Goal planning in mental health service delivery: A systematic integrative review
Open accessAbstract
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. 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. 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. 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. 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. Systematic review registration: [https://www.crd.york.ac.uk/prospero/], identifier [CRD42020220595].
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The BEL, AOI and P2P interventions utilize either group or individual session formats that can be modified or adapted to individuals' needs and preferences, and all include homework or activity experimentation based on personal goals.
“The BEL, AOI and P2P interventions utilize either group or individual session formats that can be modified or adapted to individuals’ needs and preferences. They also all include homework or activity experimentation based on personal goals, aligned with current knowledge regarding the transference of choices made in therapeutic settings to the real-world, including the importance of ongoing”
From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [81]
The Results (section 3.1; page unavailable) describe a study in which therapeutic homework tasks were compared with individuals’ goals, supporting the general connection between homework and personal goals. The review does not identify BEL, AOI or P2P or establish their session formats, adaptability, or whether all three include homework or activity experimentation. (LLM, conf=0.78)
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Cites
The PRISMA 2020 statement: An updated guideline for reporting systematic reviews
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., et al. (2021) · BMJ · doi:10.1136/bmj.n71 · Cited by 108,283 · see citing works
The integrative review: updated methodology
Whittemore, R., & Knafl, K. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03621.x · Cited by 10,241 · see citing works
Building a practically useful theory of goal setting and task motivation: A 35-year odyssey.
Locke, E. A., & Latham, G. P. (2002) · American Psychologist · doi:10.1037/0003-066x.57.9.705 · Cited by 7,766 · see citing works
New Directions in Goal-Setting Theory
Locke, E. A., & Latham, G. P. (2006) · Current Directions in Psychological Science · doi:10.1111/j.1467-8721.2006.00449.x · Cited by 2,039 · see citing works
Hong, Q. N., Gonzalez‐Reyes, A., & Pluye, P. (2018) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12884 · Cited by 1,107 · see citing works
Reviewing the methodology of an integrative review
Hopia, H., Latvala, E., & Liimatainen, L. (2016) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12327 · Cited by 459 · see citing works
Unique effects of setting goals on behavior change: Systematic review and meta-analysis.
Epton, T., Currie, S., & Armitage, C. J. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000260 · Cited by 383 · see citing works
Goal Setting and Action Planning for Health Behavior Change
Bailey, R. R. (2017) · American Journal of Lifestyle Medicine · doi:10.1177/1559827617729634 · Cited by 255 · see citing works
Levack, W., Weatherall, M., Hay-Smith, J. E., Dean, S. G., McPherson, K. M., & Siegert, R. J. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009727.pub2 · Cited by 242 · see citing works
The effects and experiences of goal setting in stroke rehabilitation – a systematic review
Sugavanam, T., Mead, G., Bulley, C., Donaghy, M., & van Wijck, F. (2013) · Disability and Rehabilitation · doi:10.3109/09638288.2012.690501 · Cited by 226 · see citing works
Scobbie, L., Dixon, D. L., & Wyke, S. (2010) · Clinical Rehabilitation · doi:10.1177/0269215510389198 · Cited by 165 · see citing works
Gard, D. E., Sanchez, A. H., Cooper, K., Fisher, M., Garrett, C. T., & Vinogradov, S. (2014) · Journal of Abnormal Psychology · doi:10.1037/abn0000005 · Cited by 155 · see citing works
Life and treatment goals of individuals hospitalized for first-episode nonaffective psychosis
Ramsay, C. E., Broussard, B., Goulding, S. M., Cristofaro, S., Hall, D., Kaslow, N. J., Killackey, E., Penn, D., & Compton, M. T. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2011.05.039 · Cited by 150 · see citing works
Psychiatric rehabilitation interventions: A review
Farkas, M. D., & Anthony, W. A. (2010) · International Review of Psychiatry · doi:10.3109/09540261003730372 · Cited by 136 · see citing works
Identifying and applying psychological theory to setting and achieving rehabilitation goals
Scobbie, L., Wyke, S., & Dixon, D. L. (2009) · Clinical Rehabilitation · doi:10.1177/0269215509102981 · Cited by 116 · see citing works
Rehabilitation Goal Setting Theory, Practice and Evidence
Ford, P. (2015) · Occupational Medicine · doi:10.1093/occmed/kqu204 · Cited by 107 · see citing works
Farrelly, S. E., Lester, H. E., Rose, D. S., Birchwood, M. J., Marshall, M., Waheed, W., Henderson, R. C., SZMUKLER, G. I., & Thornicroft, G. (2015) · Health Expectations · doi:10.1111/hex.12368 · Cited by 105 · see citing works
Grosse, M., & Grawe, K. (2002) · Psychotherapy Research · doi:10.1080/713869618 · Cited by 99 · see citing works
Iyer, S. N., Mangala, R., Jeyagurunathan, A., THARA, R., & MALLA, A. K. (2011) · Early Intervention in Psychiatry · doi:10.1111/j.1751-7893.2011.00289.x · Cited by 71 · see citing works
Do goal-setting interventions improve the quality of goals in mental health services?
Clarke, S. P., Crowe, T. P., Oades, L. G., & Deane, F. P. (2009) · Psychiatric Rehabilitation Journal · doi:10.2975/32.4.2009.292.299 · Cited by 68 · see citing works
Swildens, W. E., van Busschbach, J. T., Michon, H. W. C., Kroon, H., Koeter, M. W. J., Wiersma, D., & van Os, J. (2011) · The Canadian Journal of Psychiatry · doi:10.1177/070674371105601207 · Cited by 67 · see citing works
Dickson, J. M., Moberly, N. J., & Kinderman, P. (2011) · Journal of Abnormal Psychology · doi:10.1037/a0023665 · Cited by 65 · see citing works
Maribo, T., Jensen, C. M., Madsen, L. S., & Handberg, C. (2020) · Spinal Cord · doi:10.1038/s41393-020-0485-8 · Cited by 58 · see citing works
Clarke, S. P., Oades, L. G., Crowe, T. P., Caputi, P., & Deane, F. P. (2009) · Journal of Mental Health · doi:10.3109/09638230902968290 · Cited by 57 · see citing works
Goal Fluency, Pessimism and Disengagement in Depression
Dickson, J. M., Moberly, N. J., O’Dea, C., & Field, M. (2016) · PLoS ONE · doi:10.1371/journal.pone.0166259 · Cited by 55 · see citing works
Goal setting in psychotherapy: The relevance of approach and avoidance goals for treatment outcome
Wollburg, E., & Braukhaus, C. (2010) · Psychotherapy Research · doi:10.1080/10503301003796839 · Cited by 51 · see citing works
Treatment Goals of Depressed Outpatients
Battle, C. L., Uebelacker, L. A., Friedman, M. A., Cardemil, E. V., Beevers, C. G., & Miller, I. W. (2010) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000390763.57946.93 · Cited by 50 · see citing works
Reduced Specificity of Personal Goals and Explanations for Goal Attainment in Major Depression
Dickson, J. M., & Moberly, N. J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0064512 · Cited by 48 · see citing works
Preventing Mania: A Preliminary Examination of the GOALS Program
Johnson, S. L., & Fulford, D. (2008) · Behavior Therapy · doi:10.1016/j.beth.2008.03.002 · Cited by 47 · see citing works
Consumers' Goals in Psychiatric Rehabilitation and Their Concordance With Existing Services
Lecomte, T., Wallace, C. J., Perreault, M., & Caron, J. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.2.209 · Cited by 46 · see citing works
Effects of Mindfulness-Based Cognitive Therapy on Specificity of Life Goals
Crane, C., Winder, R., Hargus, E., Amarasinghe, M., & Barnhofer, T. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-010-9349-4 · Cited by 46 · see citing works
Valuation and Attainment of Treatment Goals in Schizophrenia
Kuhnigk, O., Slawik, L., Meyer, J., Naber, D., & Reimer, J. (2012) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000419816.75752.65 · Cited by 46 · see citing works
Goal-setting in geriatric rehabilitation: a systematic review and meta-analysis
Smit, E. B., Bouwstra, H., Hertogh, C. M. P. M., Wattel, E., & van der Wouden, J. C. (2018) · Clinical Rehabilitation · doi:10.1177/0269215518818224 · Cited by 46 · see citing works
Knutti, K., Carlstedt, A. B., Clasen, R., & Green, D. (2020) · Disability and Rehabilitation · doi:10.1080/09638288.2020.1846796 · Cited by 42 · see citing works
Be careful what you strive for: the significance of motive–goal congruence for depressivity
Pueschel, O., Schulte, D., & Michalak, J. (2010) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.697 · Cited by 38 · see citing works
Wong-McDonald, A. (2007) · Psychiatric Rehabilitation Journal · doi:10.2975/30.4.2007.295.300 · Cited by 38 · see citing works
Goals of New Long-Stay Patients in Supported Housing: A UK Study
Fakhoury, W. K. H., Priebe, S., & Quraishi, M. (2005) · International Journal of Social Psychiatry · doi:10.1177/0020764005053273 · Cited by 37 · see citing works
The Importance of Interpersonal Treatment Goals for Depressed Inpatients
Uebelacker, L. A., Battle, C. L., Friedman, M. A., Cardemil, E. V., Beevers, C. G., & Miller, I. W. (2008) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3181663520 · Cited by 34 · see citing works
Fritzsche, A., Schlier, B., Oettingen, G., & Lincoln, T. M. (2016) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9749-6 · Cited by 32 · see citing works
Huberman, W. L., & O'brien, R. M. (1999) · Journal of Organizational Behavior Management · doi:10.1300/j075v19n01_04 · Cited by 31 · see citing works
Goal Attainment Scaling: Tracking Goal Achievement in Consumers with Serious Mental Illness
Tabak, N. T., Link, P. C., Holden, J. L., & Granholm, E. L. (2015) · American Journal of Psychiatric Rehabilitation · doi:10.1080/15487768.2014.954159 · Cited by 30 · see citing works
The role of recovery colleges in supporting personal goal achievement.
Sommer, J., Gill, K. H., Stein‐Parbury, J., Cronin, P., & Katsifis, V. (2019) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000373 · Cited by 30 · see citing works
Holtforth, M. G., Reubi, I., Ruckstuhl, L. E., et al. (2004) · International Journal of Social Psychiatry · doi:10.1177/0020764004040955 · Cited by 28 · see citing works
Gelkopf, M., Pickman, L. L., Werbeloff, N., Levine, S. Z., Telem, A., Zisman‐Ilani, Y., & Roe, D. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.04.106 · Cited by 28 · see citing works
Patient attitudes toward and goals for MDD treatment: a survey study
McNaughton, E. C., Curran, C. J., Granskie, J., et al. (2019) · Patient Preference and Adherence · doi:10.2147/ppa.s204198 · Cited by 27 · see citing works
Ng, F., Carter, P. E., Bourke, M. E., & Grenyer, B. F. S. (2019) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000369 · Cited by 26 · see citing works
Proctor, G., & Hargate, R. (2012) · Counselling and Psychotherapy Research · doi:10.1080/14733145.2012.742918 · Cited by 25 · see citing works
Farquharson, L., & MacLeod, A. K. (2014) · Psychotherapy and Psychosomatics · doi:10.1159/000356332 · Cited by 24 · see citing works
Brophy, L. M., Bruxner, A., Wilson, E., Cocks, N., & Stylianou, M. (2015) · The British Journal of Social Work · doi:10.1093/bjsw/bcv094 · Cited by 24 · see citing works
Enhancing Clients’ Communication Regarding Goals for Using Psychiatric Medications
Deegan, P. E., Carpenter-Song, E. A., Drake, R. E., Naslund, J. A., Luciano, A., & Hutchison, S. L. (2017) · Psychiatric Services · doi:10.1176/appi.ps.201600418 · Cited by 24 · see citing works
Achieving the Goals of Day Treatment
Falloon, I. R. H., & Talbot, R. E. (1982) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198205000-00005 · Cited by 23 · see citing works
Moran, G. S., Westman, K., Weisberg, E., & Melamed, S. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.01.013 · Cited by 23 · see citing works
Reduction in the use of seclusion by the methodical work approach
Boumans, C. E., Egger, J. I. M., Souren, P. M., et al. (2013) · International Journal of Mental Health Nursing · doi:10.1111/inm.12037 · Cited by 22 · see citing works
Goal Setting Among People Living with Mental Illness: A Qualitative Analysis of Recovery Camp
Moxham, L. J., Taylor, E. K., Patterson, C., Perlman, D., Brighton, R. M., Heffernan, T., & Sumskis, S. (2017) · Issues in Mental Health Nursing · doi:10.1080/01612840.2016.1271067 · Cited by 22 · see citing works
Waller, H., Landau, S., Fornells-Ambrojo, M., Jolley, S., McCrone, P., Halkoree, R., Basit, N., Iredale, C., Tunnard, C., Zala, D., et al. (2018) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2017.12.004 · Cited by 21 · see citing works
Informed, involved and influential: three Is of shared decision making
Stacey, G., Felton, A., Hui, A., et al. (2015) · Mental Health Practice · doi:10.7748/mhp.19.4.31.s20 · Cited by 20 · see citing works
Focusing on recovery goals improves motivation in first-episode psychosis
Fulford, D., Meyer-Kalos, P., & Mueser, K. T. (2020) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-020-01877-x · Cited by 20 · see citing works
Pioli, R., Vittorielli, M., Gigantesco, A., Rossi, G., Basso, L., Caprioli, C., Buizza, C., Corradi, A., Mirabella, F., Morosini, P., et al. (2006) · Clinical Practice and Epidemiology in Mental Health · doi:10.1186/1745-0179-2-5 · Cited by 19 · see citing works
Knaeps, J., Neyens, I., van Weeghel, J., & Audenhove, C. V. (2015) · Journal of Mental Health · doi:10.3109/09638237.2015.1036972 · Cited by 18 · see citing works
Vizzotto, A. D. B., Celestino, D. L., Buchain, P. C., de Oliveira, A. M., de Oliveira, G. M. R., Sarno, E. S. D., Napolitano, I. C., & Elkis, H. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.05.011 · Cited by 18 · see citing works
Sanches, S. A., van Busschbach, J. T., Michon, H. W. C., van Weeghel, J., & Swildens, W. E. (2018) · Psychiatric Services · doi:10.1176/appi.ps.201700438 · Cited by 17 · see citing works
Shadmi, E., Gelkopf, M., Garber-Epstein, P., et al. (2017) · Psychiatric Services · doi:10.1176/appi.ps.201600580 · Cited by 16 · see citing works
Implementing and Evaluating Goal Setting in a Statewide Psychiatric Rehabilitation Program
Anthony, W. A., Ellison, M. L., Rogers, E. S., Mizock, L. M., & Lyass, A. (2013) · Rehabilitation Counseling Bulletin · doi:10.1177/0034355213505226 · Cited by 14 · see citing works
Altered Self-Experience and Goal Setting in Severe Mental Illness
McGuire, A. B., Lysaker, P. H., & Wasmuth, S. (2015) · American Journal of Psychiatric Rehabilitation · doi:10.1080/15487768.2015.1089800 · Cited by 12 · see citing works
Rose, G., & Smith, L. D. (2018) · Health Psychology Open · doi:10.1177/2055102918774674 · Cited by 11 · see citing works
Macpherson, R. (1999) · Journal of Mental Health · doi:10.1080/09638239917670 · Cited by 10 · see citing works
The language we use – the effect of writing mental health care plans in the first person
Wyder, M., Kisely, S. R., Meurk, C., Dietrich, J., Fawcett, T., Siskind, D. J., Robinson, G., & Crompton, D. (2018) · Australasian Psychiatry · doi:10.1177/1039856218772251 · Cited by 8 · see citing works
Vizzotto, A. D. B., Celestino, D. L., Buchain, P. C., de Oliveira, A. M., de Oliveira, G. M. R., Sarno, E. S. D., Napolitano, I. C., & Elkis, H. (2021) · American Journal of Occupational Therapy · doi:10.5014/ajot.2021.043257 · Cited by 8 · see citing works
Arns, P. G., & Linney, J. A. (1995) · Community Mental Health Journal · doi:10.1007/bf02188762 · Cited by 7 · see citing works
Systematic mixed-methods reviews are not ready to be assessed with the available tools
Bouchard, K., Dubuisson, W., Simard, J., & Dorval, M. (2011) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2011.01.002 · Cited by 7 · see citing works
Holum, L. (2012) · Nordic Psychology · doi:10.1080/19012276.2012.693725 · Cited by 6 · see citing works
Jensen, S. B., Eplov, L. F., Mueser, K. T., & Petersen, K. S. (2020) · International Journal of Social Psychiatry · doi:10.1177/0020764020954471 · Cited by 5 · see citing works
Johnson, E. M., Possemato, K., Martens, B. K., Hampton, B. N., Wade, M. J., Chinman, M., & Maisto, S. A. (2021) · Coaching An International Journal of Theory Research and Practice · doi:10.1080/17521882.2021.1941160 · Cited by 5 · see citing works
Perceptions of Treatment Plan Goals of People in Psychiatric Rehabilitation
McGuire, A. B., Oles, S. K., White, D. A., & Salyers, M. P. (2015) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-015-9463-x · Cited by 4 · see citing works
Coherence between goals and therapeutic homework of clients engaging in recovery-oriented support.
Lenehan, P. J., Deane, F. P., Wolstencroft, K., et al. (2019) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000335 · Cited by 3 · see citing works
Exploring goal planning in mental health service delivery: a systematic review protocol
Stewart, V., McMillan, S. S., Roennfeldt, H., El‐Den, S., Ng, R., & Wheeler, A. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-047240 · Cited by 3 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 2
- [19]Veritas Health Innovation. Better Systematic Review Management. Deerfield, IL: Veritas Health Innovation (2022).
- [23]Ryan R Cochrane Consumers and Communication Review Group. Cochrane Consumers and Communication Review Group: Data Synthesis and Analysis. London: Cochrane (2013).
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Contributions of a time use perspective in community mental health practice: a scoping review
Fossey, E., Doroud, N., Harvey, C. A., Dun, C., Hitch, D., Farnworth, L., & Krupa, T. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1461705 · Cited by 5 · see citing works
- Authors
- Stewart, V., McMillan, S. S., Hu, J., Ng, R., El-Den, S., O’Reilly, C., & Wheeler, A. J.
- Affiliations
- Griffith University (AU)
- The University of Sydney (AU)
- Corresponding author
- Stewart, Victoria
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2022-12-19
- Volume
- 13
- Pages
- 1057915-1057915
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC9807176
- OpenAlex
- W4313389649
- Cited by
- 30
- References
- 76
- Citations by year
- 2026: 11 · 2025: 8 · 2024: 7 · 2023: 4
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Griffith Research Online (submittedVersion, cc-by)
- Funders
- Griffith University
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- goal planning, mental health service delivery, treatment goals, recovery-oriented care, collaborative goal setting, barriers and facilitators, individualized care, mental health interventions, outcome measurement
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