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Quality and Behavioral Health

This presentation discusses the integration of quality into behavioral health care from a public health viewpoint. Behavioral health disorders significantly impact public health and are associated with poorer physical health outcomes and substantial social costs. The presentation outlines the nine quality aims that can enhance service delivery and support within this field. Additionally, it emphasizes the importance of accountability in services and offers possible next steps including developing indicators for each aim to measure impact effectively.

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Quality and Behavioral Health

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  1. Quality and Behavioral Health Linda C. Degutis, DrPH, MSN National Center for injury Prevention and Control, Centers for Disease Control and Prevention Abraham Wandersman University of South Carolina

  2. Integrating Quality into Behavioral Health Care: A Public Health Perspective • Scaccia, Castellow, & Wandersman (2012)

  3. Overview • Impact of behavioral health disorders on public health • Use of 9 Quality Aims to structure quality in service delivery and support • Framework for determining scope of analysis (continuum of care and levels) • Possible next steps

  4. Importance of Behavioral Health to Public Health • Behavioral health disorders are linked to poorer physical health • Significant social cost (Table 1) • Research-practice gap • Implementation problems • Insufficient accountability mechanisms

  5. Table 1: Example Estimates of Cost of Behavioral Health Disorders

  6. Nine Quality Aims in Behavioral Health • Population-Centered • Effective • Process: • Proactive • Vigilant • Transparent • Efficient • Outcomes: • Equitable • Risk-Reducing • Health-Promoting Positive Behavioral Health Outcomes

  7. Continuum of Care & Levels

  8. Prescription Drug Overdose

  9. Suicide Prevention

  10. Treatment Parity

  11. Possible Future Steps • Develop indicators for each aim • Accountability process • Indicators activities outcomes • Consider potential linkages with ACOs and quality measures • Evaluation ideas

  12. From Indicators to Outcomes with Getting To OutcomesA Results-Based Approach to Accountability in Planning, Implementation, and Evaluation Indicators for the Nine Quality Aims Needs and Resources (Step 1) Goals (Step 2) Best Practices (Step 3) Fit (Step 4) Capacities (Step 5) Plan (Step 6) Implementation (Step 7) Outcomes (Step 8) CQI (Step 9) Sustainability (Step 10)

  13. Thank you

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