Boston University College of Health & Rehabilitation Sciences:
Sargent College

Boston University College of Health & Rehabilitation Sciences: Sargent College

Illness Management & Recovery Treatment Integrity Scale & Intervention Development




2012 - 2014


Illness Management and Recovery (IMR) is a program designed to help people with severe mental illness better manage their symptoms by providing education and coping skills. Fidelity to program models has been linked with outcomes in other evidence-based practices (EBP). Although IMR has a program-level fidelity scale, clinician-level fidelity may be more appropriate for IMR given its complex clinical nature. Our research team has created a clinician-level fidelity scale and found it to be reliable. Additionally, although EBP-focused supervision has been shown to increase fidelity to program models, there is little specification of the necessary components of such supervision or guidelines for IMR.

This project included four aims: to establish the content validity of the IMR Treatment Integrity Scale (IT-IS), and to test its construct validity, to develop an IMR-specific, collaborative goal-setting supervision intervention, and finally, to pilot the intervention’s efficacy. In order to accomplish these aims, the research team conducted a survey of IMR experts, tracked IMR fidelity and determine correlation with changes in outcomes for consumers participating in IMR groups, and finally developed an IMR-specific, goal-setting intervention and use a wait-list, crossover design, to test the association between receipt of the intervention and increased IMR fidelity.


Kim T. Mueser, Ph.D.


McGuire, A. B., White, D. A., Bartholomew, T., Flanagan, M. F., McGrew, J. H., Rollins, A. L., & Mueser, K. T. (2017). The relationship between provider competence, content exposure, and consumer outcomes in illness management and recovery programs. Administration and Policy in Mental Health, 44, 81-91.