scholarly journals Using a quality improvement project to enhance the standard vaccination rate for long-term patients in mental health services in Qatar

2021 ◽  
Vol 5 (4) ◽  
pp. 138
Author(s):  
Nervana Elbakary ◽  
Sadaf Riaz ◽  
Islam Mahran ◽  
AhmedHani Assar ◽  
Oraib Abdallah ◽  
...  
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Mental Health Services ◽  
Health Services ◽  
Vaccination Rate ◽  
Quality Improvement Project ◽  
Improvement Project

Engaging Mental Health Services in Spirituality Conversations: A Spirituality Poster and Café Spirituality

2013 ◽  
Vol 32 (2) ◽  
pp. 59-65 ◽  
Author(s):  
Sharon Smith ◽  
Nancy Clark ◽  
Andrea Grabovac ◽  
Eternal Inlakesh ◽  
Dipesh Tailor
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Mental Health Services ◽  
Health Services ◽  
Focus Groups ◽  
Advisory Committee ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Health Recovery ◽  
Improvement Project

Spirituality can be an important resource for mental health recovery. Yet barriers exist in integrating spirituality into mental health services. This article describes a spirituality quality-improvement project that engaged the system using strategic spirituality dialogue. We formed an advisory committee; developed a spirituality framework/poster; facilitated dialogue among consumers, families, and mental health professionals in focus groups; and hosted a Café Spirituality. The findings highlight the need to create safe places for spirituality dialogue.

scholarly journals Implementation of a Telemental Health Training Program Across a Mental Health Department

2020 ◽  
Author(s):  
Bradford Felker ◽  
Meghan M McGinn ◽  
Erika M Shearer ◽  
Gina T Raza ◽  
Sari D Gold ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Improvement ◽  
Mental Health Services ◽  
Health Services ◽  
Training Program ◽  
Health Care Systems ◽  
Telemental Health ◽  
Improvement Project ◽  
Care Systems

Abstract Background: Telemental Health (TMH) is an effective way to increase access to mental health services. For this reason, many health care systems strive to make TMH a part of routine mental health services. TMH use has increased substantially in recent years; however, health care systems have found it challenging to implement TMH ubiquitously. Minimal literature addresses system wide TMH implementation efforts. To broadly expand TMH throughout a VA medical center’s mental health service, a quality improvement project was conducted to develop and implement a comprehensive, novel TMH training program for staff. Methods: This quality improvement project was informed by implementation science methodologies. PARiHS criteria and Evidence-Based QI Implementation/Facilitation guided the development and implementation of this TMH training program, which included: (a) two online TMH courses, (b) a one-day didactic training including hands-on practice and skills evaluation, and (c) weekly calls where staff could receive TMH consultation. A total of 100 interdisciplinary mental health providers from outpatient mental health clinics participated in this training over the course of two years. RE-AIM criteria were used to evaluate the effectiveness of this training program. Results: Overall, providers reported satisfaction with this TMH training program, and found that it increased their TMH knowledge and competence. The number of providers using TMH and patients who received it nearly doubled in the two years after the launch of the TMH training compared to the two years preceding. Conclusions: This novel TMH training program was well-received by staff and increased the number of providers and patients using TMH. Since this project was completed, the COVID-19 pandemic has significantly increased the demand for telehealth services. This training model offers specific strategies based upon implementation science that could be disseminated to and adopted by mental health programs looking to implement system wide TMH use.

scholarly journals Improving medical residents’ utilisation of integrated mental health in primary care

2021 ◽  
Vol 10 (3) ◽  
pp. e001388
Author(s):  
Jenna Palladino ◽  
Deirdra Frum-Vassallo ◽  
Joanne D Taylor ◽  
Victoria L Webb
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Medical Home ◽  
Medical Resident ◽  
Improvement Project ◽  
Mental Health Integration ◽  
Integrated Mental Health ◽  
Over Time

BackgroundIntegration of mental health services allows for improved prevention and management of chronic conditions within the primary care setting. This quality improvement project aimed to increase adherence to and functioning of an integrated care model within a patient-centred medical home. Specifically, the project focused on improving collaboration between Primary Care Mental Health Integration (PC-MHI) and the medical resident Patient Aligned Care Teams (PACT) at a Veterans Affairs Medical Center in Northport,New York (VAMC Northport).MethodThe project used increased education, training and relationship building among the medical resident PACTs, and the establishment of regularly occurring integrated team meetings for medical and mental health providers. Education of residents was measured with a self-assessment pre-training and post-training, while utilisation was measured by the percentage of patients currently on a PACT’s panel with at least one PC-MHI encounter in the last 12 months (known in VAMC Northport as PACT-15 metric).ResultsTwo resident PACTs that received both training and weekly integrated meetings increased their utilisation of integrated mental health services by 3.8% and 4.5%, respectively. PACTs that participated in training only, with no regular meetings, showed an initial improvement in utilisation that declined over time.ConclusionsTraining alone appeared beneficial but insufficient for increased integration over time. The addition of a regularly occurring integrated weekly meeting may be a critical component of facilitating sustained mental health integration in a primary care medical home model.

A quality improvement project to reduce restrictive interventions in a mental health service

2021 ◽  
pp. 1-12
Author(s):  
Darren Savarimuthu ◽  
Katja Jung
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Positive Impact ◽  
Essential Elements ◽  
Quality Improvement Project ◽  
Psychiatric Ward ◽  
Quality Improvement Initiative ◽  
Successful Implementation ◽  
Evidence Based ◽  
Improvement Project

Background/aims This article describes a quality improvement project that aimed to reduce restrictive interventions on an acute psychiatric ward. In light of a service level agreement and based on a trust-wide target, the purpose of the project was to reduce restrictive interventions by 20% within a period of 6 months. It was also anticipated that a least restrictive environment could have a positive impact on patient experience. Methods Three evidence-based interventions were introduced to the ward during the quality improvement project. These included positive behaviour support, the Safewards model and the productive ward initiative. Results There was a 63% reduction in restrictive interventions over a 6-month period through the successful implementation of a series of evidence-based interventions to manage behaviours that challenge on the mental health ward. Conclusions The project identified collaborative team working, staff training and adequate resources as essential elements in the success of the quality improvement initiative. However, co-production was found to be crucially significant in bringing sustainable changes in ward environment and in addressing restrictive practices.

Mental Health Services

2005 ◽  
Author(s):  
Scott Bloom
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Family Counseling ◽  
Her Family ◽  
Social And Emotional ◽  
School Based ◽  
Counseling Group ◽  
Teachers And Parents

Mental health problems in children are a major deterrent to learning. Yet the President’s New Freedom Commission on Mental Health in 2002 pointed out that mental health services for children are so fragmented as to be ineffective in major ways. The commission’s report emphasizes the importance of using the school system as the means of delivering such services. The school-based approach to mental health helps accomplish several goals: • Minimizing barriers to learning • Overcoming stigma and inadequate access to care • Providing comprehensive on-site counseling services • Creating a school climate that promotes students’ social and emotional functioning • Promoting healthy psychological and social development This chapter will describe the mental health services at the Children’s Aid Society (CAS) community schools, focusing on staffing, structure, and strategies and describing the clinic at one school in greater detail. Questions of space, accountability, and funding will be explored, and some conclusions based on our work will be discussed. CAS’s school-based clinics, located in elementary and middle schools, provide individual and family counseling, group therapy, in-depth assessments and referrals, and crisis intervention for students and their family members. Referrals to the clinic are made by students, teachers, and parents. Assessment and intervention plans include the active participation of the child, his or her family, school staff, and anyone else who can help in understanding the child’s needs. Based on the assessment, the child and/or family are engaged in shortor long-term individual, group, or family counseling aimed at ameliorating the problems that precipitated the referral. An in-depth psychosocial assessment is the first step in developing a comprehensive treatment plan that includes short- and long-term goals. Psychological and psychiatric evaluations are scheduled as appropriate. Clinicians (social workers with M.S.W. or C.S.W. degrees) generally have caseloads of 18–22 students, with enough room in their schedules to see walk-ins and emergencies. Problems that have been successfully treated include suicide ideation, physical and sexual abuse, drug and alcohol use, disruptive school behaviors, academic delays, hyperactivity, family and peer conflicts, and depression.

scholarly journals Quality improvement in mental health services

2019 ◽  
Vol 44 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Billy Boland
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Mental Health Services ◽  
Health Services ◽  
Manufacturing Industry ◽  
Mental Healthcare ◽  
Lean Thinking ◽  
Use Of Data ◽  
Healthcare Improvement ◽  
The Usa

Quality improvement (QI) approaches are becoming increasingly important in the delivery of mental healthcare internationally. They were originally developed in the manufacturing industry, but the principle of having a systematic approach to improvement has spread to many other industries, not least to healthcare. Quality improvement approaches in healthcare were pioneered in the USA at organisations such as Virginia Mason and the Institute for Healthcare Improvement. In recent years, they have become firmly established in mental health services in the UK's National Health Service (NHS). There are a number of different approaches to quality improvement, but two leading models have taken root: ‘lean thinking’ (also known as ‘lean methodology’ or simply ‘lean’), which arose out of Virginia Mason, and the ‘Model for Improvement’, which came out of the Institute of Healthcare Improvement. This article describes these two quality improvement approaches, critiques their philosophy and explores how they can apply in the provision of mental healthcare, particularly with reference to the use of data, evidence and metrics.

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