Psychopharmacology and Psychotherapy Research

Kim, Ki-Won; Jeon, Hong Jin

doi:10.1007/978-981-32-9721-0_16

Cited by 1 publication

(1 citation statement)

References 88 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The profound cultural changes needed to initiate a PBC clinic requires 4-6 months of weekly consultation with both management and staff. With PBC, a multidisciplinary clinic offers medication management, therapy, case management, groups and peer support in "one stop shopping", decreasing time and travel burdens for patients (Kim & Jeon, 2019), and offering the opportunity for therapeutic benefits of engaging with staff other than their assigned provider or therapist (Dafsari et al, 2023;Posternak & Zimmerman, 2007). With a single multi-disciplinary care plan, patients wishing to engage in therapy and medications simultaneously, rather than sequentially, may experience more rapid response rates (Dunlop et al, 2019;Khan et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Phase-Based Care in Community Mental Health: A Cost-Effective Innovation Using Algorithms, Rating Scales and Treatment Teams for Depression Management

Rosen,

Hoy

2024

Community Ment Health J

View full text Add to dashboard Cite

This retrospective, observational report describes an innovative quality improvement process, Phase-based Care (PBC), that eliminated wait times and achieved positive clinical outcomes in a community mental health center’s (CMHC) mood disorder clinic without adding staff. PBC accomplishes this by eliminating the ingrained cultural practice of routinely scheduling stable patients at rote intervals of 1–3 months, regardless of clinical need or medical necessity. Based on four organizational transformations and using mathematical algorithms developed for this process, PBC re-allocates therapy and medical resources away from routinely scheduled appointments and front-loads those resources to patients in an acute phase of illness. To maintain wellness for patients in recovery, lower frequency and intensity approaches are used. This report describes the development of the PBC methodology focusing on the Rapid Recovery Clinic (RRC) comprised of 182 patients with a primary diagnosis of a mood disorder, the largest of the 14 PBC clinics created. Over an 18-month period, wait times were reduced from several months to less than one week and recovery rates, meaning no longer in an acute phase, were 63% and 78% at weeks 6 and 12, respectively for patients who engaged in the program.

show abstract