Use of Consumer Ratings for Quality Improvement in Behavioral Health Insurance Plans

Shaul, James A.; Eisen, Susan V.; Stringfellow, Vickie L.; Clarridge, Brian; Hermann, Richard C.; Nelson, Deborah B.; Anderson, Eric T.; Kubrin, Alan I.; Leff, H. Stephen; Cleary, Paul D.

doi:10.1016/s1070-3241(01)27019-9

Cited by 16 publications

(8 citation statements)

References 15 publications

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“…Both national consultation and community surveys suggest that more congruent decisions between service users and professionals are likely to emanate from trusting and respectful relationships developed over time. 40 , 66 , 101 Thus, although the net outcome of blended decision-making may approximate that of a professionally led care plan, the processes by which care is determined are arguably very different.…”

Section: Resultsmentioning

confidence: 99%

Systematic synthesis of barriers and facilitators to service user-led care planning

et al. 2015

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BackgroundService user (patient) involvement in care planning is a principle enshrined by mental health policy yet often attracts criticism from patients and carers in practice.AimsTo examine how user-involved care planning is operationalised within mental health services and to establish where, how and why challenges to service user involvement occur.MethodSystematic evidence synthesis.ResultsSynthesis of data from 117 studies suggests that service user involvement fails because the patients' frame of reference diverges from that of providers. Service users and carers attributed highest value to the relational aspects of care planning. Health professionals inconsistently acknowledged the quality of the care planning process, tending instead to define service user involvement in terms of quantifiable service-led outcomes.ConclusionsService user-involved care planning is typically operationalised as a series of practice-based activities compliant with auditor standards. Meaningful involvement demands new patient-centred definitions of care planning quality. New organisational initiatives should validate time spent with service users and display more tangible and flexible commitments to meeting their needs.

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Section: Resultsmentioning

confidence: 99%

Systematic synthesis of barriers and facilitators to service user-led care planning

et al. 2015

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“…The CSQ 38,39 is a 44-item self-rated scale to the 56-item Consumer Assessment of Behavioral Health Services measure. The CSQ assesses patients’ perceptions of their behavioral health services, such as their quality of care, the accessibility of psychiatrists, and degree to which they felt treated with “respect” and “courtesy,” among other items.…”

Section: Methodsmentioning

confidence: 99%

Association Between Therapeutic Alliance, Care Satisfaction, and Pharmacological Adherence in Bipolar Disorder

Sylvia

Hay²,

Ostacher³

et al. 2013

Journal of Clinical Psychopharmacology

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Objectives We sought to understand the association of specific aspects of care satisfaction, such as patients’ perceived relationship with their psychiatrist and access to their psychiatrist and staff, and therapeutic alliance with participants’ likelihood to adhere to their medication regimens among patients with bipolar disorder. Methods We examined data from the multicenter Systematic Treatment Enhancement Program for Bipolar Disorder, an effectiveness study investigating the course and treatment of bipolar disorder. We expected that participants (n = 3037) with positive perceptions of their relationship with their psychiatrist and quality of psychopharmacologic care, as assessed by the Helping Alliance Questionnaire and Care Satisfaction Questionnaire, would be associated with better medication adherence. We utilized logistic regression models controlling for already established factors associated with poor adherence. Results Patients’ perceptions of collaboration, empathy, and accessibility were significantly associated with adherence to treatment in individuals with bipolar disorder completing at least 1 assessment. Patients’ perceptions of their psychiatrists’ experience, as well as of their degree of discussing medication risks and benefits, were not associated with medication adherence. Conclusions Patients’ perceived therapeutic alliance and treatment environment impact their adherence to pharmacotherapy recommendations. This study may enable psychopharmacologists’ practices to be structured to maximize features associated with greater medication adherence.

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“…Ways in which participating behavioral health plans used results of the CABHS survey for quality improvement are described in another paper. 46 Regarding implications for national policy initiatives, on January 19, 2000, a meeting hosted by the Center for Mental Health Services was held to review results of this study and to make recommendations for developing a single survey combining the best features of each. The meeting was attended by members of the CABHS-MHSIP research team, representatives from the Human Services Research Institute, file Center for Mental Health Services, NCQA, Washington Circle Group (on substance abuse services), and the National Alliance for the Mentally Ill.…”

Section: Implications For Behavioral Health Servicesmentioning

confidence: 99%

Toward a national consumer survey: Evaluation of the CABHS and MHSIP instruments

Eisen

Shaul

Leff

et al. 2001

The Journal of Behavioral Health Services & Research

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This article describes a study evaluating the Consumer Assessment of Behavioral Health Survey (CABHS) and the Mental Health Statistics Improvement Program (MHSIP) surveys. The purpose of the study was to provide data that could be used to develop recommendations for an improved instrument. Subjects were 3,443 adults in six behavioral health plans. The surveys did not differ significantly in response rate or consumer burden. Both surveys reliably assessed access to treatment and aspects of appropriateness and quality. The CABHS survey reliably assessed features of the insurance plan; the MHSIP survey reliably assessed treatment outcome. Analyses of comparable items suggested which survey items had greater validity. Results are discussed in terms of consistency with earlier research using these and other consumer surveys. Implications and recommendations for survey development, quality improvement, and national policy initiatives to evaluate health plan performance are presented.

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Use of Consumer Ratings for Quality Improvement in Behavioral Health Insurance Plans

Cited by 16 publications

References 15 publications

Systematic synthesis of barriers and facilitators to service user-led care planning

Systematic synthesis of barriers and facilitators to service user-led care planning

Association Between Therapeutic Alliance, Care Satisfaction, and Pharmacological Adherence in Bipolar Disorder

Toward a national consumer survey: Evaluation of the CABHS and MHSIP instruments

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