The screen below (Figure 3) illustrates how the process begins. You can see how the “Recovery Journey” starts by building the “Recovery Partnership” using Recovery Coaching. The screens are completed with the consumer. Sometimes the consumer does the typing.
Figure 3: Screen display in recovery-focused EHR system
The “Recovery Journey” continues with “Getting to Know You,” a group of discipline specific tools: Physical Health Screening, Wellness Consultation (psychiatric evaluation), Telling My Story (social history), and Substance Use. “Recovery Solutions” is the treatment plan and the “Recovery Journal” contains the progress notes. Throughout the sequence of screen displays, the person's accomplishments and strengths are kept in view to reinforce the empowerment and resiliency started in the Recovery Partnership.
It is possible to have an EHR that reflects and reinforces a recovery process and culture. We hope that this example provides good ideas of how one organization accepted the challenge. Let us know if you have other ideas that can help all of us move beyond where we are today.
Lori Ashcraft, PhD, directs the Recovery Opportunity Center at Recovery Innovations, Inc. in Phoenix. She is also a member of Behavioral Healthcare's editorial board. William A. Anthony, PhD, is director of the Center for Psychiatric Rehabilitation at Boston University. Behavioral Healthcare 2010 January;30(1):22-24