Bonfils, Kelsey A.Fukui, SadaakiAdams, Erin L.Hedrick, Heidi M.Salyers, Michelle P.2015-08-182015-08-182014-12Bonfils, K. A., Fukui, S., Adams, E. L., Hedrick, H. M., & Salyers, M. P. (2014). Why are you here again? Concordance between consumers and providers about the primary concern in recurring psychiatric visits. Psychiatry research, 220(1), 541-548. http://dx.doi.org/10.1016/j.psychres.2014.07.049https://hdl.handle.net/1805/6649Patient-centered care has become increasingly important over the last decade, both in physical and mental health care. In support of patient-centered care, providers need to understand consumers׳ primary concerns during treatment visits. The current study explored what primary concerns were brought to recurring psychiatric visits for a sample of adults with severe mental illness (N=164), whether these concerns were concordant with those recognized by providers, and which factors predicted concordance. We identified 17 types of primary concerns, most commonly medications and symptoms, with only 50% of visits showing evidence of at least partial agreement between consumers and providers. Contrary to expectations, consumer demographics, activation, trust, and perceptions of patient-centeredness were not predictive, while greater preferences for autonomy predicted poorer agreement. Our findings highlight the need for interventions to promote a shared understanding of primary concerns in recurring psychiatric visits. Further attention is needed to ensure the provision of patient-centered care such that consumer concerns are acknowledged and addressed within recurring psychiatric visits.en-USIUPUI Open Access Policysevere mental illnesspatient-centered careshared decision makingArticle