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Literature DB >> 27262699

A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services.

Kim L MacDonald-Wilson¹, Shari L Hutchison², Irina Karpov², Paul Wittman², Patricia E Deegan³.

Abstract

Individual involvement in treatment decisions with providers, often through the use of decision support aids, improves quality of care. This study investigates an implementation strategy to bring decision support to community mental health centers (CMHC). Fifty-two CMHCs implemented a decision support toolkit supported by a 12-month learning collaborative using the Breakthrough Series model. Participation in learning collaborative activities was high, indicating feasibility of the implementation model. Progress by staff in meeting process aims around utilization of components of the toolkit improved significantly over time (p < .0001). Survey responses by individuals in service corroborate successful implementation. Community-based providers were able to successfully implement decision support in mental health services as evidenced by improved process outcomes and sustained practices over 1 year through the structure of the learning collaborative model.

Keywords: Breakthrough Series; Community mental health centers; Decision support; Implementation; Quality improvement

Mesh：

Year: 2016 PMID： 27262699 DOI： 10.1007/s10597-016-0027-1

Source DB: PubMed Journal: Community Ment Health J ISSN： 0010-3853

13 in total

1. Priorities of consumers, providers, and family members in the treatment of schizophrenia.

Authors: Ellen P Fischer; Martha Shumway; Richard R Owen
Journal: Psychiatr Serv Date: 2002-06 Impact factor: 3.084

2. A comparison of client and mental health worker assessment of needs and unmet needs.

Authors: Carrie Gibbons; Michel Bédard; Gary Mack
Journal: J Behav Health Serv Res Date: 2005 Jan-Mar Impact factor: 1.505

3. Do patients with schizophrenia wish to be involved in decisions about their medical treatment?

Authors: Johannes Hamann; Rudolf Cohen; Stefan Leucht; Raymonde Busch; Werner Kissling
Journal: Am J Psychiatry Date: 2005-12 Impact factor: 18.112

4. Crop dusting or composting?

Authors: Patricia B Nemec
Journal: Psychiatr Rehabil J Date: 2013-09

5. Agreement between patients with schizophrenia and providers on factors of antipsychotic medication adherence.

Authors: Jeffrey M Pyne; Jean McSweeney; H Scott Kane; Susan Harvey; Leslie Bragg; Ellen Fischer
Journal: Psychiatr Serv Date: 2006-08 Impact factor: 3.084

6. Education and training column: the learning collaborative.

Authors: Kim L MacDonald-Wilson; Patricia B Nemec
Journal: Psychiatr Rehabil J Date: 2015-03

Review 7. Stop the silent misdiagnosis: patients' preferences matter.

Authors: Albert G Mulley; Chris Trimble; Glyn Elwyn
Journal: BMJ Date: 2012-11-08

8. Desire for information of people with severe mental illness.

Authors: Domenico Giacco; Mario Luciano; Valeria Del Vecchio; Gaia Sampogna; Mike Slade; Eleanor Clarke; Marietta Nagy; Aniko Egerhazi; Povl Munk-Jørgensen; Malene Frøkjaer Krogsgaard Bording; Wolfram Kawohl; Wulf Rössler; Nadja Zentner; Bernd Puschner; Andrea Fiorillo
Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2014-06-07 Impact factor: 4.328

9. Preferences of older and younger adults with serious mental illness for involvement in decision-making in medical and psychiatric settings.

Authors: Erica L O'Neal; Jared R Adams; Gregory J McHugo; Aricca D Van Citters; Robert E Drake; Stephen J Bartels
Journal: Am J Geriatr Psychiatry Date: 2008-10 Impact factor: 4.105

Review 10. Decision aids for people facing health treatment or screening decisions.

Authors: Dawn Stacey; France Légaré; Nananda F Col; Carol L Bennett; Michael J Barry; Karen B Eden; Margaret Holmes-Rovner; Hilary Llewellyn-Thomas; Anne Lyddiatt; Richard Thomson; Lyndal Trevena; Julie H C Wu
Journal: Cochrane Database Syst Rev Date: 2014-01-28

7 in total

A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services.

1. Priorities of consumers, providers, and family members in the treatment of schizophrenia.

2. A comparison of client and mental health worker assessment of needs and unmet needs.

3. Do patients with schizophrenia wish to be involved in decisions about their medical treatment?

4. Crop dusting or composting?

5. Agreement between patients with schizophrenia and providers on factors of antipsychotic medication adherence.

6. Education and training column: the learning collaborative.

Review 7. Stop the silent misdiagnosis: patients' preferences matter.

8. Desire for information of people with severe mental illness.

9. Preferences of older and younger adults with serious mental illness for involvement in decision-making in medical and psychiatric settings.

Review 10. Decision aids for people facing health treatment or screening decisions.

1. Spread tools: a systematic review of components, uptake, and effectiveness of quality improvement toolkits.

2. Implementing CommonGround in a community mental health center: Lessons in a computerized decision support system.

3. Scaling a Behavioral Health Home Delivery Model to Special Populations.

4. Posttraumatic Reactions to Psychosis: A Qualitative Analysis.

5. Developing a decision-making dependency (DMD) model for nurse managers.

6. Indicators of home-based hospitalization model and strategies for its implementation: a systematic review of reviews.

7. Perspectives of Patients and Providers in Using Shared Decision Making in Psychiatry.