OBJECTIVE: Tailoring service planning to clients' personal life goals, or person-centered planning, has emerged as a recovery-oriented practice. This study examined the impact of person-centered planning and collaborative documentation on service engagement and medication adherence within community mental health centers (CMHCs). METHODS:Ten CMHCs were assigned randomly to receive training in person-centered planning and collaborative documentation or provide usual treatment. Medication adherence and service engagement were measured for 11 months (May 2009-March 2010) for 367 clients. Models compared changes in medication adherence and service engagement among clients of CMHCs in the control and experimental conditions. RESULTS:Medication adherence increased significantly at CMHCs in the experimental condition (B=.022, p≤.01) but showed no significant change at CMHCs in the control condition (B=.004, p=.25). Appointment no-shows at CMHCs in the experimental condition were reduced (odds ratio=.74, p=.001). CONCLUSIONS:Person-centered planning and collaborative documentation were associated with greater engagement in services and higher rates of medication adherence.
RCT Entities:
OBJECTIVE: Tailoring service planning to clients' personal life goals, or person-centered planning, has emerged as a recovery-oriented practice. This study examined the impact of person-centered planning and collaborative documentation on service engagement and medication adherence within community mental health centers (CMHCs). METHODS: Ten CMHCs were assigned randomly to receive training in person-centered planning and collaborative documentation or provide usual treatment. Medication adherence and service engagement were measured for 11 months (May 2009-March 2010) for 367 clients. Models compared changes in medication adherence and service engagement among clients of CMHCs in the control and experimental conditions. RESULTS: Medication adherence increased significantly at CMHCs in the experimental condition (B=.022, p≤.01) but showed no significant change at CMHCs in the control condition (B=.004, p=.25). Appointment no-shows at CMHCs in the experimental condition were reduced (odds ratio=.74, p=.001). CONCLUSIONS:Person-centered planning and collaborative documentation were associated with greater engagement in services and higher rates of medication adherence.
Authors: Jennifer L Kuntz; Monika M Safford; Jasvinder A Singh; Shobha Phansalkar; Sarah P Slight; Qoua Liang Her; Nancy Allen Lapointe; Robin Mathews; Emily O'Brien; William B Brinkman; Kevin Hommel; Kevin C Farmer; Elissa Klinger; Nivethietha Maniam; Heather J Sobko; Stacy C Bailey; Insook Cho; Maureen H Rumptz; Meredith L Vandermeer; Mark C Hornbrook Journal: Patient Educ Couns Date: 2014-09-16
Authors: Jo Anne Sirey; Alexandra Woods; Nili Solomonov; Lauren Evans; Samprit Banerjee; Paula Zanotti; George Alexopoulos; Helen C Kales Journal: Am J Geriatr Psychiatry Date: 2020-04-23 Impact factor: 4.105