Introduction to On the Road

Adams, Neal; Grieder, Diane

doi:10.1016/b978-012044155-6/50011-8

Cited by 14 publications

(16 citation statements)

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“…Observer ratings of treatment plans appear to present one opportunity for distinguishing teams, consistent with the movement for person-centered planning (Adams & Grieder, 2005). Our assessment method, however, needs development, particularly in identifying objective anchors for ratings.…”

Section: Discussionsupporting

confidence: 56%

“…An active role of consumers in treatment planning is a key element in promoting self-management of chronic conditions (Kemp, 2011) and is consistent with the recent emphasis on shared decision making in mental healthcare (Drake, Deegan, & Rapp, 2010). In addition, there are models for treatment planning with useful strategies that could support recovery-oriented work in this area (Adams & Grieder, 2005). …”

Section: Discussionmentioning

confidence: 99%

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Measuring the Recovery Orientation of Assertive Community Treatment

Salyers

Stull²,

Rollins

et al. 2013

J Am Psychiatr Nurses Assoc

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Background Approaches to measuring recovery orientation are needed, particularly for programs that may struggle with implementing recovery-oriented treatment. Objective A mixed methods comparative study was conducted to explore effective approaches to measuring recovery orientation of Assertive Community Treatment (ACT) teams. Design Two ACT teams exhibiting high and low recovery orientation were compared using surveys, treatment plan ratings, diaries of treatment visits, and team-leader-reported treatment control mechanisms. Results The recovery-oriented team differed on one survey measure (higher expectations for consumer recovery), treatment planning (greater consumer involvement and goal-directed content), and use of control mechanisms (less use of representative payee, agency-held lease, daily medication delivery, and family involvement). Staff and consumer diaries showed the most consistent differences (e.g., conveying hope and choice) and were the least susceptible to observer bias, but had the lowest response rates. Conclusions Several practices differentiate recovery orientation on ACT teams, and a mixed-methods assessment approach is feasible.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Measuring the Recovery Orientation of Assertive Community Treatment

Salyers

Stull²,

Rollins

et al. 2013

J Am Psychiatr Nurses Assoc

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“…Much of the principles, vision, and values of recovery are supported in the aim of the Institute of Medicine’s Improving the Quality of Health Care for Mental and Substance-Use Conditions report of patient-centredness as a quality indicator in mental health treatment (IOM, 2006). Patient-centred care and shared decision-making can be seen as synonymous with recovery practice as it includes tailoring care to individual needs, respect for patients, and focusing on the individuals’ quality of life, goals and wellness in the context of their life as a whole person (Adams & Grieder, 2005). …”

Section: Where We Are Today: Continued Progress and Challengesmentioning

confidence: 99%

Recovery in the USA: From politics to peer support

Ostrow

Adams

2012

International Review of Psychiatry

Self Cite

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Efforts to transform the mental health service delivery system to a more consumer-driven and recovery-orientated approach has its roots in a somewhat radical anti-psychiatry and civil-rights movement dating back to the 1970s. This grass-roots effort gained momentum and credibility with Harding’s landmark study published in 1988 followed by the work of Anthony et al. from Boston University in beginning to define the term ‘recovery’ In 1998 the Office of the US Surgeon General issued its first report on mental health, and this critical view of the shortcomings of the existing service system set the stage for the 2003 President’s New Freedom Commission and its recommendations for recovery-orientated systems transformation. The recovery movement has evolved from a more radical view in the early days, to participatory involvement in systems, to returning to alternative models of care that are more independent. Now as more peer specialists work in systems, there is an increased emphasis on non-medical alternatives and the cycle continues. Regardless, recovery, self-determination, choice, etc. are always at the centre. This paper notes the interesting cycles of recovery-orientation and how they spin around the values/tenets of the movement’s early roots.

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“…States have embraced this model in theory, and they are now looking for guidance on how best to implement this model in practice, including how to maximize service quality and consumer outcomes, given the limited resources available to them for workforce development [ 10 ]. The proposed study tackles this pressing issue by testing the effectiveness of person-centered care planning (PCCP), a manualized, provider-based intervention that maximizes consumer choice for adults receiving mental health services [ 11 ]. By targeting the service-planning process that is shared by all evidence-based practices (EBPs) and mental health services, PCCP embeds a value-added component throughout the agency.…”

Section: Introductionmentioning

confidence: 99%

Person-centered care planning and service engagement: a study protocol for a randomized controlled trial

Stanhope

Tondora

Davidson

et al. 2015

Trials

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BackgroundService disengagement is a pervasive challenge the mental health care system faces. Mental health services are of little value should persons with mental illnesses continue to opt out of receiving them. Consumers attribute disengagement from care to an absence of choice in their treatment. In response, the mental health system is adopting a person-centered model, based upon recovery principles, to engage consumers more actively in their care. Person-centered care planning is a promising practice involving collaboration to develop and implement an actionable plan to assist the person in achieving personal recovery goals.Methods/designThis study design combines a parallel-group randomized controlled trial of community mental health organizations with qualitative methods to assess the effectiveness of person-centered care planning. Participants at 14 sites in Delaware and Connecticut will be randomized to treatment as usual or the person-centered care planning intervention. Participants will be in leadership (n = 70) or supervisory or direct care (n = 210) roles. The person-centered care planning intervention involves intensive staff training and 12 months of ongoing technical assistance. Quantitative survey data will be collected at baseline, 6 months and 12 months measuringperson-centered care planning competency and organizational factors. Consumer outcomes (engagement, medication adherence, functioning and consumer satisfaction) will be assessed by Medicaid and state-level data. Qualitative data focused on process factors will include staff and consumer interviews and focus groups. In this intent-to-treat analysis, we will use mixed-effects multivariate regression models to evaluate the differential impact of the person-centered care planning intervention on each consumer and implementation outcome as well as the extent to which clinician assessments of organizational factors are associated with the implementation outcome. Mixed methods will triangulate and strengthen the interpretation of outcomes.DiscussionThe aim of this study is to generate valuable guidance for state systems engaged in scale-up and transformation efforts. Targeted staff selection for training to support sustainability will serve to provide further insight into important intervention implementation strategies. Person-centered care planning has the potential to enhance the impact of all evidence-based and recovery-oriented practices and bring practice into line with the emerging national guidelines in health care reform.Trial registrationThis trial was registered with ClinicalTrials.gov (Identifier: NCT02299492) on 21 November 2014 as New York University Protocol Record PCCP-13-9762, Person-Centered Care Planning and Service Engagement.

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Introduction to On the Road

Cited by 14 publications

References 0 publications

Measuring the Recovery Orientation of Assertive Community Treatment

Measuring the Recovery Orientation of Assertive Community Treatment

Recovery in the USA: From politics to peer support

Person-centered care planning and service engagement: a study protocol for a randomized controlled trial

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