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J Am Psychiatr Nurses Assoc ; 25(3): 208-217, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29973093

RESUMO

INTRODUCTION: The Freedom Commission's recommendations, Substance Abuse and Mental Health Services Administration's framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre-post psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation.


Assuntos
Pacientes Internados/psicologia , Transtornos Mentais/reabilitação , Cultura Organizacional , Avaliação de Programas e Projetos de Saúde/métodos , Melhoria de Qualidade , Serviços de Saúde para Veteranos Militares , Hospitais Psiquiátricos , Humanos , Estados Unidos , Veteranos
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