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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Bibliographic Details
Published inCommunity mental health journal Vol. 53; no. 3; pp. 251 - 256
Main Authors MacDonald-Wilson, Kim L., Hutchison, Shari L., Karpov, Irina, Wittman, Paul, Deegan, Patricia E.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.04.2017
Springer Nature B.V
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 centres
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
United States > US
Quality improvement
Community mental health centers
Breakthrough Series
Implementation
Decision support
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Summary: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.
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ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-016-0027-1