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Related Experiment Video

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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Cultural Change: Implementation of a Recovery Program in a Veterans Health Administration Medical Center Inpatient

James G McDonagh1, William Blake Haren2, Mary Valvano3

  • 11 James G. McDonagh, PsyD, Ralph H. Johnson VAMC, Charleston, SC, USA.

Journal of the American Psychiatric Nurses Association
|July 6, 2018
PubMed
Summary

Implementing recovery services in a Veterans Health Administration psychiatric unit significantly reduced rehospitalization by 46%. Veterans reported high satisfaction with group content and relevance, indicating successful mental health recovery program integration.

Keywords:
Veteran health disparitiesVeterans’ healthinterdisciplinary quality improvementmental health recoverynursing educationpsychiatric inpatientsystems redesign and transformation

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Area of Science:

  • Psychiatry
  • Health Services Research
  • Quality Improvement

Background:

  • Recovery-oriented services are transforming mental healthcare, driven by policy directives.
  • While outpatient settings have adopted these services, psychiatric inpatient units often remain traditional.
  • Implementing recovery services in inpatient psychiatric settings is crucial for comprehensive mental healthcare transformation.

Purpose of the Study:

  • To describe the quality improvement implementation of recovery services within a Veterans Health Administration acute psychiatric inpatient unit.
  • To evaluate the impact of recovery services on patient outcomes and program fidelity.

Main Methods:

  • An interprofessional team implemented the Partnership for Wellness program, offering 4–6 hours daily of evidence-based recovery and holistic health programs.
  • Key indicators including Veteran satisfaction, system performance, and program fidelity were systematically measured over a 2-year period.

Main Results:

  • Veterans highly rated the relevance and content of group sessions.
  • A 46% decrease in pre-post psychiatric rehospitalization rates was observed.
  • High fidelity to the recommended recovery-oriented strategies was maintained throughout the implementation.

Conclusions:

  • The successful integration of recovery services in an acute psychiatric inpatient unit is feasible and effective.
  • Strong leadership, staff commitment, effective training, and an innovative organizational culture are key drivers of project success.
  • This initiative demonstrates a successful model for enhancing mental health recovery services within the Veterans Health Administration.