Matthews Elizabeth B, Peral Michael
Fordham University, Graduate School of Social Service, 113 W. 60th St., 7th Fl, New York, NY, 10023, USA.
J Behav Health Serv Res. 2024 Jan;51(1):74-89. doi: 10.1007/s11414-023-09866-z. Epub 2023 Oct 31.
The delivery of person-centered care (PCC) is critical to promoting service engagement among individuals who use substances. Collaborative documentation (CD) is an emerging person-centered practice used in community mental health, but has not been evaluated in substance use settings. This qualitative study conducted focus groups with substance use treatment providers (n=22) in an outpatient clinic to examine the impact of CD on PCC and clinical quality. Rapid qualitative analysis methods were used to identify key themes. Participants reported that using CD reduced documentation time and helped build trust and better understand their clients. Using CD presented unique challenges and opportunities when used with mandated populations or those with complex symptoms. The importance of honoring clients' preference not to collaborate in care was a salient theme. Findings indicate that CD can promote PCC in substance use treatment. Targeted strategies to optimize CD for mandated and clinically complex populations are needed.
提供以患者为中心的护理（PCC）对于促进使用药物者的服务参与至关重要。协作式记录（CD）是社区心理健康中一种新兴的以患者为中心的实践方法，但尚未在药物使用环境中进行评估。这项定性研究在一家门诊诊所与药物使用治疗提供者（n = 22）进行了焦点小组讨论，以检查协作式记录对以患者为中心的护理和临床质量的影响。采用快速定性分析方法来确定关键主题。参与者报告说，使用协作式记录减少了记录时间，并有助于建立信任和更好地了解他们的客户。在与强制人群或有复杂症状的人群一起使用协作式记录时，会出现独特的挑战和机遇。尊重客户不参与护理协作的偏好的重要性是一个突出的主题。研究结果表明，协作式记录可以在药物使用治疗中促进以患者为中心的护理。需要针对强制人群和临床复杂人群优化协作式记录的有针对性的策略。
