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Published on: February 16, 2011
Impact of person-centered planning and collaborative documentation on treatment adherence
Victoria Stanhope1, Chuck Ingoglia, Bill Schmelter
1Silver School of Social Work, New York University, 1 Washington Square North, New York, NY 10003, USA. victoria.stanhope@nyu.edu
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.
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