scholarly journals Outcomes of a quality improvement project integrating mental health into primary care

2007 ◽  
Vol 16 (5) ◽  
pp. 378-381 ◽  
Author(s):  
B. V Watts ◽  
B. Shiner ◽  
A. Pomerantz ◽  
P. Stender ◽  
W. B Weeks
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Quality Improvement ◽  
Quality Improvement Project ◽  
Improvement Project

A quality improvement project to reduce restrictive interventions in a mental health service

2021 ◽  
pp. 1-12
Author(s):  
Darren Savarimuthu ◽  
Katja Jung
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Positive Impact ◽  
Essential Elements ◽  
Quality Improvement Project ◽  
Psychiatric Ward ◽  
Quality Improvement Initiative ◽  
Successful Implementation ◽  
Evidence Based ◽  
Improvement Project

Background/aims This article describes a quality improvement project that aimed to reduce restrictive interventions on an acute psychiatric ward. In light of a service level agreement and based on a trust-wide target, the purpose of the project was to reduce restrictive interventions by 20% within a period of 6 months. It was also anticipated that a least restrictive environment could have a positive impact on patient experience. Methods Three evidence-based interventions were introduced to the ward during the quality improvement project. These included positive behaviour support, the Safewards model and the productive ward initiative. Results There was a 63% reduction in restrictive interventions over a 6-month period through the successful implementation of a series of evidence-based interventions to manage behaviours that challenge on the mental health ward. Conclusions The project identified collaborative team working, staff training and adequate resources as essential elements in the success of the quality improvement initiative. However, co-production was found to be crucially significant in bringing sustainable changes in ward environment and in addressing restrictive practices.

scholarly journals Applying the Diabetes Quality Improvement Project Indicators in the Indian Health Service Primary Care Setting

Diabetes Care ◽  
2001 ◽  
Vol 24 (1) ◽  
pp. 22-26 ◽  
Author(s):  
K. J. Acton ◽  
R. Shields ◽  
S. Rith-Najarian ◽  
B. Tolbert ◽  
J. Kelly ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Health Service ◽  
Care Setting ◽  
Primary Care Setting ◽  
Quality Improvement Project ◽  
Indian Health Service ◽  
Improvement Project ◽  
Indian Health

Initiation of Standardized Depression Screening in College Health: A Quality Improvement Project

2018 ◽  
Vol 11 (2) ◽  
pp. 143-150 ◽  
Author(s):  
Kristen Slabaugh ◽  
Shannon Harris ◽  
Samuel Wilcock
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Quality Improvement Project ◽  
Health Clinic ◽  
College Health ◽  
Mentoring Program ◽  
Health Questionnaire ◽  
Improvement Project ◽  
Patient Health ◽  
Standardized Screening

Background: Depression is a leading health concern in college health. An on-campus health clinic was identified as conducting complaint-based screening. U.S. Preventative Services Task Force recommends standardized screening in all primary care settings. Objective: To implement a quality improvement project for standardized screening and referral of depressive symptoms and identify factors related to mentoring program interest in a college health clinic. Methods: Demographic survey and Patient Health Questionnaire-2 (PHQ-2) were distributed to students who met inclusion criteria. Positive screens received further intervention with Patient Health Questionnaire-9 (PHQ-9) and immediate evaluation, encouragement of follow-up, or educational handout. Results: Of students receiving primary care services at a college health center, 221 completed demographic surveys, 165 completed the PHQ-2, and eight students received interventions for positive screens. Furthermore, 74.6% of students expressed interest in a mentoring program. Conclusions: The project demonstrates ease of standardized screening in the college health setting without excessive burden to staff or budget. This is a critical preventative care measure for improving early detection and management of depression at college health centers. Implications for Nursing: Initiation of standardized screening on college campuses is a worthwhile investment and should be implemented by registered nurses (RNs) and advanced practice nurses. Support program initiation should be considered to help students with unmanaged symptoms.

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