Impact of Person-Centered Planning and Collaborative Documentation on Treatment Adherence

Stanhope, Victoria; Ingoglia, Chuck; Schmelter, Bill; Marcus, Steven C.

doi:10.1176/appi.ps.201100489

Cited by 80 publications

(52 citation statements)

References 4 publications

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“…Implementing polices that aim to streamline regulatory requirements that are outdated or duplicative would certainly be a worthwhile starting point. Concurrent documentation practices (or co-writing treatment records with clients) have been proposed as a way to both increase client involvement and to improve efficiency (Stanhope, Ingoglia, Schmelter, & Marcus, 2013). Similarly, although controversial, some companies, and even countries, have instituted policies to restrict email after regular work hours (Schofield, 2016), which if implemented, could help to reduce overtime work and encourage a greater work-life balance for community mental health clinicians.…”

Section: Discussionmentioning

confidence: 99%

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Luther¹,

Gearhart²,

Fukui³

et al. 2017

Psychiatric Rehabilitation Journal

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Objective Funding cuts have increased job demands and threatened clinicians’ ability to provide high-quality, person-centered care. One response to increased job demands is for clinicians to work more than their official scheduled work hours (i.e., overtime). We sought to examine the frequency of working overtime and its relationships with job characteristics, work-related outcomes, and quality of care in community health clinicians. Methods One hundred and eighty-two clinicians completed demographic and job characteristics questions and measures of burnout, job satisfaction, turnover intention, work-life conflict, and perceived quality of care. Clinicians also reported the importance of reducing stress and their confidence in reducing their stress. Clinicians who reported working overtime were compared to clinicians that did not on demographic and job characteristics and work-related outcomes. Results Ninety-four clinicians (52%) reported working overtime in a typical week. Controlling for exempt status and group differences in time spent supervising others, those working overtime reported significantly increased burnout and work-life conflict and significantly lower job satisfaction and quality of care than those not working overtime. Clinicians working overtime also reported significantly greater importance in reducing stress but less confidence in their ability to reduce stress than those not working overtime. There were no significant group differences for turnover intention. Conclusions and Implications for Practice Working overtime is associated with negative consequences for clinician-related work outcomes and perceived quality of care. Policies and interventions aimed at reducing overtime and work-related stress and burnout may be warranted in order to improve quality of care.

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Section: Discussionmentioning

confidence: 99%

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Luther¹,

Gearhart²,

Fukui³

et al. 2017

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

show abstract

“…As health care systems move toward achieving healthcare quality aims established by the Institute of Medicine (2001) and even more evidence for person-centered care in mental health care is established (Claes et al 2010;Everson and Zhang 2000;Holburn et al 2004;Parley 2001;Robertson et al 2006;Sanderson et al 2006;Stanhope et al 2013;Tondora et al 2014;Wigham et al 2008), it will be important to understand and address individual, organizational, and systemic barriers to person-centered planning implementation. Although little is known about barriers to the successful implementation of person-centered planning in the behavioral health system, this is an important endeavor given the likelihood that only when barriers are understood and addressed can PCRP improve consumer outcomes and reduce healthcare costs.…”

Section: Discussionmentioning

confidence: 99%

“…Person-centered care is one of the six aims of healthcare quality established by the Institute of Medicine (2001) and a large body of research links person-centered planning to better outcomes for individuals (Claes et al 2010;Everson and Zhang 2000;Holburn et al 2004;Parley 2001;Robertson et al 2006;Sanderson et al 2006;Stanhope et al 2013;Tondora et al 2014;Wigham et al 2008) while greater individual engagement is linked to lower health care delivery costs (Dentzer 2013;. Person-centered recovery planning (PCRP) or person-centered care planning (PCCP) is a foundational element of recovery-oriented care (Tondora et al 2012;Tondora et al 2005).…”

Section: Introductionmentioning

confidence: 99%

Barriers to Implementing Person-Centered Recovery Planning in Public Mental Health Organizations in Texas: Results from Nine Focus Groups

Lodge

Kaufman

Manser

2016

Adm Policy Ment Health

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Despite being an established practice in the disabilities service systems, person-centered planning is a relatively new practice in the behavioral health system. As a result, little is known about the barriers that mental health organizations face in implementing person-centered recovery planning (PCRP). To fill this gap, results are presented from a qualitative analysis of nine focus groups at three public mental health organizations in Texas that have been implementing PCRP for at least 2 years. Findings suggest that organizations experienced 12 distinct barriers to PCRP implementation which were categorized into the Consolidated Framework for Implementation Research domains of intervention characteristics, the outer setting, the inner setting, characteristics of individuals, and the implementation process. Half of these 12 barriers fell within the inner setting domain, suggesting that implementation efforts should be flexible and adaptable to organizational culture and context. One-quarter of the barriers fell into the domain of characteristics of individuals involved in the intervention, which further suggests implementation efforts should assess the impact that both staff and consumers have on implementation success.

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“…Person-centered services, a core principle of the Affordable Care Act (6), can be construed as consumer self-determination in mental health treatment decisions (7–8). Research suggests that this focus on consumer-driven care is related to improved clinical outcomes (9) and the process of consumer engagement can influence perceived choice in treatment decision-making (10). …”

Section: Introductionmentioning

confidence: 99%

Sorting it out: Eliciting consumer priorities for recovery in supportive housing

Choy-Brown

Padgett

Smith

et al. 2016

American Journal of Psychiatric Rehabilitation

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Objective This study aims to understand participant priorities in their personal recovery journey and their perspectives of recovery domains. Methods A card sort data gathering technique was employed to elicit priorities in recovery from consumers in supportive housing programs serving formerly homeless adults with severe mental illnesses in New York City. Participants (N=38) were asked to sort 12 cards printed with recovery domains in order of importance and describe the meaning attached to each domain. Results Mental health (95%), physical health (89%), and housing (92%) were the domains most frequently included and prioritized in the top three rankings. Family (76%) and partner (74%) were also frequently included and endorsed as most important second only to mental health. Housing was prioritized yet rated most important less often (58%). Work, school, hobbies, program, friends and neighborhood were less frequently endorsed. ‘Card sort talk’ revealed critical understanding of participants’ priorities and their reasons for endorsing other domains less frequently. Conclusions Most important to participants was regaining functional independence through improved mental and physical health and access to housing. With underlying principles of efficiency and empowerment, card sort is a promising engagement technique for providers to elicit consumer priorities in their own recovery.

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Impact of Person-Centered Planning and Collaborative Documentation on Treatment Adherence

Abstract: Person-centered planning and collaborative documentation were associated with greater engagement in services and higher rates of medication adherence.

Cited by 80 publications

References 4 publications

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Barriers to Implementing Person-Centered Recovery Planning in Public Mental Health Organizations in Texas: Results from Nine Focus Groups

Sorting it out: Eliciting consumer priorities for recovery in supportive housing

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