Silver School of Social Work, New York University, 1 Washington Square North, New York, NY 10003, USA.
Psychiatr Serv. 2013 Jan;64(1):76-9. doi: 10.1176/appi.ps.201100489.
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).
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.
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).
Person-centered planning and collaborative documentation were associated with greater engagement in services and higher rates of medication adherence.
根据客户的个人生活目标量身定制服务计划，即以人为中心的规划，已成为一种以康复为导向的实践。本研究考察了以人为中心的规划和协作式记录对社区心理健康中心（CMHC）中服务参与度和药物依从性的影响。
随机将 10 家 CMHC 分配到接受以人为中心的规划和协作式记录培训的实验组或提供常规治疗的对照组。对 367 名患者进行了为期 11 个月（2009 年 5 月至 2010 年 3 月）的药物依从性和服务参与度的测量。模型比较了对照组和实验组 CMHC 中患者的药物依从性和服务参与度的变化。
实验组的药物依从性显著增加（B=.022，p≤.01），而对照组无显著变化（B=.004，p=.25）。实验组的预约失访率降低（优势比=.74，p=.001）。
以人为中心的规划和协作式记录与更高的服务参与度和更高的药物依从率相关。
