A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services
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 suppo...
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Veröffentlicht in: | Community mental health journal 2017-04, Vol.53 (3), p.251-256 |
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creator | MacDonald-Wilson, Kim L. Hutchison, Shari L. Karpov, Irina Wittman, Paul Deegan, Patricia E. |
description | 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 |
doi_str_mv | 10.1007/s10597-016-0027-1 |
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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.</description><identifier>ISSN: 0010-3853</identifier><identifier>EISSN: 1573-2789</identifier><identifier>DOI: 10.1007/s10597-016-0027-1</identifier><identifier>PMID: 27262699</identifier><identifier>CODEN: CMHJAY</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Collaboration ; Collaborative learning ; Community and Environmental Psychology ; Community Mental Health Centers - standards ; Community mental health services ; Cooperation ; Decision Making ; Decision support systems ; Decisions ; Feasibility ; Health facilities ; Health problems ; Health promotion ; Health services ; Humans ; Implementation ; Medical decision making ; Medicine ; Medicine & Public Health ; Mental health ; Mental health care ; Mental health services ; Original Paper ; Participation ; Patient Participation ; Psychiatry ; Quality Improvement ; Quality of care ; Service provision ; Studies ; Surveys and Questionnaires ; Technology adoption</subject><ispartof>Community mental health journal, 2017-04, Vol.53 (3), p.251-256</ispartof><rights>Springer Science+Business Media New York 2016</rights><rights>Community Mental Health Journal is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a347e5a3ef0af6471f6ca3a2ff8ef3a337a084dd09757f41032a8d9a75b03d973</citedby><cites>FETCH-LOGICAL-c372t-a347e5a3ef0af6471f6ca3a2ff8ef3a337a084dd09757f41032a8d9a75b03d973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10597-016-0027-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10597-016-0027-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12846,27344,27924,27925,30999,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27262699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MacDonald-Wilson, Kim L.</creatorcontrib><creatorcontrib>Hutchison, Shari L.</creatorcontrib><creatorcontrib>Karpov, Irina</creatorcontrib><creatorcontrib>Wittman, Paul</creatorcontrib><creatorcontrib>Deegan, Patricia E.</creatorcontrib><title>A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services</title><title>Community mental health journal</title><addtitle>Community Ment Health J</addtitle><addtitle>Community Ment Health J</addtitle><description>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.</description><subject>Collaboration</subject><subject>Collaborative learning</subject><subject>Community and Environmental Psychology</subject><subject>Community Mental Health Centers - standards</subject><subject>Community mental health services</subject><subject>Cooperation</subject><subject>Decision Making</subject><subject>Decision support systems</subject><subject>Decisions</subject><subject>Feasibility</subject><subject>Health facilities</subject><subject>Health problems</subject><subject>Health promotion</subject><subject>Health services</subject><subject>Humans</subject><subject>Implementation</subject><subject>Medical decision making</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Original Paper</subject><subject>Participation</subject><subject>Patient Participation</subject><subject>Psychiatry</subject><subject>Quality Improvement</subject><subject>Quality of care</subject><subject>Service provision</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Technology adoption</subject><issn>0010-3853</issn><issn>1573-2789</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU9v1DAQxS1URJeWD9BLZakXLoGxnWTi46r8aaUiDkvPlpuMtylJnNoOUr89DlsQQuI0I83vvRnNY-xMwDsBgO-jgEpjAaIuACQW4gXbiApVIbHRR2wDIKBQTaWO2esYHwCgEgJfsWOJspa11htGW75b2pZidMvAr8d5oJGmZFPvJ75LwSbaP_HkMzXPPiS-7fz8a-gd_0BtH9f-i_3eT3ve524VD_yK7JDu-Y7Cjz6bn7KXzg6R3jzXE3b76eO3y6vi5uvn68vtTdEqlKmwqkSqrCIH1tUlCle3VlnpXENOWaXQQlN2HWis0JUClLRNpy1Wd6A6jeqEvT34zsE_LhSTGfvY0jDYifwSjWhkXWsErDJ68Q_64Jcw5esyhaUotVYiU-JAtcHHGMiZOfSjDU9GgFkzMIcMTM7ArBmYVXP-7LzcjdT9Ufx-egbkAYh5NO0p_LX6v64_ATjbkUw</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>MacDonald-Wilson, Kim L.</creator><creator>Hutchison, Shari L.</creator><creator>Karpov, Irina</creator><creator>Wittman, Paul</creator><creator>Deegan, Patricia E.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7U3</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services</title><author>MacDonald-Wilson, Kim L. ; Hutchison, Shari L. ; Karpov, Irina ; Wittman, Paul ; Deegan, Patricia E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a347e5a3ef0af6471f6ca3a2ff8ef3a337a084dd09757f41032a8d9a75b03d973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Collaboration</topic><topic>Collaborative learning</topic><topic>Community and Environmental Psychology</topic><topic>Community Mental Health Centers - 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Academic</collection><jtitle>Community mental health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MacDonald-Wilson, Kim L.</au><au>Hutchison, Shari L.</au><au>Karpov, Irina</au><au>Wittman, Paul</au><au>Deegan, Patricia E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services</atitle><jtitle>Community mental health journal</jtitle><stitle>Community Ment Health J</stitle><addtitle>Community Ment Health J</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>53</volume><issue>3</issue><spage>251</spage><epage>256</epage><pages>251-256</pages><issn>0010-3853</issn><eissn>1573-2789</eissn><coden>CMHJAY</coden><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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27262699</pmid><doi>10.1007/s10597-016-0027-1</doi><tpages>6</tpages></addata></record> |
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subjects | Collaboration Collaborative learning Community and Environmental Psychology Community Mental Health Centers - standards Community mental health services Cooperation Decision Making Decision support systems Decisions Feasibility Health facilities Health problems Health promotion Health services Humans Implementation Medical decision making Medicine Medicine & Public Health Mental health Mental health care Mental health services Original Paper Participation Patient Participation Psychiatry Quality Improvement Quality of care Service provision Studies Surveys and Questionnaires Technology adoption |
title | A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services |
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