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Relationship Between Psychiatric-Service Consumers' and Providers' Goal Concordance and Consumers' Personal Goal
Efrat Shadmi1, Marc Gelkopf1, Paula Garber-Epstein1
1Dr. Shadmi, Dr. Gelkopf, Dr. Garber-Epstein, Dr. Scialom, and Dr. Roe are with the University of Haifa, Haifa, Israel. Dr. Shadmi is with the Department of Nursing. He is also with the Center for Community Mental Health Research, Training, Services and Policy, where Dr. Gelkopf, Dr. Garber-Epstein, and Dr. Roe are affiliated. Dr. Gelkopf and Dr. Roe are also with the Department of Community Mental Health, and Dr. Scialom is with the School of Public Health. Dr. Garber-Epstein is also with the Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel. Dr. Baloush-Kleinman and Ms. Dudai are with the Department of Rehabilitation, Mental Health Services at the Ministry of Health, Jerusalem.
Objective:
This study tested concordance between consumers' and providers' reports of personal goal setting and its relationship to self-reported goal attainment.
Methods:
Data are from the Israeli Psychiatric Rehabilitation Patient Reported Outcome Measurement project. Consumers (N=2,885) and the providers who were most knowledgeable about their care indicated two domains from a list of ten in which consumers had set goals during the previous year. Consumers reported on goal attainment in each domain.
Results:
A total of 2,345 consumers (82%) reported a personal goal. Overall, consumer-provider concordance reached 54%. Concordance was greatest in the employment (76%), housing (71%), and intimate relationship (52%) domains and lowest in family relationships (23%) and finances (15%). For most domains, concordance was less than 50%. On average, 75% of consumers reported having achieved their goals. Consumer-provider concordance was associated with goal attainment (p<.001).
Conclusions:
These findings emphasize the importance of agreed-upon goals and call for conceptualizing goal setting as an interpersonal process central to recovery.
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