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Table of Contents
Contributors; Chapter 1: Introduction: The Quality Agenda in Behavioral Health; Introduction: The Quality Agenda in Behavioral Health; Current Issues in Behavioral Health Service and Research; Engagement of Non-evidence-Based and Harmful Treatments; Focus on Efficacy and Symptom Reduction; The QI Requirements of the ACA; Conclusion; References; Chapter 2: Behavioral Health Conditions: Direct Treatment Costs and Indirect Social Costs; Introduction; Prevalence of Behavioral Health Disorders; Assessing Costs and Benefits of Behavioral Health Care
Treatment Costs for Behavioral Health Indirect Costs Associated with Behavioral Health Conditions; Assessing Cost-Effectiveness of Treatment Strategies; Evidence: Is Integrated Care an Efficient Strategy?; Conclusion; References; Chapter 3: The Need for Quality Improvement in Behavioral Health; Current Problems in Behavioral Health Care; Overuse of Psychotropic Medications; Underutilization of Evidence-Based Psychosocial Interventions; The Efficacy-Effectiveness Gap; Reasons for the Problems in Behavioral Health Care; Over Medicalization of Behavioral Health Problems
Promotion of Nonevidence-Based Pharmacotherapy and Psychotherapy Lack of Adoption of Evidence-Based Psychotherapies by Community Therapists; Overemphasis on Short-Term Treatment Effects at the Expense of Long-Term Recovery; Failure to Utilize Evidence-Based Assessment and Monitoring Practices; How Quality Improvement Can Improve Behavioral Health Care; Improving Dissemination and Implementation of Evidence-Based Treatments; Employing Measurement-Based Care; Conclusion; References; Chapter 4: Total Quality Improvement: Increase Quality and Efficiency; Overview of TQM; TQM Principles
TQM Strategies Organization-Level Strategy: Control Charts; Project Level; Find an Opportunity to Improve; Organize a Team with Frontline Process Knowledge; Clarify Existing Knowledge; Uncover Sources of Variation; Synthesize Information to Design a Solution; Conclusion; References; Chapter 5: Quality Improvement and Clinical Psychological Science; Theme 1: Quality as a Multifaceted Construct; Theme 2: Focusing on Systems for Improvement; Theme 3: Identifying and Targeting Sources of Variability in Quality; Theme 4: Focusing on Consumers
Theme 5: Reducing Costs While Improving Quality Theme 6: Using Iterative Improvement Cycles and Continuous Evaluation; Conclusions; References; Chapter 6: The Toyota Way; Introduction; What Is the Toyota Way?; "Building Quality into the Process"; Eliminating Non-Value-Added Activities; Incorporate the Uniqueness of Being Human into Routine Systems; Origin of Quality Control; Learning Organization; Quality Assessment in Mental Health Care; Conclusions; Chapter 7: The Business Case for Quality Improvement in Behavioral Healthcare; Societal Perspective on Quality Improvement
Treatment Costs for Behavioral Health Indirect Costs Associated with Behavioral Health Conditions; Assessing Cost-Effectiveness of Treatment Strategies; Evidence: Is Integrated Care an Efficient Strategy?; Conclusion; References; Chapter 3: The Need for Quality Improvement in Behavioral Health; Current Problems in Behavioral Health Care; Overuse of Psychotropic Medications; Underutilization of Evidence-Based Psychosocial Interventions; The Efficacy-Effectiveness Gap; Reasons for the Problems in Behavioral Health Care; Over Medicalization of Behavioral Health Problems
Promotion of Nonevidence-Based Pharmacotherapy and Psychotherapy Lack of Adoption of Evidence-Based Psychotherapies by Community Therapists; Overemphasis on Short-Term Treatment Effects at the Expense of Long-Term Recovery; Failure to Utilize Evidence-Based Assessment and Monitoring Practices; How Quality Improvement Can Improve Behavioral Health Care; Improving Dissemination and Implementation of Evidence-Based Treatments; Employing Measurement-Based Care; Conclusion; References; Chapter 4: Total Quality Improvement: Increase Quality and Efficiency; Overview of TQM; TQM Principles
TQM Strategies Organization-Level Strategy: Control Charts; Project Level; Find an Opportunity to Improve; Organize a Team with Frontline Process Knowledge; Clarify Existing Knowledge; Uncover Sources of Variation; Synthesize Information to Design a Solution; Conclusion; References; Chapter 5: Quality Improvement and Clinical Psychological Science; Theme 1: Quality as a Multifaceted Construct; Theme 2: Focusing on Systems for Improvement; Theme 3: Identifying and Targeting Sources of Variability in Quality; Theme 4: Focusing on Consumers
Theme 5: Reducing Costs While Improving Quality Theme 6: Using Iterative Improvement Cycles and Continuous Evaluation; Conclusions; References; Chapter 6: The Toyota Way; Introduction; What Is the Toyota Way?; "Building Quality into the Process"; Eliminating Non-Value-Added Activities; Incorporate the Uniqueness of Being Human into Routine Systems; Origin of Quality Control; Learning Organization; Quality Assessment in Mental Health Care; Conclusions; Chapter 7: The Business Case for Quality Improvement in Behavioral Healthcare; Societal Perspective on Quality Improvement