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Implementing Quality Improvement Initiatives Within Community Psychiatry

Challenges and Strategies

Dados Bibliográficos

ID8907767
AutoresLucy Ogbu-Nwobodo (0009-0004-7264-729X, University of California, San Francisco, autor correspondente), Anya Fang (0000-0002-7213-5102, University of California, San Francisco), Harminder Gill (0000-0003-1527-2263, University of California, San Francisco), Samuel Ricardo Saenz (0000-0001-5844-4446, University of California, San Francisco), Paul Wallace (0000-0003-4292-3092, University of California, San Francisco), Christina Mangurian (0000-0002-9839-652X, University of California, San Francisco), Johanna B Folk (0000-0003-0503-7307, University of California, San Francisco)
Ano2024
Volume61
Fascículo4
Páginas674-681
Data de publicação2024-11-25
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCommunity Mental Health Journal (JOURNAL)
Identificadores do periódicoISSN: 0010-3853 • E-ISSN: 1573-2789
EditoraSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10597-024-01375-3
PMID39585597
OpenAlexW4404691109
IdiomaEN
Referências citadas28

Implementation of quality improvement (QI) initiatives within community mental health settings is crucial to addressing equity-related issues affecting mental health services delivery, including for co-occurring substance use disorders. Given the growing recognition of QI interventions as an effective framework to facilitate structural change within systems of care, it is important to equip mental health providers with the knowledge and ability to execute QI initiatives that are feasible, sustainable, and integrate a health equity lens. To demystify the QI process, we describe the design and methodologies of four fellows' capstone projects conducted during the 2022-2023 academic year at the University of California, San Francisco (UCSF) Public Psychiatry Fellowship at Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG). By highlighting fellows' experiences with leading QI initiatives within community mental health settings, we discuss strategies for overcoming implementation barriers including stakeholder engagement and transparency factors, resource and time constraints, unexpected changes in direction, and lack of infrastructure for QI. Lastly, we reflect on best practices and sustainability considerations for leading QI initiatives in partnership with academic centers, departments of public health, and community mental health clinics

Business · Community engagement · Equity (law · General partnership · Medical education · Mental health · Political science · Psychiatry · Psychological intervention · Public health · Public relations · Quality management · Stakeholder · Stakeholder engagement · Health Policy Implementation Science · Medicine · Mental Health and Patient Involvement · Mental Health Treatment and Access · Nursing

  • Textbook of Community Psychiatry

    Open Access•George Szmukler, Wesley Sowers et al.•Textbook of Community Psychiatry•2022

  • Updated Guidance on the Reporting of Race and Ethnicity in Medical and Science Journals

    Annette Flanagin, Tracy Frey et al.•JAMA•2021

  • Collaborative Care Management of Late-Life Depression in the Primary Care Setting

    Jürgen Unützer, Wayne Katon et al.•JAMA•2002

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