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A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community
The World Trade Center Health Program (WTCHP) provides mental health services through diverse service delivery mechanisms, however there are no current benchmarks to evaluate utilization or quality. This quality improvement (QI) initiative sought to examine the delivery and effectiveness of WTCHP me...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6540212/ https://www.ncbi.nlm.nih.gov/pubmed/31052246 http://dx.doi.org/10.3390/ijerph16091536 |
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author | Bellehsen, Mayer Moline, Jacqueline Rasul, Rehana Bevilacqua, Kristin Schneider, Samantha Kornrich, Jason Schwartz, Rebecca M. |
author_facet | Bellehsen, Mayer Moline, Jacqueline Rasul, Rehana Bevilacqua, Kristin Schneider, Samantha Kornrich, Jason Schwartz, Rebecca M. |
author_sort | Bellehsen, Mayer |
collection | PubMed |
description | The World Trade Center Health Program (WTCHP) provides mental health services through diverse service delivery mechanisms, however there are no current benchmarks to evaluate utilization or quality. This quality improvement (QI) initiative sought to examine the delivery and effectiveness of WTCHP mental health services for World Trade Center (WTC) responders who receive care through the Northwell Health Clinical Center of Excellence (CCE), and to characterize the delivery of evidence-based treatments (EBT) for mental health (MH) difficulties in this population. Methods include an analysis of QI data from the Northwell CCE, and annual WTCHP monitoring data for all responders certified for mental health treatment. Nearly 48.9% of enrolled responders with a WTC-certified diagnosis utilized treatment. The majority of treatment delivered was focused on WTC-related conditions. There was significant disagreement between provider-reported EBT use and independently-evaluated delivery of EBT (95.6% vs. 54.8%, p ≤ 0.001). EBT delivery was associated with a small decrease in Posttraumatic Stress Disorder (PTSD) symptoms over time. Providers engaged in the process of data collection, but there were challenges with adherence to outcome monitoring and goal setting. Data from this report can inform continued QI efforts in the WTCHP, as well as the implementation and evaluation of EBT. |
format | Online Article Text |
id | pubmed-6540212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-65402122019-06-05 A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community Bellehsen, Mayer Moline, Jacqueline Rasul, Rehana Bevilacqua, Kristin Schneider, Samantha Kornrich, Jason Schwartz, Rebecca M. Int J Environ Res Public Health Article The World Trade Center Health Program (WTCHP) provides mental health services through diverse service delivery mechanisms, however there are no current benchmarks to evaluate utilization or quality. This quality improvement (QI) initiative sought to examine the delivery and effectiveness of WTCHP mental health services for World Trade Center (WTC) responders who receive care through the Northwell Health Clinical Center of Excellence (CCE), and to characterize the delivery of evidence-based treatments (EBT) for mental health (MH) difficulties in this population. Methods include an analysis of QI data from the Northwell CCE, and annual WTCHP monitoring data for all responders certified for mental health treatment. Nearly 48.9% of enrolled responders with a WTC-certified diagnosis utilized treatment. The majority of treatment delivered was focused on WTC-related conditions. There was significant disagreement between provider-reported EBT use and independently-evaluated delivery of EBT (95.6% vs. 54.8%, p ≤ 0.001). EBT delivery was associated with a small decrease in Posttraumatic Stress Disorder (PTSD) symptoms over time. Providers engaged in the process of data collection, but there were challenges with adherence to outcome monitoring and goal setting. Data from this report can inform continued QI efforts in the WTCHP, as well as the implementation and evaluation of EBT. MDPI 2019-04-30 2019-05 /pmc/articles/PMC6540212/ /pubmed/31052246 http://dx.doi.org/10.3390/ijerph16091536 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bellehsen, Mayer Moline, Jacqueline Rasul, Rehana Bevilacqua, Kristin Schneider, Samantha Kornrich, Jason Schwartz, Rebecca M. A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community |
title | A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community |
title_full | A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community |
title_fullStr | A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community |
title_full_unstemmed | A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community |
title_short | A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community |
title_sort | quality improvement assessment of the delivery of mental health services among wtc responders treated in the community |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6540212/ https://www.ncbi.nlm.nih.gov/pubmed/31052246 http://dx.doi.org/10.3390/ijerph16091536 |
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