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Envisioning Transformation in VA Mental Health Services Through Collaborative Site Visits
Lisa K Kearney1, Jeanne A Schaefer1, Katherine M Dollar1
1Dr. Kearney and Dr. Dollar are with the U.S. Department of Veterans Affairs (VA) Center for Integrated Healthcare, Buffalo, New York. Dr. Kearney is also with the Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio. At the time of this research, Dr. Schaefer and Dr. Schohn, who are now retired, were with the VA Office of Mental Health Operations, Washington, D.C. Dr. Iwamasa, Dr. Katz, Dr. Schmitz, and Dr. Resnick are with the VA Office of Mental Health and Suicide Prevention, Washington, D.C. Dr. Resnick is also with the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut. Marcela Horvitz-Lennon, M.D., M.P.H., and Kenneth Minkoff, M.D., are editors of this column.
Abstract:
This column reviews the unique contributions of multiple partners in establishing a standardized site visit process to promote quality improvement in mental health care at the Veterans Health Administration. Working as a team, leaders in policy and operations, staff of research centers, and regional- and facility-level mental health leaders developed a standardized protocol for evaluating mental health services at each site and using the data to help implement policy goals. The authors discuss the challenges experienced and lessons learned in this systemwide process and how this information can be part of a framework for improving mental health services on a national level.
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