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

Authors :
Stewart V
McMillan SS
Hu J
Ng R
El-Den S
O'Reilly C
Wheeler AJ
Source :
Frontiers in psychiatry [Front Psychiatry] 2022 Dec 19; Vol. 13, pp. 1057915. Date of Electronic Publication: 2022 Dec 19 (Print Publication: 2022).
Publication Year :
2022

Abstract

Introduction: Goal planning is routinely employed in mental health service delivery to identify priorities for treatment and support the achievement and evaluation of outcomes. Previous systematic reviews of the literature have focused on the use of goal planning in a range of physical and cognitive disability settings, but there is a lack of information regarding how goal planning is used in mental healthcare.<br />Aims: This systematic integrative review aimed to understand the types of goals, effectiveness of goal planning, the experience of goal planning and barriers and facilitators to effective goal planning in mental healthcare settings.<br />Methods: Five databases were systematically searched using key terms related to mental health AND goal planning. The search was supplemented through citation chaining. Due to the heterogeneity of the studies, a narrative synthesis approach to data analysis was undertaken.<br />Results: Fifty-four studies were identified through the search of the literature following the PRISMA guidelines. Data was systematically extracted and thematically organized. There was a high level of heterogeneity among the studies, originating from a range of countries and with diverse characteristics and focus. Four themes emerged from the data analysis and included: (i) goal planning as a central aspect of interventions; (ii) types of goals planned; (iii) factors that influenced goal planning and/or attainment; and (iv) collaboration and concordance in goal planning.<br />Conclusion: This review found some support for the use of goal planning to improve outcomes in mental healthcare although there was no identified standardized approach to the use of goal planning. Individualized, recovery-oriented and collaborative goal planning was recommended but not always used in practice. Further research to understanding the most appropriate skills and training needed to support collaborative and effective goal planning is needed.<br />Systematic Review Registration: [https://www.crd.york.ac.uk/prospero/], identifier [CRD42020220595].<br />Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.<br /> (Copyright © 2022 Stewart, McMillan, Hu, Ng, El-Den, O’Reilly and Wheeler.)

Details

Language :
English
ISSN :
1664-0640
Volume :
13
Database :
MEDLINE
Journal :
Frontiers in psychiatry
Accession number :
36601527
Full Text :
https://doi.org/10.3389/fpsyt.2022.1057915