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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.
Virtual Learning Hour Special Series: Understanding and Addressing Sources of Caregiver Anxiety
September 11, 2020 | Learn about methods to understand and address sources of anxiety among health care professionals during the COVID-19 pandemic.
Virtual Learning Hour Special Series: Fostering Connection and Co-Creation
August 21, 2020 | Fostering connection and co-creation are tools that can help support the well-being of the health care workforce.
Virtual Learning Hour Special Series: Psychological Personal Protective Equipment (PPE)
August 7, 2020 | Psychological PPE, "personal protective equipment" to promote health care workforce mental health and well-being, has become even more essential during the COVID-19 pandemic.
"Psychological PPE”: Promote Health Care Workforce Mental Health and Well-Being
The COVID-19 pandemic is exacerbating existing issues with health care professional burnout and joy in work. Evidence-based recommendations for “psychological PPE” (protection and support for staff mental health and well-being) are intended for use by staff providing care during the COVID-19 pandemic.
Virtual Learning Hour Special Series: Peer Support: Fostering Connection and Destigmatizing Mental Health for Caregivers
July 24, 2020 | Peer support is an effective intervention in the pursuit of care team member well-being and joy in work, and can aid in destigmatizing health-seeking behaviors among caregivers.
Virtual Learning Hour Special Series: Transforming Moral Distress into Moral Resilience
July 10, 2020 | Tools and changes are needed to help caregivers mitigate and recover from moral injury while continuing to work in systems during the COVID-19 pandemic.
Virtual Learning Hour Special Series: COVID-19: Grief Leadership and System Supports
June 26, 2020 | Learn about specific leadership behaviors and system supports needed to address the mental health and well-being needs of caregivers, particularly during the COVID-19 pandemic.
Improving Behavioral Health Care in the Emergency Department and Upstream
This white paper provides actionable guidance for hospital emergency departments and their community partners to create a compassionate, seamless, and effective system of care for mental health and substance use disorder patients who present to the ED.
WIHI: The Benefits of Behavioral Health in the ED
November 14, 2019 | How can emergency departments improve care for behavioral health patients, and improve safety and joy for staff?
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.
WIHI: How to Build Better Behavioral Health in the Emergency Department
July 12, 2018 | Promising new practices are being tested in hospitals to integrate behavioral health in the emergency department and upstream.
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.
WIHI: When Everyone Knows Your Name: Identifying Patients with Complex Needs
January 29, 2015 | A relatively small percentage of the US population accounts for the largest share of health care costs. Everyone knows who we're talking about, right? Well, not exactly.
WIHI: The Road to Team-Based Primary Care and Behavioral Health
December 4, 2014 | Primary care practices across the US are facing a number of important challenges right now; prominent among them is doing a much better job at recognizing and helping patients with behavioral health issues.
WIHI: Mental Health Care in the Hospital: Preventing Harm, Promoting Safety
October 9, 2014 | This WIHI explores work that's underway in hospitals to prevent harm and promote safety for patients with psychiatric conditions and needs.
Behavioral Health Integration Capacity Assessment Tool
This tool is designed to assist behavioral health organizations in evaluating their ability to implement integrated care (specifically processes related to three approaches to integrated care: coordinate care, co-locate care, or build primary care capacity in-house), and enable them to assess existing operational and cultural infrastructure to support greater integration.
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.
Approaches to Integrating Primary Care Services into Behavioral Health Organizations
The guide lays out a continuum of primary care and behavioral health integration, beginning with engaging individuals with severe mental illness in discussions about their physical health to full integration.
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.