Cultural Change: Implementation of a Recovery Program in a Veterans Health Administration Medical Center Inpatient Unit

被引：8

作者：

McDonagh, James G. ^{[1
]}

Haren, William Blake ^{[1
,2
]}

Valvano, Mary ^{[1
]}

Grubaugh, Anouk L. ^{[1
,2
]}

Wainwripht, Frank C. ^{[1
]}

Rhue, Colette H. ^{[1
]}

Pelic, Christine M. ^{[1
,2
]}

Pelic, Christopher G. ^{[2
,3
]}

Koval, Renee ^{[4
]}

York, Janet A. ^{[1
]}

机构：

[1] Ralph H Johnson VAMC, Charleston, SC USA

[2] Med Univ South Carolina, Charleston, SC 29425 USA

[3] VHA Off Acad Affiliat, Washington, DC USA

[4] DeSales Univ, Philadelphia, PA USA

来源：

JOURNAL OF THE AMERICAN PSYCHIATRIC NURSES ASSOCIATION | 2019年 / 25卷 / 03期

关键词：

mental health recovery; systems redesign and transformation; interdisciplinary quality improvement; nursing education; Veterans' health; psychiatric inpatient; Veteran health disparities; ILLNESS MANAGEMENT;

D O I：

10.1177/1078390318786024

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

INTRODUCTION:The Freedom Commission's recommendations, Substance Abuse and Mental Health Services Administration's framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre-post psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation.

引用

页码：208 / 217

页数：10

共 29 条

[1]

Aiyappan R., 2014, VETERANS RESOURCE BO

[2]

American Psychiatric Nurses Association, 2015, REC PRACT FAC TRAIN

[3]

[Anonymous], 2009, DHHS PUB

[4]

[Anonymous], 2004, NAT CONS STAT MENT H