Implementing the illness management and recovery program in Japan

Psychiatr Serv. 2010 Nov;61(11):1157-61. doi: 10.1176/ps.2010.61.11.1157.

Abstract

Objective: This study investigated the feasibility and outcomes of the illness management and recovery program in Japan.

Methods: Thirty-five patients with schizophrenia were recruited. Participants were assigned (not randomly) to the intervention and wait-list comparison groups. Symptom severity, functioning, activation level in self-management, quality of life, satisfaction, self-efficacy in community living, and satisfaction with services were measured before and after the intervention.

Results: Over two years 25 patients completed the intervention (some after being wait-listed). In the pre-post comparison, they showed significant improvement in symptoms and functioning, self-reported activation in self-management, quality of life, satisfaction, and self-efficacy in community living. Compared with the ten participants in a wait-list comparison group, the eight participants in the first intervention group showed an increased quality of life in social functioning, satisfaction in living, and self-efficacy for social relationships in community living.

Conclusions: Findings suggest that the program is effective for participants with severe mental illness in Japan.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living / psychology
  • Adult
  • Ambulatory Care / organization & administration
  • Community Mental Health Services / organization & administration*
  • Female
  • Health Plan Implementation / organization & administration*
  • Humans
  • Japan
  • Male
  • Patient Satisfaction
  • Quality of Life / psychology
  • Schizophrenia / rehabilitation
  • Schizophrenia / therapy*
  • Treatment Outcome