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Enhancing mental health care: a problem, resources and goals oriented multidimensional framework (PRoGO).

Stefan Leucht^1,2, Bernhard König³, Antonio di Francesco^4,5

¹Department of Psychiatry and Psychotherapy, Klinikum Rechts Der Isar, Technical University of Munich, TUM School of Medicine and Health, Ismaningerstrasse 22, 81675, Munich, Germany. Stefan.Leucht@tum.de.

European Archives of Psychiatry and Clinical Neuroscience

|July 1, 2025

Summary

Problem-Oriented Medical Records (POMR) offer an ideal framework for mental health care, enhancing outcomes and patient satisfaction. Adaptations like the Problem-Resources-Goals Oriented framework (PRoGO) are proposed for effective interdisciplinary treatment.

Keywords:

Anxiety Depression Lawrence Weed Mental health Problem-oriented medical records Psychiatry Schizophrenia Transdiagnostic

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Area of Science:

Medical Informatics
Psychiatry
Healthcare Management

Background:

The Problem-Oriented Medical Records (POMR) approach, emphasizing patient problems, gained traction in the 1970s.
Limited comparative studies exist between POMR and traditional source-based records, especially in mental health.

Purpose of the Study:

To review the appropriateness of POMR for mental health care.
To identify necessary modifications for POMR in psychiatric settings.

Main Methods:

A narrative review was conducted.
The review examined the application and adaptation of POMR in mental health.

Main Results:

Mental health disorders, characterized by symptoms and syndromes, align well with POMR's problem-based structure.
POMR facilitates interdisciplinary collaboration by organizing care around patient-centered problems, unlike the siloed source-based approach.
Mental health care benefits from POMR's focus on patient goals and resources, not just deficits.

Conclusions:

Systematic application of POMR, with interdisciplinary treatment, can improve clinical/functional outcomes and satisfaction.
The proposed Problem-Resources-Goals Oriented framework (PRoGO) adapts POMR for mental health.
Clinical trials are needed to validate POMR/PRoGO in psychiatric practice.