and 9 months follow-up Study participants drawn from 6 psychiatric rehabilitation outpatient centers Publication: Faerdig et al. (resubmitted) Sweden StudyClient IMR Scale Sweden StudyClinician IMR Scale Sweden StudyPsychosis Evaluation Tool for Common Use by Caregivers Total Score Sweden StudySuicidal Ideation Over Past Week Sweden StudyWays of Coping: Seeking Social Support Sweden StudyWays of Coping: Avoidance Sweden StudyWays of Coping: Problem Solving Adaptations of IMR to Special Problems and Populations 順應特別問題或族群的調整 Implementation in homeless shelters Integration of medical illness management into IMR IMR for forensic clients Adapting IMR for consumers with SMI and intellectual disability Adapting IMR for Homeless Shelters: CUCS 服務用於遊民 Emphasis on “wellness” rather than “illness” Adapted and implemented at 2 homeless shelters in New York (approx. 40 beds/shelter) Program conducted twice weekly in groups for about 40 sessions Monthly alumni group meetings High levels of engagement and retention Progress made towards personal goals and illness self-management Better housing outcomes than prior to implementation of IMR program High rates of medical comorbidity in SMI account for premature mortality Principles of physical and psychiatric illness management overlap Physical illness management of specific diseases incorporated into IMR (e.g., diabetes, coronary artery disease) Nurse case management provided Pilot study completed, modest 2-site RCT underway (R34, PI = Riera, co-I’s = Bartels, Mueser, Bartels, Pratt) Integrated-IMR for Medical Illness in Older SMI 為年長的精神病患者提供整合型的IMR服務 High involvement of persons with SMI in