Table 1 Components of the life goals program
Component | Description/core concepts across all self-management sessions |
|---|---|
Self-management sessions | A minimum of six individual sessions lasting ~50 min each or four group sessions lasting ~90 min each focused on active discussions around personal goals, mental health symptoms, stigma, and health behaviors |
Values | Explore personal values and their relationship to health change behavior; also explore types of stigma and ways to overcome stigma |
Collaborative care | Identify ways to strengthen relationships and participation in healthcare, explore the importance of coming prepared to medical visits, and identify ways to ensure true collaboration is occurring to support optimal health outcomes. |
Self-monitoring | Discuss the importance of measurement-based care and develop a meaningful self-monitoring plan for identified mental or physical health condition (i.e., PHQ-9, GAD-7, sleep log, food tracking) |
Symptom profile | Create a personal symptom profile for a specific mental health condition with a focus on identifying early warning signs and ways to use this knowledge to bolster self-management skills |
Triggers | Identify positive and negative, preventable and inevitable triggers and ways to better prepare for and manage these triggers |
Cost/benefit analysis of responses | Explore previous responses to psychiatric symptoms and link responses to personal values and behavior change goals |
Life goals | Create SMART goals, problem-solve barriers, and ensure personal goals are in line with identified values |
Care management | At least monthly (for 6 months) individualized follow-up contacts to support lessons learned; contacts work to problem-solve barriers to health-behavior goals and provide additional support for mental health issues interfering with goal attainment |
Provider decision support | Knowledge and availability of best practice treatments for mental and physical health conditions either in-house or via consult |