Adding a Measure of Mental Health Care Quality. The chief of psychiatry notes th

Question

Adding a Measure of Mental Health Care Quality.

The chief of psychiatry notes that prompt treatment is important in the treatment of several psychiatric conditions. “Prompt treatment is known to be effective in depression, post-traumatic stress, substance use disorders, and serious mental illness. We should have a goal of follow-up within 30 days whenever one of these conditions is noted as a possible diagnosis. I will propose some measures to track our performance. Can the team lay out a strategy to build a program and measures to encourage prompt diagnosis, and follow-up for identified cases so that they can be contacted for prompt evaluation and necessary care?

Explanation / Answer

Program & Measures for Prompt Diagnosis and Follow-up for Defined Priority Psychiatric Conditions

1.Initial Focussed Screening of Patients for the foll Conditions:

i)Depression Symptoms

ii)Post-Traumatic Stress

iii)Substance Use Disorders

iv) Serious Mental illness

2)Treatment Modalities and Weekly Progress Tracking Tools/Feedback Forms

i) Initiate the Treatment for the identified patients post screening post discussion with Chief of Psychaitry for his expert opinion

ii)Counsel them on their condition and the follow-up tools/feedback forms to be shared with the patien's close relatives,which will help in more efficient management and treatment of their condition.

iii) 30 Days Follow-up Visit Dates with Feedback Forms and Analysis of the Feedback Recd.Also monitor the behavioural pattern of each patient.

3) Consequent Period Patient Monitoring Systems and Treatment

i) Evaluate the efficacy and response achieved in the designated period with the currently used treatment regime against the expected goals

ii)Check for the required changes in the treatment protocol including addressing the side-effects seen etc due to the medications prescribed.

iii) Report the Patient Response and Progress Sheet to the Chief of Psychiatry to arrive at the next step of treatment.

I feel that the entire team under the Chief of Psychiatry's leadership has to really integrate together on this program to ensure that the diagnosis of such patients is ensured promptly which will also help to initiate timely treatment,monitor their progress effectively and likewise put them on the road to recovery much faster.

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