Person-centered care (PCC) is an ethical and health service imperative, but it has been inconsistently conceptualized and poorly operationalized. To date most PCC operationalization research has occurred outside of substance use disorder (SUD) treatment. Studies examining PCC in SUD treatment have overwhelmingly focused on one dimension: respect for client treatment preferences, such as through a shared decision-making process. This dimension is very important, but treatment facilities need to know that other dimensions of PCC exist and how to operationalize these dimensions in daily practice. Therefore, researchers from the University of Central Florida, Indiana University-Indianapolis, and Georgia State University sought to identify how SUD treatment facilities can operationalize each of eight PCC dimensions (based on those defined by the Picker Institute) using the experiences and perspectives of treatment providers, administrators, and clients. With input from an advisory board of stakeholders, Barbara (“Basia”) AndrakaChristou, J.D., Ph.D., and colleagues developed an interview instrument to examine research participants’ perceptions of how SUD facilities could implement PCC across eight dimensions: 1) respect for client preferences, values, and culture; 2) information provision; 3) coordination and integration of care, 4) emotional support; 5) physical comfort; 6) family integration into treatment; 7) continuity and transition into the community; and 8) access to evidence-based practices. We recruited 37 participants from SUD treatment facilities in South Florida, including outpatient and residential settings, for in-depth, semi-structured telephone interviews. Recruitment and data analysis occurred iteratively until thematic saturation was reached. Using qualitative thematic data analysis, we identified patterns of operationalization practices for each dimension and across dimensions. We also created a list of specific practices for each dimension.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (2 unnumbered pages))