The Health Care Landscape

American Journal of Psychiatric Rehabilitation

Restrepo-Toro

et al. 2017

Collaborative, person-centered approaches to care planning are increasingly recognized as instrumental in supporting attainment of personal recovery outcomes. Yet, though much is known about factors that support person-centered planning, successful implementation often remains an elusive goal. This article reviews international efforts to promote person-centered care planning (PCCP) in the context of a randomized clinical trial in the United States and in the Meaningful and Measurable initiative, a collaborative action research project involving diverse provider organizations in Scotland. The authors review the history of international efforts to implement PCCP and offer preliminary evidence regarding its positive impact on both process outcomes (e.g., the nature of the primary therapeutic relationship and the service-user’s experience) and personal recovery outcomes (e.g., quality of life, community belonging, and valued roles). PCCP will be defined through descriptions of key principles and practices as they relate to both relational aspects (e.g., shifts in stakeholder roles and conversations) and documentation/recording aspects (e.g., how person-centered relationships are captured in written or electronic records). Similarities and differences between the United States and Scottish experiences of PCCP are highlighted and a series of recommendations offered to further implementation of this essential recovery-oriented practice.

Section: Person-centered Care Planningmentioning

confidence: 99%

Section: Person-centered Care Planningmentioning

confidence: 99%

Person-centered planning in mental health: A transatlantic collaboration to tackle implementation barriers

Miller

American Journal of Psychiatric Rehabilitation

Restrepo-Toro

et al. 2017

“…An emerging recovery-oriented practice is person-centered care planning, which uses the service planning process to develop and implement an action plan to assist the person in achieving his or her unique, personal life goals [13, 14]. Providers complete a service plan with clients on entry into a program and then update the plan every 3 to 6 months.…”

Section: Introductionmentioning

confidence: 99%

Delivering person-centered care with an electronic health record

BMC Med Inform Decis Mak

Matthews

2019

Background Electronic health records are now widely adopted in medical and behavioral health settings. While they have the potential to improve the quality of care, the research findings on their impact on clinical practice and outcomes have been mixed. This study explores how the electronic health record and its stage of development influenced the implementation of person-centered care planning in community mental health clinics. Methods The study was set in five community mental health clinics which utilized an EHR and had been trained in person-centered care planning. Using an objective quantitative measure of fidelity, the study examined fidelity to PCCP across time and by stage of EHR development. Data from focus groups, interviews with clinic leaders and consultant reports was analyzed to explore the process of implementation and the role of the electronic health record. Results All clinics demonstrated an overall increase in PCCP fidelity at the conclusion of the study period but there were significant differences in PCCP fidelity among clinics with EHRs in different stages of development. Electronic health records emerged as a significant implementation factor in the qualitative data with clinics being unable to individualize service plans and encountering technical difficulties. Barriers to person-centered care included drop-down boxes and pre-determined outcomes. Clinic responses included customizing their record or developing workarounds. Conclusions The study demonstrated the need to align the electronic health record with a person-centered approach which includes individualizing information and orienting service plans to personal life goals. The ability of clinics to be able to customize their records and balance the need for unique and aggregate information in the record is critical to improve both the provider experience and the quality of care. Trial registration Clinicaltrials.gov , NCT02299492 , registered on November 24, 2014.

“…One practice central to promoting person-centered care is person-centered care planning (PCCP), a manualized process for developing an individualized and collaborative plan of care. PCCP offers providers the necessary clinical tools to deliver person-centered care, and guides treatment towards achieving a user-defined vision of wellness and recovery (Adams and Grieder 2014). Throughout the care planning process, providers adopting PCCP elicit and empathize with their clients’ subjective experiences, regard clients holistically as people rather than as patients, and help people to articulate their personal recovery goals.…”

Section: Introductionmentioning

confidence: 99%

Do Providers Know What They Do Not Know? A Correlational Study of Knowledge Acquisition and Person-Centered Care

Matthews

Community Ment Health J

Choy-Brown

et al. 2018

Person-centered care (PCC) is a central feature of health care reform, yet the tools needed to deliver this practice have not been implemented consistently. Person-centered care planning (PCCP) is a treatment planning approach operationalizing the values of recovery. To better understand PCCP implementation, this study examined the relationship between recovery knowledge and self-reported PCCP behaviors among 224 community mental health center staff. Results indicated that increased knowledge decreased the likelihood of endorsing non-recovery implementation barriers and self-reporting a high level of PCCP implementation. Findings suggest that individuals have difficulty assessing their performance, and point to the importance of objective fidelity measures.