Moving Patient Outcomes toward Wellness & Recovery (mPOWR)
mPOWR Training can be customized to meet the needs of your organization. For more information please contact: Nicole Milan, Training and Research Program Manager at Felton Institute by emailing:
Project funded by PCORI: Patient Centered Outcomes Research Institute
Dates for which contract is funded: October 1, 2013-September 30, 2016
Co-Principal Investigators: Dr. Joyce Chu, of Felton Institute, Family Service Agency San Francisco, CA
Dr. Alya Reeve at University New Mexico, Albuquerque New Mexico
FSA has partnered with senior faculty from the University of New Mexico to serve as independent researchers for this study. The primary goal of the study is to investigate the implementation and effectiveness of the mPOWR in diverse urban and rural community mental health settings.
The results stand to validate the use of consumer feedback and shared decision making with care managers of mental health services, thereby extending the reach and benefit of these evidence-based strategies to a much broader, more diverse patient population with chronic needs. The results also stand to validate and reinforce the use of assessment instruments that identify life domains that are meaningful for consumers, including quality of life and community living skills, in improving patient engagement and goal attainment. Finally, the results hold potential to demonstrate the savings from employing a relatively low-cost system that is expected to help consumers and providers identify and achieve service goals in less time.
This work has led to the creation of Moving Patient Outcomes toward Wellness & Recovery (mPOWR) system, Click here to learn more about mPOWR.
Specific aims of the mPOWR are:
1. To improve patient and provider participation in shared-decision making and engagement in mental health treatment, to improve [patient] personal Quality of Life, and to improve [patient] access to community/social services;
2. To increase patient understanding of their treatment and of treatment options; to increase their personal treatment progress; and
3. To increase patient functionality and sense of perceived support for their therapeutic outcomes.
Research on the impact of decision-support tools for providers and patients has not included frontline care managers. In particular, the care management field lacks effective models for integrating results-based and patient-centered care into routine practice with diverse adults with complex mental health and social service needs. For over five years, Family Service Agency of San Francisco (FSA) has developed and piloted a mental health decision-support tool entitled the Assessment Diagnostic Evaluation and Planning Tool (ADEPT) for use by patients and front-line providers. The ADEPT was developed by a team of researchers, frontline providers, and FSA patients to collect data and track patient progress over time. Yet, its strong focus on diagnostic screening and excessive length limited its relevance to patients in guiding service decisions. Over the past two years, a team of FSA patients and care managers revised the tool, eliminating its diagnostic component and retaining two measures of quality of life and community living skills that were reviewed and/or adapted by patients to reflect meaningful outcomes in the delivery of services. Decision aids and a communications toolkit were also developed to support the use of shared-decision making (SDM) processes in the provision of services. Together, these instruments and tools make up the Moving Patient Outcomes toward Wellness and Recovery (mPOWR) system. mPOWR ensures that the patient-provider relationship remains focused on patient identified outcomes and use of SDM throughout care.