Goal planning in mental health service delivery: A systematic integrative review

Stewart, Victoria; McMillan, Sara Sinclair; Hu, Jie; Ng, Ricki; El-Den, Sarira; O’Reilly, Claire; Wheeler, Amanda

doi:10.3389/fpsyt.2022.1057915

Cited by 11 publications

(7 citation statements)

References 78 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For the most part, service user experiences aligned with many aspects of goal planning theory, 39 including that goals motivated people to enact changes through increasing attention and effort, and progress was moderated by feedback, commitment, knowledge and ownership. Study findings also highlighted that person‐centred goal planning is an essential element in supporting behavioural change for people experiencing SPMIs and can potentially improve the health of service users 40 …”

Section: Discussionmentioning

confidence: 93%

“…Study findings also highlighted that person-centred goal planning is an essential element in supporting behavioural change for people experiencing SPMIs and can potentially improve the health of service users. 40 Participative approaches to goal planning were significant, with goal planning providing both a purpose to relationship building and a means to enhance relationships. Pharmacists highlighted the importance of learning about service users and their lived experiences of SPMIs, confirming previous research that found improved outcomes result from goal-planning interventions that develop strong working alliances and listen to service user priorities.…”

Section: Individualised and Flexible Processesmentioning

confidence: 99%

See 1 more Smart Citation

Experiences of goal planning in Australian community pharmacy settings for people experiencing mental illness: A qualitative study

Stewart

McMillan

et al. 2023

Health Expectations

Self Cite

View full text Add to dashboard Cite

BackgroundPerson‐centred goal planning is increasingly being incorporated into healthcare interventions. People experiencing severe and persistent mental illnesses (SPMIs) have high levels of co‐occurring health conditions, reducing their life expectancy when compared with the general population. As medications are commonly used in the treatment of SPMIs, community pharmacists are well‐placed to support the health and wellbeing of this population.ObjectivesTo examine pharmacists' and service users' experiences of goal planning as a component of a community pharmacy‐based health intervention for people experiencing SPMIs (PharMIbridge intervention).MethodsThis study utilised a qualitative exploratory approach with an interpretive description method. Semistructured interviews were undertaken with community pharmacists (n = 16) and service user participants (n = 26) who had participated in pharmacist support services for people experiencing SPMIs (PharMIbridge intervention).ResultsFour themes relating to goal planning were identified. First, goal planning provided purpose and motivation for participation in the intervention. Planning realistic goals was important but often challenging. Both pharmacists and service users highlighted the relational aspects of goal planning and how strong relationships supported positive behaviour change and outcomes. Finally, individualised and flexible approaches were important aspects of the intervention, ensuring goals were meaningful to service users.ConclusionsThe findings from this study identified positive outcomes from the inclusion of goal‐planning processes in a community pharmacy‐based health intervention. Further research regarding tools, strategies or training that could support future goal‐planning interventions in primary healthcare is needed.Patient or Public ContributionThe PharMIbridge randomised controlled trial research team included lived experience members and was overseen by an expert panel that included members with a lived experience of mental illness and representatives from key organisations. The training provided to pharmacists was co‐designed and co‐delivered by the researchers and lived experience representatives, and pharmacists were supported by lived experience mentors. Service user participants were invited to participate in the interviews through a number of pathways (e.g., at the completion of the intervention, flyers). Those interested were provided with the full study participant information and provided with a $30 gift voucher at the conclusion of the interview.

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Individualised and Flexible Processesmentioning

confidence: 99%

Experiences of goal planning in Australian community pharmacy settings for people experiencing mental illness: A qualitative study

Stewart

McMillan

et al. 2023

Health Expectations

Self Cite

View full text Add to dashboard Cite

show abstract

“…Six of the identified tools were described and studied in five or more articles. These included Goal Attainment Scaling including Goal Attainment Scaling for Major Depressive Disorder and Goal Attainment Scaling for Upper Limb Spasticity 28–57,113,114,118–143,150,172,181 ( n = 61), Canadian Occupational Performance Measure 6,25–27,101,103…”

Section: Resultsmentioning

confidence: 99%

Characteristics of goal-setting tools in adult rehabilitation: A scoping review

Okita,

Kawaguchi,

Inoue

et al. 2023

Clin Rehabil

View full text Add to dashboard Cite

Objectives This scoping review aims to map the literature on goal-setting tools in adult rehabilitation, exploring their characteristics, target users and supporting evidence to inform practice and future research in this area. Methods We completed a comprehensive search of four databases to identify relevant articles on tools for goal setting in rehabilitation. We followed Arkey and O’Malley's scoping review process to guide article selection, data extraction and data analysis. Results We identified a total of 165 studies that reported on 55 different goal-setting tools, including tools for goal selection and goal documentation ( n = 31), goal setting and intervention planning ( n = 15), and for measuring the quality of the goal-setting process ( n = 9). Over half of the tools were primarily designed for use in rehabilitation of physical disabilities ( n = 32). Some tools fell under multiple sub-categories based on their characteristics as follows: 22 framework tools, 12 interview tools, 9 outcome measurement tools for goal achievement, 6 outcome measurement tools for goal quality and 25 documentation tools. The majority of goal-setting instruments targeted goals at the level of activity and participation ( n = 51) and aimed to facilitate a client-centred or shared decision-making approach to rehabilitation planning ( n = 46). Conclusions This study provides a comprehensive overview of existing goal-setting tools, highlighting their characteristics, target users and identified needs. These findings can enhance practitioners’ awareness of the range of goal-setting tools available and can enable more effective utilization of these tools in clinical practice. Further research should investigate how clinicians can combine multiple tools to deliver goal setting.

show abstract

“…Effective goal‐setting has been identified as a robust factor in increasing well‐being, strengthening rapport and alliance in therapeutic relationships, and promoting recovery for individuals experiencing mental ill health (Clarke et al, 2009; Smith et al, 2011). Indeed, goal setting and attainment are identified as integral features of recovery (Stewart et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…promoting recovery for individuals experiencing mental ill health (Clarke et al, 2009;Smith et al, 2011). Indeed, goal setting and attainment are identified as integral features of recovery (Stewart et al, 2022).…”

mentioning

confidence: 99%

Connection and recovery in the COVID‐19 age: An analysis of changes in goal‐setting throughout the pandemic by consumers living with enduring mental illness

Patterson,

Roberts,

Yousiph

et al. 2023

Int J Mental Health Nurs

View full text Add to dashboard Cite

Goal‐setting is a tool that empowers consumer recovery. Though the pandemic has affected consumer goal‐setting, the nature and extent of this impact have not been examined in a recovery setting. The aim of this study is to assess whether the recovery goals of individuals with serious mental illness changed in association with the COVID‐19 pandemic. In this mixed‐methods design, data were collected from a purposeful sample of consumers (nTOTAL = 355) aged 19–67 years (MAGE = 44.56, SD = 13.05) attending Recovery Camp, a 5‐day therapeutic‐recreation programme for individuals living with severe mental illness (e.g., PTSD, schizophrenia). Consumer‐set goals were examined across 5 programmes prior to March 2020 (nPRE = 126) and 11 following (nPOST = 229). Goals were set on day one, with attainment self‐scored on day five. Chi‐squared goodness‐of‐fit tests compared goal proportions per domain; tests of independence assessed changes in goals pre‐ and post‐pandemic. Six goal domains were identified: Approach‐Based Recovery, Avoidance‐based Recovery, Novel Physical Activities, Relationships, Health, and Recreation/Relaxation. Irrespective of the pandemic, goal attainment was consistently high across all programmes (86.56%). Approach‐based Recovery goals were predominant pre‐pandemic, but were significantly reduced post‐pandemic (p = 0.040). Goals related to Relationships and Novel Physical Activities took precedence throughout the pandemic. Post‐COVID‐19, consumer recovery goals reveal increased desire for connection, novelty‐seeking, and positive behavioural change.

show abstract

Goal planning in mental health service delivery: A systematic integrative review

Cited by 11 publications

References 78 publications

Experiences of goal planning in Australian community pharmacy settings for people experiencing mental illness: A qualitative study

Experiences of goal planning in Australian community pharmacy settings for people experiencing mental illness: A qualitative study

Characteristics of goal-setting tools in adult rehabilitation: A scoping review

Connection and recovery in the COVID‐19 age: An analysis of changes in goal‐setting throughout the pandemic by consumers living with enduring mental illness

Contact Info

Product

Resources

About