Counselor Quote

This webpage is intended as a quick guide for reviewing Person-Centered Care in PROS documentation.  You can find additional resources created by Diane Grieder, M.Ed., Janis Tondora, Psy.D, and Valerie Way, LCSW, R in collaboration with the NYS Office of Mental Health.  These resources can be found here.

Assessments –  An IRP is only as good as the Assessments!

  • Data collection alone is not sufficient
  • Assessments must include a “Clinical Formulation” that summarizes a person’s strengths and challenges and how that meets medical necessity and an entrance into your PROS program.  Clinical Formulation provides the providers perspective on the person’s overall strengths and challenges.  With this in mind, it is essential to be Person-Centered!  Document the Person – their strengths, interests, connections and their barriers.  This is where you can also prioritize their Needs and Goals according to them.

IRP – Individualized Recovery Plan

Components of a Plan

  1. Goal
  2. Strengths
  3. Barriers
  4. Objectives
  5. Interventions / Actions


Building A Plan



Life-Role Goals

What do people want?

  • Manage their own lives
  • Hospital alternatives
  • Social opportunities
  • Accomplishment
  • Transportation
  • Spiritual fulfillment
  • Satisfying relationships
  • Quality of Life
  • Financial Success
  • Education
  • Work / Career
  • Housing / Home
  • Health / Well-being
  • Valued roles
  • To be part of the community

IRP Planning and Language

  • Use Person-First terms
  • Avoid overly negative connotations
  • Be careful not to communicate hierarchy / social control
  • Most important – defer to the person “when in doubt”
  • Document medical necessity

Adapted from

Adams, N. & Grieder, D. (2005). Treatment Planning for Person-Centered Care: The Road to Mental Health and Addiction Recovery. Maryland Heights, MO: Elsevier.