Transforming mental healthcare: applying performance improvement methods to mental healthcare

Intro -- Cover -- Endorsements -- Half Title -- Title Page -- Copyright Page -- Contents -- Forewords -- Preface -- Acknowledgments -- About the Authors -- Introduction -- Contributors -- 1. The Need for Performance Improvement Methods in Mental Healthcare -- I. A Focus on the Mental Health 'System' of Care -- II. A New Paradigm for the Mental Health System -- III. The Burden of Mental Illness -- IV. The Connection between Behavioral Health and Overall Health -- V. Current State: Access to Care (And Its Impact on Society) -- A. Boarding in the Emergency Room -- B. Homelessness -- C. Mental Illness in Jails -- VI. Current State: Safety -- VII. Current State: Quality -- A. Underuse -- B. Overuse -- C. Misuse -- VIII. Current State: Delivery of Care (Fragmentation of Care) -- IX. Current State: Cost/Waste -- X. Current State: Morale/Workforce Challenges -- XI. A Call for a Better System -- A. Crossing the Quality Chasm -- B. The Quadruple Aim -- XII. Forces of Change -- A. Moving Away from the Model of a 'Cottage Industry' -- B. Technology -- C. The Voice of the Patient -- XIII. Learning from Our Context (Groundbreaking Improvement Efforts in Medicine) -- XIV. The Need to Reinvigorate and Redesign Mental Healthcare -- References -- 2. Value and Waste in Psychiatry -- I. Value -- A. Value and the Patient -- B. Value and the Family -- C. Value and the Organization -- D. Value and the Provider -- E. Value and the Payer -- F. Value and the Government -- G. Value and the Continuum of Care -- H. Value Added, Value Enabled, and Waste -- II. Waste -- A. Eight Forms of Waste -- 1. Overproduction -- 2. Defects -- 3. Waiting -- 4. Transportation -- 5. Motion -- 6. Extra Processing -- 7. Inventory -- 8. Non-Utilized Talent -- B. Waste Walks -- C. Constraint Management -- D. Waste in Psychiatry -- E. Within Treatment Waste -- F. Between Treatment Waste.