Journal
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
Volume 55, Issue 9, Pages 549-557Publisher
CANADIAN PSYCHIATRIC ASSOC
DOI: 10.1177/070674371005500903
Keywords
mental disorders; quality of care; quality improvement; information systems; performance measurement
Categories
Funding
- Department of Veterans Affairs, VHA, Health Services Research and Development Service [IIR 02-283-2]
- National Institutes of Health (NIH) [R34 MH74509]
- Irving Institute for Clinical and Translational Research at Columbia University [UL1 RR024156]
- University of Pittsburgh's Clinical and Translational Science Institute [UL1 RR024153]
- National Center for Research Resources (NCRR), NIH
- Center for Education and Research on Therapeutics (CERT) at Rutgers
- Agency for Healthcare Research and Quality (AHRQ) [5 U18 HS016097]
- Center for Mental Health Services
- Substance Abuse and Mental Health Services administration
- US Department of Health and Human Services
- NCRR, NIH, Mental Health Therapeutics CERT at Rutgers [UL1 RR024156]
- International Initiative for Mental Health (Australia, Canada, England, Germany, Ireland, Japan, Netherlands, New Zealand, Norway, Scotland, Taiwan, and the United States)
- AGENCY FOR HEALTHCARE RESEARCH AND QUALITY [U18HS016097] Funding Source: NIH RePORTER
- NATIONAL CENTER FOR RESEARCH RESOURCES [UL1RR024153, UL1RR024156] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [R34MH074509, R01MH079994] Funding Source: NIH RePORTER
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The purpose of our paper is to delineate the barriers to mental health quality measurement, and to identify strategies to enhance the development and use of quality measures by mental health providers, programs, payers, and other stakeholders in the service of improving outcomes for people with mental health and substance use disorders. Key reasons for the lag in mental health performance measurement include lack of sufficient evidence regarding appropriate mental health care, poorly defined quality measures, limited descriptions of mental health services from existing clinical data, and lack of linked electronic health information. We discuss strategies for overcoming these barriers that are being implemented in several countries, including the need to have quality improvement as part of standard clinical training curricula, refinement of technologies to promote adequate data capture of mental health services, use of incentives to promote provider accountability for improving care, and the need for mental health researchers to improve the evidence base for mental health treatment.
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