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Implementing Integrated Mental Health and Chaplain Care in a National Quality Improvement Initiative
Jason A Nieuwsma1, Heather A King1, George L Jackson1
1Dr. Nieuwsma, Dr. King, Dr. Jackson, Dr. Bidassie, Ms. Wright, Rev. Cantrell, Ms. White, and Dr. Meador are with the U.S. Department of Veterans Affairs (VA). Dr. Nieuwsma, Dr. King, and Dr. Jackson are also with Duke University Medical Center, Durham, North Carolina, and Dr. Meador is also with Vanderbilt University, Nashville, Tennessee. Dr. Bates, Dr. Rhodes, and Ms. Gatewood are with the Department of Defense (DoD), Arlington, Virginia.
Integrating chaplaincy and mental health care services improved collaboration and screening processes. This quality improvement initiative enhanced understanding and routine screening between chaplains and mental health professionals.
Area of Science:
- Healthcare quality improvement
- Interprofessional collaboration
- Mental health services integration
Background:
- Chaplaincy and mental health care services often operate in silos.
- Effective integration requires clear communication and defined roles.
- Quality improvement collaboratives can foster interdisciplinary synergy.
Purpose of the Study:
- To develop and implement a quality improvement learning collaborative.
- To enhance the integration of chaplaincy with mental health care services.
- To improve cross-disciplinary collaboration across six key domains.
Main Methods:
- A learning collaborative model was used.
- 14 healthcare facilities across VA and DoD participated.
- Teams focused on screening, referrals, assessment, communication, training, and role clarification.
Main Results:
- Post-collaboration, participants reported a clearer understanding of collaboration.
- Routine screening processes for interdisciplinary referrals significantly increased.
- Foundational efforts in awareness and screening showed promising outcomes.
Conclusions:
- Quality improvement collaboratives can effectively integrate chaplaincy and mental health care.
- Enhanced cross-disciplinary awareness and screening are key to successful integration.
- This model shows potential for improving patient care through interprofessional collaboration.
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