Recently Funded Projects: Amplifying the Patient's Voice

Amplifying the Patient’s Voice: Person-Centered vs. Measurement-Based Approaches in Mental Health

Funder: Patient-Centered Outcomes Research Institute (PCORI)

Summary: Fifteen minutes. That is the typical length of an outpatient medication management appointment for people with serious mental health conditions. These brief interactions with prescribers are frequently provider-driven, and little time is focused on the patient's individual needs and personal recovery. Shared decision making could improve this interaction. Although strategies to support shared decision making in mental health care exist, little is known about their impact on outcomes. These outcomes often matter most to patients with serious mental illness.

This study explores how technology can amplify the voice of the patient, support shared decisions, and improve treatment outcomes.

Building on prior work, this study will compare two ways for patients and prescribers to engage in shared decision making: person-centered care and measurement-based care. The study will include up to 3,000 adults who have Medicaid as their health insurance and who receive medication treatment at one of 14 community mental health clinics across Pennsylvania.

Based on patient feedback, these are the most important outcomes to be included in the study:

  • Involvement in shared decision making
  • Activation and empowerment
  • Engagement in outpatient mental health service
  • Management of medication side effects
  • Mental health symptom severity
  • Functional status
  • Quality of life

Community Care Behavioral Health, Dartmouth Psychiatric Research Center, and Patricia Deegan, PhD & Associates, LLC will collaborate and facilitate this project.

 

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