A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community
A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community
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DOI：
10.3390/ijerph16091536
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发表时间：
2019-05-01
影响因子：
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通讯作者：
Schwartz, Rebecca M.
中科院分区：
文献类型：
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作者：
Bellehsen, Mayer;Moline, Jacqueline;Schwartz, Rebecca M.
世界贸易中心健康计划(WTCHP)通过不同的服务提供机制提供精神健康服务，但目前还没有评估利用率或质量的基准。这项质量改进(QI)计划旨在检查WTCHP为通过诺斯韦尔健康临床卓越中心(CCE)接受护理的世贸中心(WTC)应答者提供的精神卫生服务的交付和有效性，并确定针对这一人群的精神健康(MH)困难提供循证治疗(EBT)的特点。方法包括分析诺斯韦尔CCE的QI数据，以及所有获得精神健康治疗认证的应答者的WTCHP年度监测数据。拥有WTC认证诊断的登记应答者中，近48.9%使用了治疗。提供的大部分治疗都集中在与WTC相关的疾病上。提供者报告的EBT使用与独立评估的EBT交付之间存在显著差异(95.6%对54.8%，p
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