James G McDonagh1, William Blake Haren2, Mary Valvano3, Anouk L Grubaugh4, Frank C Wainwright5, Colette H Rhue6, Christine M Pelic7, Christopher G Pelic8, Renee Koval9, Janet A York10. 1. 1 James G. McDonagh, PsyD, Ralph H. Johnson VAMC, Charleston, SC, USA. 2. 2 William Blake Haren, MD, Ralph H. Johnson VAMC, Charleston, SC; Medical University of South Carolina, Charleston, SC, USA. 3. 3 Mary Valvano, MSN, PMHNP-BC, Ralph H. Johnson VAMC, Charleston, SC, USA. 4. 4 Anouk L. Grubaugh, PhD, Ralph H. Johnson VAMC, Charleston, SC; Medical University of South Carolina, Charleston, SC, USA. 5. 5 Frank C. Wainwright, MA, Ralph H. Johnson VAMC, Charleston, SC, USA. 6. 6 Colette H. Rhue, RN, BSN, MSN, Ralph H. Johnson VAMC, Charleston, SC, USA. 7. 7 Christine M. Pelic, MD, Ralph H. Johnson VAMC, Charleston, SC; Medical University of South Carolina, Charleston, SC, USA. 8. 8 Christopher G. Pelic, MD, Medical University of South Carolina, Charleston, SC, USA; VHA Office of Academic Affiliations, Washington, DC, USA. 9. 9 Renee Koval, DNP, PMHNP-BC, DeSales University, Philadelphia, PA, USA. 10. 10 Janet A. York, PhD, PMHCS-BC, FAAN, Ralph H. Johnson VAMC, Charleston, SC.
Abstract
INTRODUCTION: The Freedom Commission's recommendations, Substance Abuse and Mental Health Services Administration's framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre-post psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation.
INTRODUCTION: The Freedom Commission's recommendations, Substance Abuse and Mental Health Services Administration's framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre-post psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation.
Entities:
Keywords:
Veteran health disparities; Veterans’ health; interdisciplinary quality improvement; mental health recovery; nursing education; psychiatric inpatient; systems redesign and transformation
Authors: Alan B McGuire; Marina Kukla; Angela L Rollins; Jennifer Garabrant; Nancy Henry; Johanne Eliacin; Laura J Myers; Mindy E Flanagan; Marcia G Hunt; Gayle Y Iwamasa; Sarah M Bauer; Jessica L Carter; Michelle P Salyers Journal: Psychiatr Rehabil J Date: 2021-07-29