The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

5174.0: Wednesday, November 19, 2003 - 3:09 PM

Abstract #55313

Linking Evidence Based Practice to Individual Recovery—Role of the Treatment Plan

Neal H Adams, MD MPH, California Department of Mental Health, 1600 9th Street #151, Sacramento, CA 95814, 916-651-6742, and Ed Diksa, ScD, California Institute for Mental Health, 2030 J St., Sacramento, CA 95814.

There is considerable interest in the potential for evidence-based practices to profoundly effect quality of care and outcomes. Yet, there is little consideration of how clinical decisions are made and treatments are initiated at the consumer/clinician interface. How evidence-based practices are actually implemented and provided for individuals is not well understood. Because treatment and rehabilitation must be individualized, evidence-based interventions cannot be taken directly from controlled clinical trials and applied to all clients in the same way. Standardized treatments must be tailored to the individual client and be integrated into a coherent package that is responsive to the individual’s own vision of recovery. Treatment planning is a well-established practice embedded in clinical tradition, care management, utilization review and medical necessity determination, regulation, accreditation and licensure. Treatment planning also provides an opportunity to assure the active involvement of clients, together with their families and other natural supporters and that plans are truly person-centered. Experience is, however, that many if not most individuals receiving behavioral health services are not well aware of their treatment plan and the stated goals and objectives. This presentation will consider several issues including: ·Can the quality of care plans be measured? ·Can the value and benefit of care plans be demonstrated in terms of improved treatment effectiveness and outcomes ·Can treatment planning itself be considered an effective or evidence-based practice? If not, should we continue to require treatment plans? ·How can care planning be linked to the implementation of evidence-based practices?

Learning Objectives:

Keywords: Mental Health Care, Patient Perspective

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Reinventing the Mental Health Workforce

The 131st Annual Meeting (November 15-19, 2003) of APHA