Person-Centered Care Planning and Service Engagement
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/21/2019 |
| Start Date: | September 2013 |
| End Date: | December 2019 |
This proposed study addresses the problem of service disengagement within the mental health
system. No matter how effective mental health practices are now or become in the future, they
are of little value should persons with mental illnesses continue to choose not to receive
them. Consumers have attributed their disengagement from care to having poor alliances with
care providers, including experiences of not being listened to and not being offered the
opportunity to make decisions and collaborate in their own treatment. Person-centered care
planning is a field-tested intervention designed to maximize consumer choice and ownership of
the treatment process. Providers collaborate with consumers to develop customized plans that
identify life goals and potential barriers to achieving them. The proposed study tests the
effectiveness of Person-Centered Care Planning (PCCP) designed to target barriers and
efficiently implement PCCP throughout an agency. By conducting a randomized controlled trial
with 14 community mental health clinics from two states, the study will assess whether PCCP
improves service engagement and consumer outcomes. The study will also utilize qualitative
methods to understand how care planning impacts service engagement and how implementation
processes influence organizational and provider level behavior. Designed to bridge the
science to services gap, this study focuses on two priorities identified by the NIMH
Diversion of Services and Intervention Research: developing models and methods to implement
effective mental health services in the community and the study of personalized mental health
care.
system. No matter how effective mental health practices are now or become in the future, they
are of little value should persons with mental illnesses continue to choose not to receive
them. Consumers have attributed their disengagement from care to having poor alliances with
care providers, including experiences of not being listened to and not being offered the
opportunity to make decisions and collaborate in their own treatment. Person-centered care
planning is a field-tested intervention designed to maximize consumer choice and ownership of
the treatment process. Providers collaborate with consumers to develop customized plans that
identify life goals and potential barriers to achieving them. The proposed study tests the
effectiveness of Person-Centered Care Planning (PCCP) designed to target barriers and
efficiently implement PCCP throughout an agency. By conducting a randomized controlled trial
with 14 community mental health clinics from two states, the study will assess whether PCCP
improves service engagement and consumer outcomes. The study will also utilize qualitative
methods to understand how care planning impacts service engagement and how implementation
processes influence organizational and provider level behavior. Designed to bridge the
science to services gap, this study focuses on two priorities identified by the NIMH
Diversion of Services and Intervention Research: developing models and methods to implement
effective mental health services in the community and the study of personalized mental health
care.
Service disengagement is one of the most pervasive and challenging problems currently facing
the mental health care system. No matter how effective mental health services are now or
become in the future, they are of little value should persons with mental illnesses continue
to choose not to receive them. Consumers have attributed their disengagement from care to
having poor alliances with care providers, including experiences of not being listened to and
not being offered the opportunity to make decisions and collaborate in their own treatment.
In response, the mental health system is moving toward a more person-centered model, based
upon recovery principles, to engage consumers more actively in their care. While states have
embraced this model in theory, they are now looking for guidance as to 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.
The proposed study tackles this pressing issue by testing the effectiveness of
Person-Centered Care Planning (PCCP). By targeting treatment planning - a process that is
common across clinical interventions - PCCP has the potential to enhance evidence based
practices. PCCP is a field-tested intervention designed to maximize consumer choice and
ownership of the treatment process.Providers collaborate with consumers to develop customized
plans that identify life goals and potential barriers to achieving them. PCCP is implemented
agency-wide through clinical supervisor trainings, which provide an experiential teaching
program and tools to translate the practice to frontline clinicians.
Our controlled trial will randomize community mental health centers from two states to
receive either PCCP or treatment as usual. The study will conduct surveys of agency providers
to assess the impact of PCCP on transformational leadership, recovery orientation, and
organizational readiness. Provider PCCP competency associated with the intervention will be
measured via provider surveys and client medical record review. Client outcomes will include
service engagement, satisfaction with services, adherence, employment, housing, and social
support. Client outcomes will be measured using secondary data from agency, state and federal
datasets. Qualitative inquiry will be used to better understand the care planning and
implementation process associated with the intervention. Focus groups will be conducted with
providers and consumers in the experimental sites. The specific aims of the study are:
1. Assess the effectiveness of PCCP. H1: Relative to treatment as usual, a significantly
larger proportion of participants receiving PCCP will engage in services, have greater
satisfaction with services, and have improved outcomes.
2. Assess the effect of organizational factors on the implementation and effectiveness of
PCCP
3. Use qualitative methods to understand how care planning impacts service engagement and
how implementation processes influence organizational and provider level behavior.
Designed to bridge the science to services gap, this statewide study focuses on how agencies
can bring about the wholesale transformation needed to deliver sustainable person-centered
care. This study is the first of its kind to examine the synergy between PCCP, sophisticated
organizational change methods, and provider level training, and to document their impact on
consumer outcomes. This investigative team brings together experts in PCCP and recovery with
experts in services and implementation research to generate valuable guidance for how state
systems engaged in the transformation process can best use their limited resources during
times of significant fiscal constraint.
the mental health care system. No matter how effective mental health services are now or
become in the future, they are of little value should persons with mental illnesses continue
to choose not to receive them. Consumers have attributed their disengagement from care to
having poor alliances with care providers, including experiences of not being listened to and
not being offered the opportunity to make decisions and collaborate in their own treatment.
In response, the mental health system is moving toward a more person-centered model, based
upon recovery principles, to engage consumers more actively in their care. While states have
embraced this model in theory, they are now looking for guidance as to 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.
The proposed study tackles this pressing issue by testing the effectiveness of
Person-Centered Care Planning (PCCP). By targeting treatment planning - a process that is
common across clinical interventions - PCCP has the potential to enhance evidence based
practices. PCCP is a field-tested intervention designed to maximize consumer choice and
ownership of the treatment process.Providers collaborate with consumers to develop customized
plans that identify life goals and potential barriers to achieving them. PCCP is implemented
agency-wide through clinical supervisor trainings, which provide an experiential teaching
program and tools to translate the practice to frontline clinicians.
Our controlled trial will randomize community mental health centers from two states to
receive either PCCP or treatment as usual. The study will conduct surveys of agency providers
to assess the impact of PCCP on transformational leadership, recovery orientation, and
organizational readiness. Provider PCCP competency associated with the intervention will be
measured via provider surveys and client medical record review. Client outcomes will include
service engagement, satisfaction with services, adherence, employment, housing, and social
support. Client outcomes will be measured using secondary data from agency, state and federal
datasets. Qualitative inquiry will be used to better understand the care planning and
implementation process associated with the intervention. Focus groups will be conducted with
providers and consumers in the experimental sites. The specific aims of the study are:
1. Assess the effectiveness of PCCP. H1: Relative to treatment as usual, a significantly
larger proportion of participants receiving PCCP will engage in services, have greater
satisfaction with services, and have improved outcomes.
2. Assess the effect of organizational factors on the implementation and effectiveness of
PCCP
3. Use qualitative methods to understand how care planning impacts service engagement and
how implementation processes influence organizational and provider level behavior.
Designed to bridge the science to services gap, this statewide study focuses on how agencies
can bring about the wholesale transformation needed to deliver sustainable person-centered
care. This study is the first of its kind to examine the synergy between PCCP, sophisticated
organizational change methods, and provider level training, and to document their impact on
consumer outcomes. This investigative team brings together experts in PCCP and recovery with
experts in services and implementation research to generate valuable guidance for how state
systems engaged in the transformation process can best use their limited resources during
times of significant fiscal constraint.
Inclusion Criteria:
- Receiving services at participating community mental health clinics
Exclusion Criteria:
We found this trial at
1
site
70 Washington Square S
New York, New York 10012
New York, New York 10012
(212) 998-1212
Phone: 212-998-5942
New York University More than 175 years ago, Albert Gallatin, the distinguished statesman who served...
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