Treatment Planning as a Strategy for Promoting Person-Centered Care

Main Article Content

Neal Adams


Wagner’s care model makes clear that collaborative/shared decision-making and “productive interactions” between patients/consumers and providers is the path to improved wellness outcomes.  A treatment plan is the written record of that shared decisional and interactive process.  However, there is much evidence to suggest that if this process is not person-centered, then it will not succeed in yielding optimal results.  This paper provides a brief overview of person-centered planning from the perspective of mental health care and recovery-oriented practice.  The logic model and structure of creating a person-centered treatment plan can help guide and shape those interactions so that they engage providers and consumers as a collaborative team working to help the individual achieve their desired life goals beyond the illnesses that threaten their hopes and dreams.

Article Details

Third Geneva Conference on Person-centred Medicine: Institutional, Primary Care and Public Health Perspectives
Author Biography

Neal Adams, United Behavioral Health, Illinois

Dr Adams currently serves as Associate Medical Director for Public Sector Services with United Behavioral Health’s Illinois office.  In additional he has a consultancy addressing a range of mental health services related issues including but not limited to person-centered care, recovery and systems transformation, and primary care integration.  In addition he is a part-time member of the staff at the Petris Center for Health Policy at UC Berkeley and works with the Center on a range of projects including efforts to enhance mental health services and research in Eastern Europe.  Dr. Adams also serves on the editorial board for the Journal of Psychiatric Administration and Management. Previously, Dr. Adams worked as Director of Special Projects for the California Institute for Mental Health. There, as a senior member of the staff, Dr. Adams was involved with and responsible for a wide range of projects focused on quality improvement and systems transformation through technical assistance, consultation, training as well as liaison and facilitation and research. Immediately prior to that job, Dr. Adams served three and one-half years as Medical Director for Adult Services with the California Department of Mental Health. He has also served as Medical Director for the New Mexico Division of Mental Health and Medical Director for Southern Nevada Adult Mental Health Services in Las Vegas.  He is a Distinguished Fellow of the American Psychiatric Association and has served as President of the American College of Mental Health Administration.  Dr. Adams’ writings include a book published in 2005 entitled Person Centered Treatment Planning for Metal Health and Addiction Recovery along with numerous policy monographs and journal articles. He is a frequent speaker at local, national and international conferences and provides training on treatment plans, clinical outcomes management and evidenced based practice implementation.  


Wagner, E., Austin, B., Davis, C., Hindmarsh, M., Schaefer, J. & Bonomi, A. (2001). Improving Chronic Illness Care: Translating Evidence Into Action. Health Affairs 20, 62–78.

Available at: (last accessed 08/15/11).

Daniels, D., Adams, N., Carroll, C. & Beinecke, R. (2009). A Conceptual Model for Behavioral Health and Primary Care Integration Emerging Challenges and Strategies for Improving International Mental Health Services. International Journal of Mental Health 38, 101–113.

Barr, J., Robinson, S., Marin-Link, B., Underhill, L., Dotts, A., Ravensdale, D. & Salivaras, S. (2003). The Expanded Chronic Care Model: An Integration of Concepts and Strategies from Population Health Promotion and the Chronic Care Model. Healthcare Quarterly 7, 73-82.

Curtis, L.C., Wells, S.M., Peenney, D.J. et al. (2010) Pushing the Envelope: Shared Decision Making in Mental Health. Psychiatric Rehabilitation Journal 34, 14-22.

Ragins, M. (2007). A Guide to Mental Health Transformation on a Personal Level, available at: (last accessed 09/03/11).

Berwick, D. (2009). What ‘Patient-Centered’ Should Mean: Confessions Of An Extremist. Health Affairs 28, 555–565.

Adams, N. & Grieder, D. (2006). Treatment Planning for Person-Centered Care: The Road to Mental Health and Addiction Recovery. San Diego: Elsevier/Academic Press.

New York Office of Mental Health. Mental Health Clinic Standards of Care for Adults- Interpretive Guidelines. (last accessed 09/03/11).

Tondora, J., Miller, R., Guy, R. & Lanteri, S. (2009) Getting in the Driver’s Seat of Your Treatment: Preparing for Your Plan Meeting. New Haven: Yale Program for Recovery and Community Health.

Kennedy, J. (2003) Fundamentals of Psychiatric Treatment Planning. Washington, DC: American Psychiatric Press.

Jensen, J. (2010) Treatment Planning: Something Has to Change. Addiction Professional 8, 16-19.

Cambell, W. & Rorbaugh, W. The Biopsychosocial Formulation Manual: A Guide for Mental Health Professionals. New York: Routledge Press.

Lowes, R. (1998) Patient-Centered Care for Better Patient Adherence: Help your patients become medical decision makers who take an active role in their own care. Family Practice Management 5, 46-57.

Goscha, R. (2009) Finding Common Ground: Exploring the Experiences of Client Involvement in Medication Decisions Using a Shared Decision Making Model. (last accessed 09/05/11).

Marin, I., Mezzina, R., Borg, M., Topor, A., Staecheli-Lawless, M., Sells, D. & Davidson, L. (2005). The Persons Role in Recovery. American Journal of Psychiatric Rehabilitation 8, 223-242.