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Improving Clinical Practice 2007, Volume 3 M AGAZINE A quarterly publication from the National Council for Community Behavioral Healthcare Improving Clinical Practice The Intersection of Policy and Practice Linda Rosenberg discusses how new landmark community mental health legislation can support practice excellence • page 1 Process Improvement in Addictions Treatment Dave Gustafson, Director of NIATx, highlights how addictions treatment organizations are improving access and retention for better outcomes. • page 11 A Signature Approach to Outcomes Measurement Dr. Carl Clark and his team explain how a “360-degree” outcomes measurement process is promoting consumer successes at the Mental Health Center of Denver. • page 26 Healthy Minds.Strong Communities. www.TheNationalCouncil.org 27925National_CouncilCS2.indd c1 11/21/07 12:28:32 PM NationalCouncil Improving Clinical Practice M AGAZINE Mark Blockus, Director of Practice Improvement, National Council for Community PDF available at www.TheNationalCouncil.org Behavioral Healthcare, Contact: [email protected] In Th is Issue Services and clinical practices of the highest quality are vital to the recovery of people with mental illnesses and addictions. And efforts to improve services and practices are THE INTERSECTION OF POLICY AND PRACTICE – e ss ce c e s e e o o g z o . 1 AN OPPORTUNITY FOR ACTION th a uran that quality ar i at th h art fan r ani ati n Linda Rosenberg Practice improvement is often about shifting from customary care to evidence-based 3 NATIONAL COUNCIL PROVIDES RECOMMENDATIONS FOR BRIDGING GAPS and promising practices that focus on prevention, recovery, and resiliency. It is about BETWEEN INPATIENT AND OUTPATIENT SETTINGS using science to achieve outcomes that enhance the lives of people with mental Charles Ingoglia illnesses and addictions and lead to meaningful social inclusion. It is about patient 5 LOST IN TRANSITION: LESSONS FROM THE VIRGINIA TECH TRAGEDY and family focused treatment that is culturally and linguistically appropriate. Tammy Seltzer e c ce o e e s c e o e ec se ces s o s o e PRIMARY CARE AND BEHAVIORAL HEALTH COORDINATION Whil pra ti impr v m nt i l arly ab ut th dir t rvi and upp rt pr vid d 6 LEARNING COLLABORATIVE by clinicians to consumers, improvement is dependent upon an organization having Barbara Mauer in place operations and processes that support staff – operations and processes that c e e e g e o e s e e o e ge s s e o co e es c ge 8 INTRODUCING MENTAL HEALTH FIRST AID r at l arnin nvir nm nt wh r kn wl d i har d, ut m data driv han , Lea Ann Browning McNee staff accomplishments are showcased, and emerging leaders are nurtured. 9 IMPROVING ACCESS AND RETENTION IN COMMUNITY Improvement often encompasses the integration and coordination of services. For BEHAVIORAL HEALTH ORGANIZATIONS e e e e ee o o c o s oes ’ e s o ge e Charles Ingoglia xampl ,m ntal h alth and fr d mfr maddi ti n d n t xi tapart fr m n ral good health. Effective consumer/clinician relationships are dependent upon workforce 11 PROCESS IMPROVEMENT IN ADDICTIONS TREATMENT recruitment, development, and retention activities. And continuity between levels of David Gustafson care positively affects consumer engagement and adherence to treatment. 12 COMMUNITY BEHAVIORAL HEALTHCARE PROVIDERS’ NOISE LEVELS ec oog c e s g o e s o o o es o c ce o e e . David Lloyd T hn l yin r a in ly ff r imp rtant pp rtuniti f rpra ti impr v m nt Electronic health records can save time, reduce errors, and create system transparency. THE ROLE OF PSYCHIATRIC CORE MEASURES IN C c sc ee g oo s c o g sc es c c ec so s o s c e 14 TRANSITIONING FROM HOSPITAL TO COMMUNITY CARE lini al r nin t l ,fun ti nal ratin al ,and lini al d i i n upp rt an b Frank Ghinassi, Kathleen McCann embedded in electronic health records. Technology allows us to more easily monitor o co es e c e o ce. A ec oog c e es o o es o RISK MANAGEMENT IN COMMUNITY MENTAL HEALTH ut m and b n hmark p rf rman nd t hn l y r at pp rtuniti f r 16 CENTER CLINICAL PRACTICE practitioner to practitioner and consumer to consumer sharing and learning. Ronald Zimmet, Nicholas Bozzo In this issue of National Council Magazine devoted to Improving Clinical Practice, we’ve 17 LEAD, CONVENE, SHARE — HOW ASSOCIATIONS FOSTER tried to capture the many dimensions of improvement efforts — from technology to im- QUALITY ON THE GROUND o g ccess e e o o eg e c e o co s e -e se ces o Ron Brand pr vin a and r t nti n, fr mint rat d ar t n um r l d rvi ,and fr m early identification of mental illnesses and addictions to measuring outcomes. We share BENCHMARKING FOR BEST PRACTICES 19 lessons learned from member organizations as well as from National Council practice Paul Lefkovitz improvement initiatives. 20 MEMBERS SHARE We hope you find National Council Magazine useful. And that you take advantage of the 26 A SIGNATURE APPROACH TO OUTCOMES array of business and clinical practice improvement resources we offer — National MEASUREMENT IMPROVES RECOVERY Co c L e e s; e - ee ec c Ass s ce U e Ne se e ; o Carl Clark, P. Antonio Olmos-Gallo un il iv w binar th bi w klyT hni al i tan pdat w l tt r ur practice improvement projects; our learning communities; and our expert consultations. 30 HOW CONSUMERS STEP UP TO DESIGN A TRULY e’ e e c e o e g o o e e e c o s se ces — e e RECOVERY-BASED MENTAL HEALTH SYSTEM W r d di at dt h lpin y uimpr v m ntal h alth and addi ti n rvi l tm Daniel Fisher know how the National Council can be most helpful. COMMUNITY COLLABORATION HELPS TO TARGET EARLY 32 DETECTION AND INTERVENTION FOR PSYCHOSIS Donna Downing, Elizabeth Spring IMPROVING ENGAGEMENT WITH YOUTH AND FAMILIES National Council Magazine is a publication of the National Council for 34 WHEN TREATING MENTAL HEALTH DIFFICULTIES Community Behavioral Healthcare, 12300 Twinbrook Parkway, Suite 320, Samira Ali, Mary Cavaleri, Mary McKay Rockville, MD 20852. www.TheNationalCouncil.org. CLINICAL SERVICES AND THE ELECTRONIC HEALTH RECORD: Managing Editor: Meena Dayak 36 COST, QUALITY, AND ACCESS Editorial Associate: Nathan Sprenger Jodi Mahoney, Diane Farrell Editorial, subscription, and advertising inquiries to CONNECTED CARE IN A CONNECTED WORLD [email protected] or 301.984.6200, ext. 240. 38 Kevin Scalia We welcome your feedback and submissions for future issues on Cultural Diversity, Children’s Services, and Board Development. 27925National_CouncilCS2.indd c2 11/20/07 6:56:04 PM editorial The Intersection of Policy and Practice – An Opportunity for Action Linda Rosenberg, MSW, President and CEO, National Council for Community Behavioral Healthcare The Surgeon General, the President’s efforts and our commitment to service of the National Coordinator of Health New Freedom Commission, and the excellence culminated in the introduc- Information Technology and SAMHSA Institute of Medicine reports have tion on October 17, 2007 of landmark to develop and implement a plan for helped Americans understand that legislation, the “Community Mental ensuring that various components there are effective treatments that make Health Services Improvement Act” of the National Health Information recovery from mental illnesses and ad- by Senators Jack Reed (D-RI) and Infrastructure address mental health dictions possible. And the trade press Gordon Smith (R-OR) in the United and substance abuse provider needs is fi lled with articles about the efforts States Senate. supported by $10 million in funding of National Council member organiza- in FY 2009. Provisions of The Community Mental tions to provide the most effective Health Services Improvement Act Commissioning a paperwork re- treatments, introduce innovation, and • (S.2182) include: duction study to be submitted to improve care. In this issue of National Creating a new federal grants program Congress no later than a year after Council Magazine devoted to “Improv- • to support co-locating primary care enactment that evaluates the com- ing Clinical Practice” you’ll read about services at community mental health bined paperwork burden of safety the improvement initiatives and service facilities funded at $50 million in net behavioral healthcare programs accomplishments of member organiza- FY 2009 and authorized through FY funded at $550,000. tions from around the country. 2013. Directing a nationwide analysis and When I joined the National Council, • Integrating treatment for mental submission of a report to Congress of we committed to being the strongest • health and substance abuse co-occur- the compensation structure of profes- possible advocacy voice on behalf of ring disorders funded at $14 million sional and paraprofessional behavior- member organizations, the nation’s in FY 2009, $20 million in FY 2010 al health personnel as compared with community-based mental health and and authorized through FY 2013. that of other health safety net and addictions service organizations and private sector employers also funded the adults and children served by these Improving the workforce through • at $550,000. organizations. Our focus on advo- grants for the recruitment and reten- cacy – mental health and addictions tion of mental health professionals What You Can Do legislation, policies and regulations funded at $10 million in FY 2009 and Charles Ingoglia, the National Council’s that protect and expand access to authorized through FY 2013. Vice President, Public Policy and our adequately funded, effective treatment, entire team are conducting a compre- Enhancing behavioral health educa- rehabilitation and support services – is • hensive lobbying effort supporting tion and training of para professional complemented by our efforts to enable S.2182 in the U.S.
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