Improving Mental Health Care: Commitment to Quality

Overview

As both a broad conceptual framework for considering the quality of me ntal health care and as a practical field guide to real-life technique s for measuring the quality of care, this volume will prove exceptiona lly valuable for mental health care professionals, administrators, and policymakers as well as for consumers and consumer advocates, researc hers, students, and public health professionals.

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Overview

As both a broad conceptual framework for considering the quality of me ntal health care and as a practical field guide to real-life technique s for measuring the quality of care, this volume will prove exceptiona lly valuable for mental health care professionals, administrators, and policymakers as well as for consumers and consumer advocates, researc hers, students, and public health professionals.

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Editorial Reviews

Doody's Review Service
Reviewer: Nishad J. Nadkarni, MD (Rush University Medical Center)
Description: This is a collection of timely and seminal papers in the area of quality delivery of mental health services.
Purpose: Given the staggering proliferation of new somatic and therapeutic treatment models, a real need for precise definition and monitoring of both cost-efficient and effective therapies exists. Such definition and monitoring should be based on sound research and operationalization of relevant concepts.
Audience: Although the author does not specify a target audience, it is clear that all personnel involved with mental healthcare, from clinicians to administrators, will find it useful. It is written at an appropriate level to address this broad audience.
Features: This book takes a methodical approach to its intended subject, beginning with attempts to more precisely define the concept of quality within diverse contexts, through presenting research on outcomes measures. Supported by high-quality appendixes and algorithms, the book encourages a hands-on approach to the field. Specific projects demonstrating the integration between clinical skills and medical economics are introduced, for example mental healthcare delivery in the elderly.
Assessment: This is a tremendously important addition to the field of mental health delivery. Of specific worth is the clearly unbiased and balanced approach taken by the authors, each of whom have extensive experience in this area. Recognition of the need to more precisely objectify and quantify the myriad of therapeutic interventions in terms of efficacy and cost-efficiency is the first step towards stronger service delivery. This book should be a must-read by administrators and clinicians alike.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780880489638
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 1/28/2002
  • Edition description: 1ST
  • Pages: 376
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.85 (d)

Meet the Author

Barbara Dickey, Ph.D., is Associate Professor of Psychology in the Department of Psychiatry at Harvard Medical School and The Cambridge Hospital. She has been active in hospital quality improvement efforts and has a long academic career in health services research. She has published widely in the fields of outcome research, homelessness, and the effects of managed care on costs and outcomes for people with serious mental illness. She is leading a research study of the quality of care for adults with schizophrenia, comparing the treatments and outcomes of people in managed care with those whose care is not managed. With Dr. Sederer, she coedited Outcomes Assessment in Clinical Practice.

Lloyd I. Sederer, M.D., was Medical Director and Executive Vice President of McLean Hospital at the time this book was being prepared. In this role, he directed the hospital's clinical services, including its special emphasis on clinical quality assessment and quality improvement. He is now Director of the Division of Clinical Services at the American Psychiatric Association in Washington, D.C. Dr. Sederer is Associate Professor of Clinical Psychiatry at Harvard Medical School and has published 10 books and over 125 articles, reviews, chapters, and monographs. He has consulted nationally and internationally on clinical care and service delivery, quality improvement, risk management, and the regulation and reimbursement of medical care.

American Psychiatric Publishing

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Table of Contents

Introduction. Part I: Challenges. Introduction. The President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry. Maintaining professional ethics in a changing health care system. Quality of care in an era of Wall Street medicine. Can managed care deliver quality? Role of academic medical centers in achieving quality. Part II: Quality Measurement. Introduction. Measuring quality: An overview. Risk adjustment of clinical outcome data. Building partnerships in accountability: Consumer satisfaction. Toward a national report card: Measuring consumer experiences. Practical steps toward quality improvement: A public sector example. The American Psychiatric Association's agenda for evidence-based quality. Status of national efforts to improve accountability for quality. Part III: Case Reports. Intensive psychiatric community care in the Department of Veteran's Affairs. A national strategy to reduce depression and suicide in England. The Texas Medication Algorithm Project. Improving the quality of community-based services for children. Improved emergency access for Medicaid clients: A Colorado case study. Improving employment outcomes for people with severe psychiatric disabilities. Matching substance abuse patients to services. Adverse drug reactions: An interdisciplinary team approach. High-risk Medicaid enrollees and a community-based support program. Increasing consumer involvement in treatment. Improving the detection of mental disorders by primary care clinicians. Reducing the incidence of restraint and seclusion. Using dialectical behavior therapy in the treatment of borderline personality disorder. Reducing the risk of falls for elderly patients. Afterword. Index.

American Psychiatric Publishing

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