Total quality management in behavioral health care

Sluyter, Gary V.

doi:10.1002/yd.23319987906

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…16 Total quality management: Organisational psychologists have developed total quality management strategies for facilitating a team's ability to work together and implement effective interventions. 17 Total quality management is a set of development strategies to improve the quality and productivity of the work environment from the 'bottom up' (from the level of the case manager, job coach and rehabilitation counselor charged with day-to-day implementation, for instance). Supervisors and administrators may be removed from day-to-day affairs.…”

Section: Improving Organisational Dynamicsmentioning

confidence: 99%

Disseminating evidence-based mental health practices

Corrigan

McCracken

Blaser

2003

Evidence-Based Mental Health

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Section: Improving Organisational Dynamicsmentioning

confidence: 99%

Disseminating evidence-based mental health practices

Corrigan

McCracken

Blaser

2003

Evidence-Based Mental Health

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“…The changing focus of health care from a service to a business has brought with it the concept of total quality management (TQM), an approach to improving the quality of manufactured products with great emphasis on customer satisfaction and employee involvement in quality assessment (Berwick, 1989; Chowanec, 1994; Deming, 1986; JCAHO, 1991; Juran, 1988; Leebov & Ersoz, 1991; Sluyter & Mukherjee, 1993). The focus on customer satisfaction coincides with an evolving philosophy of care that includes the patient or client (customer) as an active participant in decision-making about treatment options, as well as in the evaluation of the outcome of treatment.…”

Section: Introductionmentioning

confidence: 99%

Mental health outcome assessment: The new agenda.

Eisen

Dickey²

1996

Psychotherapy: Theory, Research, Practice, Training

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This article reviews the new marketdriven demands for mental health outcomes research, summarizes issues pertaining to choice of outcome measures, describes the implementation of an outcome assessment system in a clinical environment, and suggests directions for the future. Rising health care costs and resulting reimbursement limitations imposed by third-party payers have led to increased demands to justify mental health services. Profiling, report cards, instrument panels, and benchmarking have emerged as methods for understanding, documenting, and reporting quality and outcomes of treatment. Several national efforts are underway to achieve consensus on a core battery of measures to serve as a standard for a national mental health "report card." An example of an outcome assessment system within a clinical setting is presented along with outcome profiles for age, gender, and diagnostic subgroups. Implications for the role of clinicians in outcome assessment efforts are discussed.The field of mental health outcomes research has produced a vast literature encompassing many professional disciplines (psychiatry, psychology,

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“…We also suggest that by taking into consideration both professional and consumer standards, this definition of ASDQ could aid in the prevention of certain potential pitfalls of quality management thought to arise from relying only on external industry standards (i.e., developed and marketed by external quality auditing entities). For example, (1) shifting responsibility for quality problems exclusively to external sources, (2) establishment of a "compliance mentality" in the organization, (3) relatively heavy influence on organizational practices by professional standards rather than consumers of the service, (4) creating an aversive or punitive organizational culture in which individuals are singled out and punished for their deficiency reports, and ( 5) deficiency reports becoming an ends in themselves rather than being used to improve ASDQ (Sluyter, 1998).…”

Section: Asdq Definedmentioning

confidence: 99%

Exploring Quality in the Applied Behavior Analysis Service Delivery Industry

Silbaugh¹,

Fattal²

2021

Behav Analysis Practice

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As the applied behavior analysis (ABA) service industry ("the industry") continues to rapidly expand, it faces three major problems. First, ABA service delivery quality (ASDQ) is undefined in ABA research and the industry. Second, we cannot rely exclusively on professional organizations that oversee licensure and certification to control ABA service delivery quality because they do not have control over the relevant contingencies. Third, without objective indicators of ABA service delivery quality, it is difficult for ABA organizations to distinguish the quality of their services from competitors. In this article, first we explain the need for more critical discussion of ASDQ in the field at large, briefly describe a sample of common views of quality in ABA research and the industry, and identify some of their limitations. Then we define ASDQ and present a cohesive theoretical framework which brings ASDQ within the scope of our science so that we might take a more empirical approach to understanding and strengthening ASDQ. Next, we explain how organizations can use culturo-behavioral science to understand their organization's cultural practices in terms of cultural selection and use the evidence-based practice of ABA at the organizational level to evaluate the extent to which methods targeting change initiatives result in high ASDQ. Lastly, in a call to action we provide ABA service delivery organizations with six steps they can take now to pursue high ASDQ by applying concepts from culturo-behavioral science and total quality management.

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Total quality management in behavioral health care

Cited by 8 publications

References 18 publications

Disseminating evidence-based mental health practices

Disseminating evidence-based mental health practices

Mental health outcome assessment: The new agenda.

Exploring Quality in the Applied Behavior Analysis Service Delivery Industry

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