title: Barriers to Implementing Person-Centered Recovery Planning in Public Mental Health Organizations in Texas: Results from Nine Focus Groups.
abstract: Despite being an established practice in the disabilities service systems, person-centered planning is a relatively new practice in the behavioral health system. As a result, little is known about the barriers that mental health organizations face in implementing person-centered recovery planning (PCRP). To fill this gap, results are presented from a qualitative analysis of nine focus groups at three public mental health organizations in Texas that have been implementing PCRP for at least 2 years. Findings suggest that organizations experienced 12 distinct barriers to PCRP implementation which were categorized into the Consolidated Framework for Implementation Research domains of intervention characteristics, the outer setting, the inner setting, characteristics of individuals, and the implementation process. Half of these 12 barriers fell within the inner setting domain, suggesting that implementation efforts should be flexible and adaptable to organizational culture and context. One-quarter of the barriers fell into the domain of characteristics of individuals involved in the intervention, which further suggests implementation efforts should assess the impact that both staff and consumers have on implementation success.
authors.affiliation: Texas Institute for Excellence in Mental Health, Center for Social Work Research, University of Texas at Austin, 1717 W. 6th St. Suite 310, Austin, TX, 78703, USA. amylodge@utexas.edu.
authors.forename: Amy C
authors.initials: AC
authors.lastname: Lodge
authors.affiliation: Texas Institute for Excellence in Mental Health, Center for Social Work Research, University of Texas at Austin, 1717 W. 6th St. Suite 310, Austin, TX, 78703, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Kaufman
authors.affiliation: Texas Institute for Excellence in Mental Health, Center for Social Work Research, University of Texas at Austin, 1717 W. 6th St. Suite 310, Austin, TX, 78703, USA.
authors.forename: Stacey
authors.initials: S
authors.lastname: Stevens Manser
mesh_terms: D005380:Financing, Government; D017144:Focus Groups; D006801:Humans; D007318:Inservice Training; D007857:Leadership; D008605:Mental Health Services / Q000458:organization & administration*; D015279:Organizational Culture; D018802:Patient-Centered Care / Q000458:organization & administration*; D013781:Texas
keywords: Consolidated Framework for Implementation Research; Implementation barriers; Mental health; Person-centered planning; Recovery orientation