Clients without a personal stake in their own treatment are less likely to stay engaged and continue treatment.
Ask clients to participate in creating their own treatment plans with goals and objectives and ways of achieving them that meet their individual needs.
Gosnold, Inc. in Falmouth, Massachusetts increased continuation rates through four weeks of treatment from 72 percent to 88 percent by introducing a solution-focused therapy group for patients to develop their own small scale, rapid-cycle changes using PDSA cycles, which they called Plan-Do-Measure-Act (PDMA) cycles. Patients made personal changes and tracked their progress. For more information, see the change bulletin.
Mid-Columbia Center for Living in The Dalles, Oregon increased continuation rates from 59 percent to 84.5 percent by having all their clients attend a pre-treatment group after assessment to teach them the rules and expectations of group and the stages of change. The clients discussed their motivations for being in treatment and created their treatment plans.
Cycle Measure
No-show rate for treatment sessions
Data Collection Form
Plan
Do
Study
Act
Repeat this series of steps until you have refined the process for involving clients in creating their treatment plans and expand this practice until all of your clients are doing so.
Women’s Recovery Association in Burlingame, California increased continuation to the fourth treatment session from 80 percent to 100 percent by helping their clients create a Recovery Vision. First they asked each client to talk about how they are now and how they’re currently feeling. Then, they helped each client transform these thoughts and feelings into a vision of how they want to be and how they want to feel in the future. This increased clients’ commitment to attend sessions during the first four weeks of treatment and pay fees in advance.
Fayette Companies in Peoria, Illinois increased the chances that clients stayed in treatment at some level of care instead of leaving treatment completely by having residential patients develop their own personal recovery plans. They allowed clients to decide when it was time to leave treatment and used this as an opportunity to normalize what might otherwise be considered an early departure. They used undesirable behaviors as learning opportunities, rather than grounds for discharge. For further information, see It’s Time to Stop Kicking People Out of Addiction Treatment. For more information, see the business case.