Relationship between psychiatric-service consumers' and providers' goal concordance and consumers' personal goal attainment

Efrat Shadmi, Marc Gelkopf, Paula Garber-Epstein, Vered Baloush-Kleinman, Ronit Dudai, Silvia Lea Scialom, David Roe

Research output: Contribution to journalArticlepeer-review


Objective: This study tested concordance between consumers' and providers' reports of personal goal setting and its relationship to self-reported goal attainment. Methods: Data are fromthe Israeli Psychiatric Rehabilitation Patient Reported Outcome Measurement project. Consumers (N=2,885) and the providers who were most knowledgeable about their care indicated two domains from a list of ten in which consumers had set goals during the previous year. Consumers reported on goal attainment in each domain. Results: A total of 2,345 consumers (82%) reported a personal goal. Overall, consumer-provider concordance reached 54%. Concordance was greatest in the employment (76%), housing (71%), and intimate relationship (52%) domains and lowest in family relationships (23%) and finances (15%). For most domains, concordance was less than 50%. On average, 75% of consumers reported having achieved their goals. Consumer-provider concordance was associated with goal attainment (p,.001). Conclusions: These findings emphasize the importance of agreed-upon goals and call for conceptualizing goal setting as an interpersonal process central to recovery.

Original languageEnglish
Pages (from-to)1312-1314
Number of pages3
JournalPsychiatric Services
Issue number12
StatePublished - 1 Dec 2017

Bibliographical note

Funding Information:
Dr. Shadmi, Dr. Gelkopf, Dr. Garber-Epstein, Dr. Scialom, and Dr. Roe are with the University of Haifa, Haifa, Israel. Dr. Shadmi is with the Department of Nursing. He is also with the Center for Community Mental Health Research, Training, Services and Policy, where Dr. Gelkopf, Dr. Garber-Epstein, and Dr. Roe are affiliated. Dr. Gelkopf and Dr. Roe are also with the Department of Community Mental Health, and Dr. Scialom is with the School of Public Health. Dr. Garber-Epstein is also with the Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel. Dr. Baloush-Kleinman and Ms. Dudai are with the Department of Rehabilitation, Mental Health Services at the Ministry of Health, Jerusalem. Send correspondence to Dr. Shadmi (e-mail: This study was supported in part by the Israeli Ministry of Health and the Laszlo N. Tauber Family Foundation. The authors thank the staff at the Department of Rehabilitation and the Department of Information and Evaluation at the Mental Health Services Division of the Ministry of Health as well as the entire team of the Psychiatric Rehabilitation Patient Reported Outcome Measurement project for their ongoing contributions. These views represent the opinions of the authors and not necessarily those of the Israeli Ministry of Health or the Laszlo N. Tauber Family Foundation.

Funding Information:
(PR-PROM) project (7), in which consumer-reported outcomes for a range of rehabilitation realms, including goal-setting domains, are collected yearly. This information is linked at the service level and to demographic, clinical, and administrative data, with the overall aim of informing policy and practice at the local and national levels. The study was approved by the Ministry of Health’s Helsinki committee.

ASJC Scopus subject areas

  • Psychiatry and Mental health


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