Transitioning to Person-Centered Care: a Qualitative Study of Provider Perspectives
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ence to Meredith Doherty, LCSW CUNY Graduate Center/Silberman School of Social Work, Hunter College, 2180 Third Avenue, New York, NY 10035, USA. . Lynden Bond, Silver School of Social Work, New York University, New York, USA. Lauren Jessel, Silver School of Social Work, New York University, New York, USA. Victoria Stanhope, Silver School of Social Work, New York University, New York, USA. Julie Tennille, Graduate Social Work Department, West Chester University of Pennsylvania, West Chester, USA. Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Journal of Behavioral Health Services & Research, 2019. 1–9. c 2019 National Council for Behavioral Health. DOI 10.1007/s11414-019-09684-2
Transitioning to Person-Centered Care
DOHERTY ET AL.
Methods This qualitative study is part of a larger NIMH-funded hybrid randomized controlled trial (RCT) of Person-Centered Care Planning (PCCP) in fourteen community mental health clinics (CMHC) sites across two states. Person-centered care planning is an emerging evidence-based practice that targets the treatment planning process as a critical mechanism for facilitating collaborative, personcentered behavioral health services.18, 19 Seven of the fourteen participating CMHC sites were randomized to the PCCP condition as part of the parent RCT. Sites in the PCCP condition received a 1-year training and technical support intervention. The training consisted of a 2-day in-person seminar for clinical supervisors and selected direct care staff that included didactic and behavioral rehearsal sessions. The training participants were then instructed to train and supervise their clinical teams in PCCP delivery. Trainees received PCCP reference manual and supplemental resources throughout the year. Over a 12-month period, teams participated in bi-weekly technical assistance (TA) calls that were facilitated by the external PCCP consultants who delivered the training over a 12-month period. TA calls provided opportunities for supervisors and direct care staff to discuss implementation issues and receive expert feedback on their service plans.
Sample The study sample included 104 focus group participants. Two focus groups were conducted at each experimental site, one for supervisors and one for direct care staff, all of whom were part of
Figure 1 The dynamic tensions model was generated from the thematic analysis of focus group data from participants in the experimental arm of a person-centered care planning RCT. The model is a visual representation of the tensions mental health providers may experience when they transition from traditional care to a more person-centered approach
The Journal of Behavioral Health Services & Research
2019
teams that had received training in person-centered care. Approximately three to twelve providers participated in each of the focus groups. The majority of providers identified as female (N=82, 78.8%) and white (N=59, 56.7%). The average age of providers was 44.37 (SD = 11
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