Goals of The Project
We will identify practices for operationalizing PCC in SUD and MHD treatment and create an actionable list of practices. An advisory board consisting of health care providers, persons in recovery, treatment program administrators, and SFBHN representatives will provide feedback throughout the process.
Stages of The Project
We will create an actionable list of practices for operationalizing person-centered care in substance use disorder (SUD) and mental health disorder (MHD) treatment. This process will consist of three steps: qualitative interviews, quantitative surveys, and a final report of actionable practices for operationalizing person-centered care. We will obtain IRB approval from the University of Central Florida for all stages of the project. In an effort to respect confidentiality, the names of individuals or treatment programs associated with the study will NOT be reported in any resulting publications or reports.
Stage 1: Qualitative Interviews
First, we will conduct semi-structured, in-depth interviews with stakeholders to identify how SUD and MHD treatment centers
associated with the South Florida Behavioral Health Network (SFBHN) currently operationalize person-centered care (PCC).
Recruitment: We expect total recruitment will consist of 20 providers, 20 administrators, 20 peer support specialists, and 20 clients. Peer support specialists and clients will receive an incentive for their time.
Data collection: Interview topics will explore how program centers currently operationalize person-centered care (PCC), the extent
to which PCC is considered during program level decisions and treatment decisions, and barriers and facilitators
to PCC operationalization. In interviews with clients, we will also explore the personal impact of PCC (or the lack thereof) in treatment settings.
Analysis: Following interviews, audio recordings will be transcribed and analyzed using a combined inductive and deductive approach guided by the project goals. We will continue
interview recruitment until we have reached thematic saturation, meaning no new themes are emerging from
the data. After interview data analysis, the project team will create a preliminary list of actionable practices for operationalizing
PCC within each of the eight PCC domains.
The results are in!
Stage 2: Quantitative Interviews
Next, using the preliminary list of PCC practices obtained in step 1, we will design a survey instrument to be
distributed to all program administrators and providers at MHD and SUD treatment centers associated with
SFBHN. We will also design a survey instrument for clients.
Recruitment: SFBHN will encourage treatment program administrators, peer support specialists, and providers to take the survey. We will also design a survey instrument to be completed by clients, which will be distributed by treatment center administrators and providers. Peer support specialists and clients will receive an incentive for their time.
Data collection: Survey topics for administrators, providers, and peer support specialists will include the following: PCC operationalization methods currently used, self-reported program-level outcomes, and program characteristics. Survey topics for clients will include types of PCC operationalization methods experienced and preferences. We will also obtain program-level outcomes for each
treatment program/provider from SFBHN. Such data will not be personally-identifiable and will include aggregate clients’ treatment timespan, reasons for clients’
discharge, clients’ treatment participation one month prior to discharge, clients’ participation in other recovery
activities one month prior to discharge, clients’ drug screen results one month prior to discharge, changes in
clients’ functional and mental health assessments between beginning treatment and discharge.
Analysis: We will use descriptive statistics to identify the most common methods for operationalizing PCC in SFBHN treatment
Centers, as well methods most preferred by clients. We will use inferential statistics to identify any associations between methods for PCC operationalization, program level outcomes, and program characteristics. We will control for potential
confounding variables when using inferential statistics.
Stage 3: Final Report and Roundtable Discussion
Based on results from steps 1 and 2, we will create a final report of practices for operationalizing PCC
(including best practices, if statistically identifiable) within each of the eight PCC domains. The report will also
include potential barriers and facilitators to PCC operationalization and impact on client experiences, as
identified in qualitative interviews. Finally, we will organize a roundtable discussion with stakeholders to share the report and obtain feedback. In an effort to respect confidentiality, the names of individuals or treatment programs associated with the study will NOT be reported in any resulting publications or reports.
We plan to use the results of this program to apply for funding to design an educational
intervention for treatment providers and health centers in the state of Florida.