Improving Perinatal Mental Health Care for Women Veterans: Description of a Quality Improvement Program

This paper presents an organizational (ambulatory) case study of shifting mental health care from in-person to remote service delivery due to the current (COVID-19) pandemic as a rapid quality improvement initiative. Remotely delivered mental health care, particularly using synchronous video and phone, has been shown to be cost-effective, especially for rural service users. Our provincial specialized mental health clinic rapidly shifted to such remote delivery during the current pandemic. We report on processes and outputs of this rapid quality improvement initiative, which serves a purpose beyond pandemic circumstances, such as improving access to such specialized mental health care for rural and other service users at any time. In conclusion, shifting specialized mental health care from in-person to remotely delivered services as much as possible could be beneficial beyond the current pandemic. More research is needed to optimize the implementation of such a shift.

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Improving perinatal mental health care

Nursing Standard ◽

10.7748/ns2004.09.19.3.40.c3702 ◽

2004 ◽

Vol 19 (3) ◽

pp. 40-43 ◽

Cited By ~ 9

Author(s):

Thomas J Currid

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Perinatal Mental Health

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Knowledge, confidence, skills and practices among midwives in the republic of Ireland in relation to perinatal mental health care: The mind mothers study

Midwifery ◽

10.1016/j.midw.2018.05.006 ◽

2018 ◽

Vol 64 ◽

pp. 29-37 ◽

Cited By ~ 3

Author(s):

Margaret Carroll ◽

Carmel Downes ◽

Ailish Gill ◽

Mark Monahan ◽

Ursula Nagle ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Perinatal Mental Health ◽

Republic Of Ireland ◽

The Republic ◽

The Mind

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Systems monitoring and quality improvement

10.1093/med/9780199360574.003.0066 ◽

2015 ◽

Cited By ~ 1

Author(s):

Jeffrey L. Metzner

Keyword(s):

Mental Health ◽

Health Care ◽

Quality Improvement ◽

Mental Health Care ◽

Health Care System ◽

Class Action ◽

Mental Health Care System ◽

Monitoring Process ◽

Consent Decrees ◽

Correctional Mental Health

Class action litigation that includes a focus on constitutionally inadequate correctional mental health care systems has been a major and effective force in jail and prison reform during the past four decades. Benefits to correctional mental health systems resulting from such litigation have included increased resources needed to implement basic policies and procedures that are necessary for a constitutionally adequate system. Following the passage of the Prison Litigation Reform Act of 1995, newly initiated consent decrees related to class action litigation involving correctional mental health services significantly decreased. The reduction in litigation related to this act followed from limiting the discretion of judges in approving such decrees that were previously allowed. Private settlement agreements and/or memoranda of agreement or their equivalents (the “Agreement”) have been substituted for the consent decree process. Although the judicial enforcement specific to implementation of these Agreements is weak, the monitoring process of such Agreements is very similar to those previously used with consent decrees. This chapter will summarize the monitoring process frequently involved in an Agreement resulting from a class action lawsuit specific to a correctional mental health care system using a single prison mental health system as an illustrative example. Emphasis will be placed on the importance of developing a quality improvement process that should ultimately eliminate the need for a monitor external to the mental health care system.

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