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Report on Y-OQ from Provider Experience

Report on Y-OQ from Provider Experience. Presented today by : William J. Thornton, Ph.D. Perspectives Behavioral Health Mgmt. Disclosure. No vested interest No financial interest Support is professional and administrative. Changes in Mental Health Overdue. Ensure effective service

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Report on Y-OQ from Provider Experience

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  1. Report on Y-OQ from Provider Experience Presented today by : William J. Thornton, Ph.D. Perspectives Behavioral Health Mgmt.

  2. Disclosure • No vested interest • No financial interest • Support is professional and administrative

  3. Changes in Mental Health Overdue • Ensure effective service • Ensure fiscal responsibility to taxpayers

  4. Perspectives Committed to Excellence • Opportunity for Pilot Participation • Early awareness of initiative by “Pilot” staff resulted in “buy in.”

  5. Phases of Implementation: Phase I • ACT 1593 Legislated need for tool to guide service decisions and outcomes • The ACT further encouraged family-driven, child-centered, youth guided services and systems • Much comparison culminated in Y-OQ • As provider, fear/uncertainty began • At same time, hope/optimism

  6. Human Nature • Comfort is King • Forced change is the enemy • Reorganization/homeostasis

  7. Initial Response by Staff • Pilot team excited/enthusiastic, Hawthorn Effect? • Training helpful/insightful • Even pilot team foreclosed on potential value-Focus became the “score” • Others dreaded mandate • Success stories by pilot team and familiarity began softening resistance

  8. Phase I Net Result • Compelled implementation of Y-OQ demonstrates Government/Enterprise partnerships possible for greater good • Vast resources invested • State • Providers • Slow start implementing but gained speed

  9. Phase II • Implementation statewide deadline • Support ensued • PDA’s • Implementation conference calls

  10. Phase III: Present Day • Everyone now used to Y-OQ presence • Integrated into CQI • Randomly screening in staffing • Central component of RSPMI mandated “supervision” • As with prior phases, slow start but gaining steam • Long latency between training and use

  11. Phase III: State Support • Continuation of support • “clinical consultation” conference calls • Building participation and endorsement

  12. Directives from Pilot Satisfied • Ensure data utilized to drive services • Supervision • Staffing • CQI • Recommend Value Options screen for critical items • Ensure critical elements closely monitored • Established exclusive “Y-OQ” person to record

  13. Existing Obstacles • Many therapists not fluent in psychological testing • Conditioning process/time to integrate/embrace full value of Y-OQ • Paradigm shift from “hoop” to “valuable tool” • Still viewing “score” • Supportive training/reinforcement needed

  14. Overt/Covert Benefits of Y-OQ • Better care for consumers • Sensitive to change/perceived change • Instills hope • Transcends language barriers • Working on audio version • Reassurance for therapists/physicians • Provides data for accreditation documentation

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