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A Guide for Health Systems to Save Lives from “Deaths of Despair” and Improve Community Well-Being
This guide provides recommendations and guidance for health care systems to improve mental health and well-being in the communities they serve, focusing specifically on saving lives from deaths of despair (i.e., deaths due to drugs, alcohol, and suicide).
A Guide to Promoting Health Care Workforce Well-Being During and After the COVID-19 Pandemic
This guide provides ideas and lessons learned to improve the well-being of the health care workforce and includes actions that individuals, leaders, and organizations can take to combat health care workforce burnout, fatigue, and emotional distress during the COVID-19 pandemic and beyond.
Workforce Safety Key to Patient Safety
Health care leaders increasingly recognize that patient safety is not possible without a workforce that is physically and psychologically safe, joyful, and thriving. This article describes three actionable recommendations to improve workforce safety.
Improving Behavioral Health Care in the ED and Upstream
Hospitals and communities are partnering to improve patient care and staff safety, while also decreasing avoidable, repeat emergency department visits for individuals with behavioral health and substance use issues presenting to the ED.
Integrating Behavioral Health in the Emergency Department and Upstream
This IHI Innovation Report discusses barriers to integrating behavioral health in the ED, and presents five drivers (emerging from six key themes from existing approaches) that form the building blocks of a theory of change for making improvements in this area.
Building a Culture of Improvement at East London NHS Foundation Trust
East London NHS Foundation Trust (ELFT) in the UK provides mental health and community services to a diverse and largely low-income population. By establishing an organization-wide culture of continuous improvement, and integrating quality improvement methodology and training at every level of work, ELFT has significantly reduced incidents of inpatient violence and improved staff satisfaction, among other achievements.
Behavioral Health Integration in Acute Medical Settings: An Opportunity to Improve Outcomes and Reduce Costs
Psychiatric comorbidities in acute medical settings are prevalent, but compared to ambulatory care, there are few models of integration of behavioral health. This article describes suggested barriers to better integration, core components of successful approaches, and the business case for this model of care based on a non-systematic literature review and expert interviews.
Community Health Workers for Patients with Medical and Behavioral Needs: Challenges and Opportunities
This article by IHI authors outlines challenges to successful community health worker programs for patients with medical and behavioral needs, proposes two design considerations for community-based behavioral health integration, and suggests ways in which quality improvement methods might help with both challenges.
Community-Based Behavioral Health Integration: A Focus on Community Health Workers to Support Individuals with Behavioral Health and Medical Needs
The aim of the IHI 90-day innovation project described in this report was to develop an approach to managing patients with comorbid behavioral health and medical needs in community-based settings. The report identifies four populations who could be well-served by community-based behavioral health integration and potential interventions to support these populations; describes the role and key functions of community health workers; and discusses key areas for future research and improvement.
Behavioral Health Integration: A Key Component of the Triple Aim
Organizations seeking to move toward the Triple Aim must develop an integrated behavioral health strategy across the continuum of care. This article discusses an Institute for Healthcare Improvement research project that examined the core principles underlying several successful approaches to behavioral health integration around the US.
Integrating Behavioral Health and Primary Care: IHI 90-Day R&D Project Final Summary Report
This IHI 90-day R&D project report examines the basic principles underlying existing, exemplary integration models and integrated organizations, identifies the core components required for success, and assesses how (or if) they are operationalized by each of the different models. The aim is to understand the core principles underlying successful integration of behavioral health services into primary care.
Integrating Behavioral Health into Primary Care
This article discusses ideas for overcoming common challenges in treating patients with medical and behavioral issues in a more integrated fashion; presents a set of Collaborative Care Components for Integrated Care that have shown results in reducing cost and improving outcomes and satisfaction; and describes layers of service in full-spectrum integrated care.