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A New Method for Inducing a Depression-Like Behavior in Rats

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Developing a national dissemination plan for collaborative care for depression: QUERI Series.

Jeffrey L Smith¹, John W Williams, Richard R Owen

¹VA Mental Health Quality Enhancement Research Initiative, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, Building 58 (152/NLR), North Little Rock, Arkansas, 72114, USA. Jeffrey.Smith6@va.gov

Implementation Science : IS

|January 2, 2009

Summary

The U.S. Department of Veterans Affairs developed a National Dissemination Plan to implement collaborative care for depression, addressing guidelines, training, marketing, and informatics. This plan aims to improve mental healthcare delivery across the system.

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Area of Science:

Implementation Science
Healthcare Management
Clinical Quality Improvement

Background:

Limited understanding of disseminating complex innovations in large healthcare systems.
The U.S. Department of Veterans Affairs (VA) Mental Health Quality Enhancement Research Initiative (MH-QUERI) developed strategies for national implementation of collaborative care for depression.
Partnership with clinical leaders is crucial for successful dissemination.

Purpose of the Study:

To describe the processes and tools used by MH-QUERI to prepare for national dissemination and implementation of collaborative care for depression.
To develop a National Dissemination Plan (NDP) through an evidence-based quality improvement (EBQI) process.
To guide the adaptation of research evidence to organizational needs within the VA.

Main Methods:

An evidence-based quality improvement (EBQI) process involving researchers and VA clinical/administrative leaders.
Development of a National Dissemination Plan (NDP) through iterative feedback and revisions.
Creation of 'Action Teams' to address NDP goals and a formative evaluation framework to monitor progress.

Main Results:

The NDP outlines goals for guidelines, training, marketing, and informatics support for collaborative care.
Action Teams are developing infrastructure for system-wide adoption, including updated guidelines and staff training.
Accomplishments include a literature review, TIDES care training and spread, and integration of assessment tools into VA software.
Common barriers include limited time, leader turnover, skill gaps, and coordination challenges.

Conclusions:

MH-QUERI partnered with VA leaders to create a flexible plan for disseminating collaborative care for depression.
The plan addresses key factors for successful implementation and spread across the VA healthcare system.
Early results indicate the plan is establishing a strong foundation for widespread adoption.