RTP on Patient-Centered Care: It Takes a Village
Tuesday, September 7, 2010
RECOVERY TO PRACTICE
Resource Center for Mental Health Professionals
U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
www.samhsa.gov
WEEKLY HIGHLIGHT
September 3, 2010 Issue No. 17
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friends and family! If you are having trouble printing or viewing the RTP Weekly Highlight in
its entirety, please refer to the attached PDF.
To access the RTP Weekly Highlights and other RTP materials please visit:
http://www.dsgonline.com/rtp/resources.html
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Patient-Centered Care: It Takes a Village
An E-Alert by: The Commonwealth Fund
The term "patient-centered care" has been in use for a long time, but what does it really entail? In a new Health Affairs article written with support from The Commonwealth Fund and the ABIM Foundation, Ronald M. Epstein, M.D., and colleagues argue that efforts to make health care more patient-centered are too often limited to infrastructure and information technology improvements. They say true patient-centered care involves much more than that.
At its core, patient-centered care is about the "healing relationship" between physicians and patients-one grounded in strong communication and trust, the author say. It means providers engaging in a two-way dialogue with patients and their families, sharing information, exploring patients' values and preferences, and helping patients and families with clinical decisions. Among many other benefits, the patient-centered approach has been shown to improve health care outcomes and quality of life, increase adherence to care plans, reduce costs, and narrow racial, ethnic, and socioeconomic disparities in care.
Certainly, investments in infrastructure and health information technology are needed to facilitate patient-centered care, the authors say. But it is just as necessary for policymakers to set specific performance targets, medical educators to teach and assess interpersonal skills, consumer advocates to encourage greater patient involvement in shared decision-making, and health care organizations to foster a culture of patient-centeredness.
For additional information and resources on patient-centered care and medical homes, visit the Patient-Centered Care page on commonwealthfund.org.
The Commonwealth Fund is a private foundation that aims to promote a high performing health care system that achieves better access, improved quality, and greater efficiency.
Copyright 2009 - The Commonwealth Fund
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Empowered Patients Change Their Health Care Delivery
Many reports currently discuss patient empowerment resulting in positive changes to an individual's health care deliver. Kaiser Health News recognizes a couple of sources related to this topic:
http://www.kaiserhealthnews.org/Daily-Reports/2010/September/01/Delivery-of-care-issues.aspx
In the article, "More 'empowered' patients question doctors' orders," by Mary Brophy Marcus, USA TODAY, written August 31, 2010, empowerment and shared decision making are highlighted. To read the full article: http://www.usatoday.com/yourlife/health/healthcare/2010-09-01-medtesting01_CV_N.htm
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SAMHSA's Shared Decision-Making (SDM):
Making Recovery Real in Mental Health Care Project
Shared decision-making is an interactive and collaborative process between individuals and their heath care providers that is used to make health care decisions pertinent to an individual's personal recovery. This approach is consistent with the values of choice, self-determination, and empowerment and provides a means of enhancing consumer involvement in mental health care which has recognized benefits for positive treatment outcomes.
To promote and support the use of shared decision-making, the Shared Decision Making, Making Recovery Real in Mental Health Care project was funded by SAMHSA to develop resources and tools applicable specifically for mental health providers and service users. For more information please visit: http://mentalhealth.samhsa.gov/consumersurvivor/shared.asp.
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Additional Resources from the RTP Resource Center
Additional resources on patient-centered care from the Recovery to Practice Resource Center:
Adams, Neal, and Diane M. Grieder. 2005. Treatment Planning for Person-Centered Care: The Road to Mental Health and Addiction Recovery. Burlington, Mass.: Elsevier Academic Press.
Fetterman, David M., Shakeh Kaftarian, and Abraham Wandersman (eds.). 1996. Empowerment Evaluation: Knowledge and Tools for Self-Assessment and Accountability. Thousand Oaks, Calif.: SAGE.
O'Brien, Connie Lyle, and John O'Brien. 2000. The Origins of Person-Centered Planning: A Community of Practice Perspective. Syracuse, N.Y.: Responsive Systems Associates, Inc., and the Center on Human Policy, Syracuse University.
Rapp, Charles A., Wes Shera, and Walter E. Kisthardt. 1993. "Research Strategies for Consumer Empowerment of People With Severe Mental Illness." Social Work 38(6):727–35.
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***UPCOMING RTP WEBINAR***
The Recovery to Practice Resource Center is pleased to announce the second Webinar of its 2010 series,
"What Recovery Means for Acute Care."
It will take place September 16, 2010, from 3:00 p.m. to 4:30 p.m. ET. Participation is free of charge and
is open to providers, consumers, family members, policy makers and all others
interested in learning about advancing recovery-oriented practice.
Register directly, at:
https://www.livemeeting.com/lrs/8000963084/Registration.aspx?pageName=mlw22tf5gbcsrxqn
Description:
How can behavioral health care be provided in a recovery-oriented fashion within acute care settings?
This is a question that is often asked by behavioral health professionals who are grappling with the transformation process and are trying to ensure that the values and principles of recovery permeate all aspects of a system of care. This Webinar will begin to address this important and complex question. Presenters will discuss:
- Effective models of culture-change in inpatient settings;
- Experiences in bringing peer staff into acute care settings, including the challenges, successes, and benefits of doing so and the transformative impact that peer supports can have on acute care;
- The various consumer-managed/staffed crisis residential alternatives that currently exist.
Following these presentations, ample time will be devoted to responding to the questions and comments of Webinar participants.
Featured Presenters:
Maggie Bennington-Davis, M.D.
Chief Medical and Operating Officer, Cascadia Behavioral Health Center
Gayle Bluebird, RN
Peer Networking Consultant
Marvin Swartz, M.D.
Professor of Psychiatry and Director of the National Resource Center on Psychiatric Advance Directives,
Duke University Medical Center
Beth C. Stoneking, Ph.D., MSW, CPRP
Assistant Professor and Director, Recovery thru Integration, Support & Empowerment (RISE),
Department of Family and Community Medicine, University of Arizona
Moderated by
Larry Davidson, Ph.D.
Development Services Group, Inc.
Sponsored by: The Office of the Associate Director for Consumer Affairs,
Center for Mental Health Services, Substance Abuse and Mental Health Services Administration
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***Save the Date***
The National Council for Community Behavioral Healthcare is
Hosting a webinar for MHCD's Reaching Recovery Initiative.
September 28th
Noon Mountain Time
(2pm Eastern Standard Time)
Register Here:
http://www.thenationalcouncil.org/cs/national_council_live/upcoming_webinars
Description:
The Mental Health Center of Denver made the commitment to becoming a Recovery Focused Mental Health Center nearly 10 years ago and changed its mission to "Enriching Lives and Minds by Focusing on Strengths and Recovery". To accomplish this goal, they have developed four distinct measures of recovery which are used to inform the transformation process. The data collected by these instruments has informed the Center regarding the process of recovery for distinct individuals as well as organizational practice. In the process, all staff increases their commitment to the goal of helping people recover and move on with their lives. Through the Reaching Recovery Initiative, MHCD is working with other centers to use these instruments to develop a common "language" for understanding and promoting recovery, and to drive system transformation.
Through the webinar you will learn the details of the recovery instruments and their reporting capabilities. The webinar will highlight how the outcomes are used to drive recovery practice and how we use the recovery data to demonstrate how our services save money and help people get better.
Presenters:
Roy Starks, M.A. Director of Rehabilitation Services and Reaching Recovery, Mental Health Center of Denver
Shawna McGuckin, Reaching Recovery Representative, Mental Health Center of Denver
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Share your personal story, experience and other resources with the Recovery to Practice community!
We invite you to submit personal stories that describe recovery experiences. To submit personal stories or other recovery resources, please use the following online contribution form: http://www2.dsgonline.com/rtp_cf/
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We welcome your views, comments, suggestions and inquiries.
For more information on this topic or any other recovery topics, please contact the Recovery to
Practice Resource Center at
1-877-584-8535 or email RecoveryToPractice@dsgonline.com
The views, opinions, and content of this Weekly Highlight are those of the authors and do not necessarily
reflect the views, opinions, or policies of SAMHSA or HHS.