Integrated Illness Management and Recovery (I-IMR)

I-IMR Pilot: Integrated Care for Mental Health and Medical Disorders on Assertive Community Treatment (ACT) Teams.

People with serious mental illness (i.e., schizophrenia, schizoaffective disorder, bipolar disorder, and major depressive disorder) die an average of 25 years earlier than members of the general population. An emerging approach for addressing these health disparities involves the integration of primary care services into existing mental health systems, but much remains unknown about the most useful or effective methods for doing so. Our study evaluates the feasibility and impact of I-IMR, a self-management intervention for persons with co-occurring mental and physical health problems. We are piloting the I-IMR with ten ACT teams to determine the feasibility of integrated services as a strategy to improve the management of mental health and medical disorders in this population, and thus reduce the disparities in health outcomes and mortality that continue to disproportionately harm this population.