Evaluation Of Quality Of Care In Psychiatry

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Evaluation of Quality of Care in Psychiatry

Author : A. G. Awad,H. B. Durost,W. O. McCormick
Publisher : Elsevier
Page : 140 pages
File Size : 42,8 Mb
Release : 2013-10-22
Category : Political Science
ISBN : 9781483161969

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Evaluation of Quality of Care in Psychiatry by A. G. Awad,H. B. Durost,W. O. McCormick Pdf

Evaluation of Quality of Care in Psychiatry covers the proceedings of the symposium on Quality of Care in Psychiatry. The book discusses topics relevant to the evaluation of the quality of psychiatric care. Comprised of nine chapters, the book first tackles quality assurance in health care, and then provides a follow up discussion on this topic in Chapter 2. Chapter 3 discusses the 10 assumptions that cripple psychiatrists' participation in quality assurance activities, and then Chapter 4 provides a reactive discussion on this topic. The fifth chapter talks about evaluation of patient care and hospital accreditation. Chapter 6 discusses peer review and the use of psychotropic drugs, while Chapter 7 covers the complimentary discussion on the topic Chapter 6 covered. The eighth chapter talks about the peer review of outpatient psychological services and the ninth chapter provides an afterthought about Chapter 8.Chapter 10 covers the panel and general discussions on the symposium, while Chapter 11 provides the concluding remarks and conference overview. The book will be of great interest to professionals such as psychologists and psychiatrists or even regular readers, since the text covers a very important issue that is a big concern of the society.

Evaluation of the Department of Veterans Affairs Mental Health Services

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Publisher : National Academies Press
Page : 467 pages
File Size : 53,8 Mb
Release : 2018-03-29
Category : Medical
ISBN : 9780309466608

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Evaluation of the Department of Veterans Affairs Mental Health Services by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee to Evaluate the Department of Veterans Affairs Mental Health Services Pdf

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Author : Institute of Medicine,Board on Health Care Services,Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders
Publisher : National Academies Press
Page : 528 pages
File Size : 46,6 Mb
Release : 2006-03-29
Category : Medical
ISBN : 9780309133661

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Improving the Quality of Health Care for Mental and Substance-Use Conditions by Institute of Medicine,Board on Health Care Services,Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders Pdf

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Beyond Assessment of Quality of Life in Schizophrenia

Author : A. George Awad,Lakshmi N.P. Voruganti
Publisher : Springer
Page : 224 pages
File Size : 46,9 Mb
Release : 2016-06-14
Category : Medical
ISBN : 9783319300610

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Beyond Assessment of Quality of Life in Schizophrenia by A. George Awad,Lakshmi N.P. Voruganti Pdf

This book fills a significant research gap in how to integrate quality of life data into relevant clinical care plans, and to broaden its applicability to pharmacoeconomic studies of antipsychotic medications and health policy decision-making. It also presents an argument for reformulating the concept of health-related quality of life in schizophrenia as a bio-psycho-social construct, which provides an opportunity to better explore the many factors underpinning the concept itself. Internationally renowned experts from different scientific backgrounds and scopes of expertise each make arguments for the need to invigorate quality of life as a concept in schizophrenia, by broadening its usefulness for clinical and research efforts. The book represents an important addition to the extensive contributions of its editors, Dr. A. George Awad and Dr. Lakshmi N.P. Voruganti, to the field of quality of life.

Improving Mental Healthcare

Author : Richard C. Hermann
Publisher : American Psychiatric Pub
Page : 714 pages
File Size : 46,6 Mb
Release : 2007-05-03
Category : Medical
ISBN : 9781585627189

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Improving Mental Healthcare by Richard C. Hermann Pdf

The first book to focus on measuring the basic processes of mental healthcare, such as access, detection, treatment appropriateness, safety and continuity of care, Improving Mental Healthcare: A Guide to Measurement-Based Quality Improvement integrates practical information about quality measures -- such as their clinical logic, validity and basis in scientific evidence -- into a highly readable guide on how to implement measures and use the results to improve quality of care. Improving Mental Healthcare examines the clinical, policy, and scientific underpinnings of process measurement, a widely used method of assessing quality of mental healthcare. It describes the use of measurement to improve quality, promote accountability, encourage evidence-based practice, and shape incentives to favor delivery of high-quality care. Divided into two sections totaling 14 chapters, the first section describes factors that led to a nationwide emphasis on improving quality of care, major approaches to quality assessment, considerations in selecting measures, as well as how to analyze and interpret measure results. The second section summarizes information on more than 300 quality measures, including their clinical rationale, specifications, sources of data, supporting evidence, readiness for use, and -- where available -- data on reliability, validity, results, case-mix adjustment, standards, and benchmarks. Improving Mental Healthcare helps clinicians, managers, administrators, payers, purchasers, accreditors, consumer groups, and other stakeholders meet national mandates to assess and improve quality of care by providing the following tools and guidance: Results from the National Inventory of Mental Health Quality Measures, a federally funded study summarizing clinical, technical, and scientific properties of more than 300 process measures A user-friendly format that helps potential measure users find quality measures that reflect their priorities and meet their needs Guidance for healthcare organizations and clinicians on how to integrate measurement into a comprehensive approach to quality management An understanding of the relationship between process measurement and other approaches to quality assessment, in particular outcomes assessment-the focus of a companion guide, Outcome Measurement in Psychiatry: A Critical Review (APPI 2002) Improving Mental Healthcare, which includes extensive references as well as useful figures and tables illustrating key concepts, is essential reading for practicing clinicians, healthcare managers, medical students and psychiatric residents -- who must now meet ACGME requirements to learn about quality assessment and improvement -- as well as members of oversight organizations and consumer advocacy groups. It will prove invaluable for healthcare organizations seeking to improve quality of care, clinical training programs, and courses on quality assessment, healthcare management, and mental health policy.

Social and Community Psychiatry

Author : Stelios Stylianidis
Publisher : Springer
Page : 518 pages
File Size : 52,8 Mb
Release : 2016-05-14
Category : Medical
ISBN : 9783319286167

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Social and Community Psychiatry by Stelios Stylianidis Pdf

This book presents the basic theoretical and historical concepts and it describes current perspectives and data, focusing on good practices in community psychiatry in Greece and in other parts of Europe. Concepts such as the biopsychosocial model, psychiatric reform, psychosocial rehabilitation and the recovery model, as well as new case management models are approached from a critical, anthropocentric perspective. The current socioeconomic crisis in Europe brings with it new realities in mental health systems. New forms of social suffering are forcing the psychiatric community to re-examine what is considered normal. In order to respond to the complexity of the newly emerging needs, social and community psychiatry has been compelled to broaden the objectives of intervention and research alike, developing new and dynamic relations with complementary scientific fields such as social anthropology, psychoanalysis and microeconomics. The present work is the result of collaboration between professionals from across these different fields.

Quality Improvement in Behavioral Health

Author : William O'Donohue,Alexandros Maragakis
Publisher : Springer
Page : 333 pages
File Size : 46,9 Mb
Release : 2016-06-17
Category : Psychology
ISBN : 9783319262093

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Quality Improvement in Behavioral Health by William O'Donohue,Alexandros Maragakis Pdf

This innovative volume presents a cogent case for quality improvement (QI) in behavioral healthcare as ethical practice, solid science, and good business. Divided between foundational concepts, key QI tools and methods, and emerging applications, it offers guidelines for raising care standards while addressing ongoing issues of treatment validity, staffing and training, costs and funding, and integration with medical systems. Expert contributors review the implications and potential of QI in diverse areas such as treatment of entrenched mental disorders, in correctional facilities, and within the professional context of the American Psychological Association. The insights, examples, and strategies featured will increase in value as behavioral health becomes more prominent in integrated care and vital to large-scale health goals. Included in the coverage: Behavioral health conditions: direct treatment costs and indirect social costs. /liliQuality improvement and clinical psychological science. · Process mapping to improve quality in behavioral health service delivery. · Checklists for quality improvement and evaluation in behavioral health. · Creating a quality improvement system for an integrated care program: the why, what, and how to measure. · Feedback Informed Treatment (FIT): improving the outcome of psychotherapy one person at a time. Quality Improvement i n Behavioral Healthcare gives health psychologists, public health professionals, and health administrators a real-world framework for maintaining quality services in a rapidly evolving health landscape.

Psychosocial Interventions for Mental and Substance Use Disorders

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Developing Evidence-Based Standards for Psychosocial Interventions for Mental Disorders
Publisher : National Academies Press
Page : 208 pages
File Size : 53,6 Mb
Release : 2015-09-18
Category : Medical
ISBN : 9780309316972

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Psychosocial Interventions for Mental and Substance Use Disorders by Institute of Medicine,Board on Health Sciences Policy,Committee on Developing Evidence-Based Standards for Psychosocial Interventions for Mental Disorders Pdf

Mental health and substance use disorders affect approximately 20 percent of Americans and are associated with significant morbidity and mortality. Although a wide range of evidence-based psychosocial interventions are currently in use, most consumers of mental health care find it difficult to know whether they are receiving high-quality care. Although the current evidence base for the effects of psychosocial interventions is sizable, subsequent steps in the process of bringing a psychosocial intervention into routine clinical care are less well defined. Psychosocial Interventions for Mental and Substance Use Disorders details the reasons for the gap between what is known to be effective and current practice and offers recommendations for how best to address this gap by applying a framework that can be used to establish standards for psychosocial interventions. The framework described in Psychosocial Interventions for Mental and Substance Use Disorders can be used to chart a path toward the ultimate goal of improving the outcomes. The framework highlights the need to (1) support research to strengthen the evidence base on the efficacy and effectiveness of psychosocial interventions; (2) based on this evidence, identify the key elements that drive an intervention's effect; (3) conduct systematic reviews to inform clinical guidelines that incorporate these key elements; (4) using the findings of these systematic reviews, develop quality measures - measures of the structure, process, and outcomes of interventions; and (5) establish methods for successfully implementing and sustaining these interventions in regular practice including the training of providers of these interventions. The recommendations offered in this report are intended to assist policy makers, health care organizations, and payers that are organizing and overseeing the provision of care for mental health and substance use disorders while navigating a new health care landscape. The recommendations also target providers, professional societies, funding agencies, consumers, and researchers, all of whom have a stake in ensuring that evidence-based, high-quality care is provided to individuals receiving mental health and substance use services.

Innovative Approaches to Mental Health Evaluation

Author : Gerald J. Stahler,William R. Tash
Publisher : Academic Press
Page : 414 pages
File Size : 45,5 Mb
Release : 2013-10-22
Category : Political Science
ISBN : 9781483276502

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Innovative Approaches to Mental Health Evaluation by Gerald J. Stahler,William R. Tash Pdf

Innovative Approaches to Mental Health Evaluation is a collection of papers that provides a broad range of ideas, methods, and techniques in program administration and evaluation in the field of mental health. The book is organized into 2 sections. Part I, consisting of 8 chapters, presents the necessary evaluation strategies and approaches that effectively address the important mental health issues for the 1980s such as prevention programs; the linking of health and mental health delivery systems; accountability in assuring quality of services; deinstitutionalizing the chronically mentally ill; and providing for greater local participation in mental health program management. Part II, surveys the promising evaluation methods, approaches, and relevant issues that are emerging in the new organizational and political environment of the mental health system. The book will be of good use to mental health administrators, researchers, managers, students, and evaluators.

Seeking Value

Author : Wesley E. Sowers, M.D.,Jules M. Ranz, M.D.,Group for the Advancement of Psychiatry
Publisher : American Psychiatric Pub
Page : 646 pages
File Size : 43,5 Mb
Release : 2020-11-10
Category : Medical
ISBN : 9780873182256

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Seeking Value by Wesley E. Sowers, M.D.,Jules M. Ranz, M.D.,Group for the Advancement of Psychiatry Pdf

The U.S. health care system is the most expensive in the world by a considerable margin, yet health indicators are among the worst in the developed world. Seeking Value: Balancing Cost and Quality in Psychiatric Care, a comprehensive volume by the Group for the Advancement of Psychiatry's Mental Health Services Committee, examines the factors that have contributed to this disparity and offers a holistic vision for health care reform--one in which the psychiatric profession plays a pivotal role. From cost consciousness in the prescribing of medications and forming alliances with other health professionals to rethinking the way health care is financed and efforts to eliminate counterproductive incarceration practices, this guide outlines individual, systemic, and sociopolitical interventions that will position readers to effect substantive change both in the short term and in the long term. Beyond spurring thought and conversation around how to improve value in the services the psychiatric profession provides and the systems in which it operates, this book will equip those looking to develop a concrete advocacy agenda and the strategies needed to see it realized.

Crossing the Quality Chasm

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 360 pages
File Size : 41,8 Mb
Release : 2001-08-19
Category : Medical
ISBN : 9780309072809

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Crossing the Quality Chasm by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Primary Care

Author : Institute of Medicine,Committee on the Future of Primary Care
Publisher : National Academies Press
Page : 411 pages
File Size : 55,7 Mb
Release : 1996-09-05
Category : Medical
ISBN : 9780309175692

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Primary Care by Institute of Medicine,Committee on the Future of Primary Care Pdf

Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

Improving Mental Health Care

Author : Barbara Dickey,Lloyd I. Sederer
Publisher : American Psychiatric Pub
Page : 370 pages
File Size : 43,5 Mb
Release : 2008-08-13
Category : Medical
ISBN : 9781585627646

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Improving Mental Health Care by Barbara Dickey,Lloyd I. Sederer Pdf

How can professionals maintain or improve the quality of care they provide when pressured by payers to reduce the cost of care? Clinicians today face the challenge of providing optimal care in an environment where costs drive clinical practice. But high quality, not cost, remains the goal of professionals. By arming themselves with measurable results, clinicians can improve the processes of delivering mental health care and translate those improvements into better outcomes for patients and their families. In this timely guide, the editors have gathered the work of 49 distinguished contributors and crafted a valuable resource for overcoming the extraordinary challenge of delivering high quality mental health care. This groundbreaking book is divided into three sections: The challenges today's clinicians face in providing optimal mental health care -- Beginning with a review of the report to then-President Clinton from the Advisory Commission on Consumer Protection and Quality in the Health Care Industry, subsequent chapters discuss professional ethics and managed care, how Wall Street investors are changing the practice of medicine, problems faced by managed care, and changes needed in medical education to ensure that physicians are well prepared to practice medicine in the 21st century. Proven techniques for quality measurement -- Measuring quality of care presents significant conceptual and methodological problems. These chapters review quality measurement methods and describe support by the federal government to improve these methods. Also addressed are how consumers are joining the quality of care measurement movement and how one large urban county mental health program is advancing quality measurement. Fourteen case reports of quality improvement projects -- These chapters detail principles and techniques that can be replicated or tailored to fulfill the requirements of a variety of clinical settings, ranging from the national health service in Great Britain to a small geriatric unit in a large hospital. The work showcased here was done by clinicians or administrators who, concerned about the quality of care in their own settings, used data to test for themselves whether their interventions resulted in improved care. Even if managed care disappeared, we would still need to question, examine, and improve the quality of patient care -- with clinicians taking the lead, because only they can appreciate the subtle nuances that maintain or improve quality standards, and only they can make substantive changes in their clinical settings. As both a broad conceptual framework for considering the quality of mental health care and as a practical field guide to real-life techniques for measuring the quality of care, this volume will prove exceptionally valuable for mental health care professionals, administrators, and policymakers as well as for consumers and consumer advocates, researchers, students, and public health professionals.

Common Mental Health Disorders

Author : National Collaborating Centre for Mental Health (Great Britain)
Publisher : RCPsych Publications
Page : 316 pages
File Size : 45,9 Mb
Release : 2011
Category : Health services accessibility
ISBN : 1908020318

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Common Mental Health Disorders by National Collaborating Centre for Mental Health (Great Britain) Pdf

Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.

Evaluating Treatment Environments

Author : Rudolf H. Moos
Publisher : Routledge
Page : 302 pages
File Size : 53,9 Mb
Release : 2018-01-18
Category : Medical
ISBN : 9781351291781

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Evaluating Treatment Environments by Rudolf H. Moos Pdf

Evaluating Treatment Environments describes how to assess the quality of psychiatric and substance abuse programs and how to use that information to monitor and improve these programs. Its aim is to identify environments that promote opportunities for personal growth, simultaneously enhancing both physical and psychological well-being. Although treatment programs are diverse, Moos asserts that a common conceptual framework can be used to evaluate them, and more emphasis should be placed on the process of matching personal and program factors and on the connections between such matches and patients' outcomes. The book is divided into three main parts. Part I focuses on hospital programs, using a sample of 160 programs throughout the United States. Part II evaluates community programs. Moos describes how to monitor and improve these programs, and assesses program implementation. Part III considers treatment environments, examining factors that shape the treatment environment, patients' satisfaction with and participation in program activities, patients' adaptation and community living skills, and patient-program congruence and the influence of treatment environments on patients with different levels of impairment. It also highlights the importance of the health care workplace and its impact on staff and the treatment environment. Treatment programs vary substantially in their policies and services, especially in what they expect of clients, rules about clients' daily life choices, and to what extent clients must be governed by the program, and whether or not the programs provide health and treatment services. Comparison studies are becoming more important as clients move more quickly from acute in-patient to community residential care. Moos stresses the need to pay special attention to how programs and services affect clients when conducting evaluations. Evaluating Treatment Environments will be a necessary addition to the libraries of mental health service professionals, as well as sociologists, psychiatrists, psychologists, and social workers.