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Quality improvement in a regional learning network: A case study on optimizing mental health services
Jillian Austin1, Allison Blackburn1, Diane King2
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.
Abstract:
Demand for pediatric mental and behavioral health (MBH) services continues to rise, yet access to clinicians delivering evidence-based practices remains limited. Less effective treatment prolongs care episodes, restricts access, and contributes to provider burnout and turnover. This article describes a case example of collaboration between an academic medical center and a community MBH organization within the Pediatric Improvement Network for Quality. Using improvement science and implementation practice strategies (training, consultation, and quality improvement), the partnership executed a system-wide rollout of measurement-based care training. We outline quality improvement processes for setting organization-specific aims, designing interventions, and tracking outcomes; detail the development of expert case consultation groups; and summarize the MBH organization's quality improvement journey from identifying priorities to implementing targeted strategies. Core interventions included provider training, integration of the Brief Outcome Survey into treatment, weekly expert case consultation, and efforts to mitigate provider burnout. Outcomes demonstrated increased provider self-efficacy and adherence to measurement-based care, improved caregiver engagement and satisfaction, shorter treatment durations, and reduced provider turnover. This case example demonstrates the significant impact that a coordinated academic-community partnership can have on expanding access to high-quality pediatric MBH care. The findings underscore the potential of scalable, cross-sector implementation strategies to address the nationwide shortage of effective pediatric MBH services. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
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