title: Impact of person-centered planning and collaborative documentation on treatment adherence.
abstract: 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.
authors.affiliation: Silver School of Social Work, New York University, 1 Washington Square North, New York, NY 10003, USA. victoria.stanhope@nyu.edu
authors.forename: Victoria
authors.initials: V
authors.lastname: Stanhope
authors.forename: Chuck
authors.initials: C
authors.lastname: Ingoglia
authors.forename: Bill
authors.initials: B
authors.lastname: Schmelter
authors.forename: Steven C
authors.initials: SC
authors.lastname: Marcus
mesh_terms: D000328:Adult; D016001:Confidence Intervals; D003299:Cooperative Behavior; D004282:Documentation; D006801:Humans; D055118:Medication Adherence; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D016017:Odds Ratio; D018802:Patient-Centered Care; D014481:United States