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  • 1
    Online Resource
    Online Resource
    Measuring the quality of care for psychological health conditions in the military health system : candidate quality measures for posttraumatic stress disorder and major depressive disorder (2015)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833086587 , 0833086588 , 9780833086594 , 0833086596 , 9780833086570 , 083308657X , 9780833086563
    Language: English
    Pages: 1 Online-Ressource (1 online resource)
    Parallel Title: Print version Hepner, Kimberly A Measuring the quality of care for psychological health conditions in the military health system
    Keywords: Soldiers Mental health services ; Evaluation ; Post-traumatic stress disorder ; Post-traumatic stress disorder Treatment ; Evaluation ; Depression, Mental ; Depression, Mental Treatment ; Evaluation ; Soldiers ; Post-traumatic stress disorder ; Post-traumatic stress disorder ; Depression, Mental ; Depression, Mental ; HEALTH & FITNESS ; Diseases ; General ; MEDICAL ; Clinical Medicine ; MEDICAL ; Diseases ; MEDICAL ; Evidence-Based Medicine ; MEDICAL ; Internal Medicine ; Depression, Mental ; Post-traumatic stress disorder ; United States ; United States Armed Forces ; Medical care ; Evaluation ; United States ; Electronic books
    Abstract: In recent years, the number of U.S. service members treated for psychological health conditions has increased substantially. In particular, at least two psychological health conditions - posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) - have become more common, with prevalence estimates up to 20 percent for PTSD and 37 percent for MDD. Delivering quality care to service members with these conditions is a high-priority goal for the military health system (MHS). Meeting this goal requires understanding the extent to which the care the MHS provides is consistent with evidence-based clinical practice guidelines and its own standards for quality. To better understand these issues, RAND Corporation researchers developed a framework to identify and classify a set of measures for monitoring the quality of care provided by the MHS for PTSD and MDD. The goal of this project was to identify, develop, and describe a set of candidate quality measures to assess care for PTSD and MDD. To accomplish this goal, the authors performed two tasks: (1) developed a conceptual framework for assessing the quality of care for psychological health conditions and (2) identified a candidate set of measures for monitoring, assessing, and improving the quality of care for PTSD and MDD. This document describes their research approach and the candidate measure sets for PTSD and MDD that they identified. The current task did not include implementation planning but provides the foundation for future RAND work to pilot a subset of these measures
    Note: Includes bibliographical references
    URL: Volltext  (kostenfrei)
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  • 2
    Online Resource
    Online Resource
    Improving care for co-occurring psychological health and substance use disorders : an implementation evaluation of the Co-Occurring Disorders Clinician Training Program (2015)
    Santa Monica, Calif : RAND Corporation
    Details
    ISBN: 9780833089083 , 0833091468 , 0833089080 , 9780833091468
    Language: English
    Pages: 1 Online-Ressource (xxv, 143 pages)
    Series Statement: [Research report] RR-435-OSD
    Parallel Title: Print version Hepner, Kimberly A Improving care for co-occurring psychological health and substance use disorders
    Keywords: United States Medical personnel ; Training of ; Evaluation ; United States ; Mental health personnel Training of ; Evaluation ; Dual diagnosis Treatment ; Study and teaching ; Evaluation ; Dual diagnosis Patients ; Care ; Evaluation ; Mental health personnel ; Dual diagnosis ; Dual diagnosis ; Psychiatry education ; Substance-Related Disorders therapy ; Substance-Related Disorders complications ; Comorbidity ; Mental Disorders complications ; Mental Disorders therapy ; MEDICAL ; Health Policy ; Substance Abuse Disorders ; Psychiatry ; Health & Biological Sciences ; United States ; United States ; Electronic book
    Abstract: 1. Introduction -- 2. The design and components of the CODP -- 3. Evaluation methods -- 4. Description of survey participants and SARP characteristics -- 5. Perceived utility and quality of the CODP -- 6. Implementation of the CODP at SARPs post-training -- 7. Facilitators and barriers to CODP implementation -- 8. SARP capability to provide integrated care for co-occurring disorders -- 9. Summary and recommendations -- Appendix A. Additional methodological details -- Appendix B. Key-informant discussion guide -- Appendix C. Web survey -- Appendix D. Staff discussion guide.
    Abstract: This report presents results of an implementation evaluation of a clinician training program to improve care for Navy personnel with co-occurring disorders. Clinicians saw a need for such training and viewed it positively. Results also suggest that careful planning and targeting training towards programs best suited to treating co-occurring disorders would improve training effectiveness and likely translate into higher-quality care
    Note: "National Defense Research Institute , "Prepared for the Office of the Secretary of Defense and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury , Includes bibliographical references (pages 137-143)
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  • 3
    Online Resource
    Online Resource
    Quality of care for PTSD and depression in the Military Health System : phase I report (2016)
    Santa Monica, CA : RAND
    Details
    ISBN: 9780833090508 , 0833090526 , 9780833090492 , 0833090518 , 083309050X , 9780833090515 , 9780833090522
    Language: English
    Pages: 1 Online-Ressource (xxxi, 188 pages)
    Series Statement: Research report RR-978-OSD
    Parallel Title: Erscheint auch als Hepner, Kimberly A Quality of care for PTSD and depression in the Military Health System
    Keywords: Medicine, Military Evaluation ; Post-traumatic stress disorder Treatment ; Depression, Mental Treatment ; Evaluation ; Soldiers Mental health ; Medicine, Military ; Post-traumatic stress disorder ; Depression, Mental ; Soldiers ; Military Medicine ; Stress Disorders, Post-Traumatic therapy ; Depression therapy ; Mental Health Services standards ; HEALTH & FITNESS ; Diseases ; General ; MEDICAL ; Clinical Medicine ; MEDICAL ; Diseases ; MEDICAL ; Evidence-Based Medicine ; MEDICAL ; Internal Medicine ; Post-traumatic stress disorder ; Treatment ; Soldiers ; Mental health ; Military Administration ; Military & Naval Science ; Law, Politics & Government ; United States ; PSYCHOLOGY ; Psychopathology ; Depression ; United States Armed Forces ; Medical care ; Evaluation ; United States ; United States ; Electronic book
    Abstract: Preface -- Figures -- Tables -- Summary -- Acknowledgments -- Abbreviations -- Chapter One: Introduction: PTSD and Depression Among Service Members -- Care Provided to Service Members with PTSD and Depression -- Measuring Quality of Health Care -- PTSD and Depression Quality Measures -- Organization of This Report -- Chapter Two: Methods: Overview -- Processing Inpatient and Outpatient Encounter Data -- Identification of Service Members in PTSD and Depression Cohorts -- Technical Specifications for Quality Measures -- Analyses -- Chapter Three: Characteristics of Service Members in PTSD and Depression Cohorts, and Their Care Settings and Treatments: Demographic Characteristics of the PTSD and Depression Cohorts -- Military Service Characteristics of the PTSD and Depression Cohorts -- Utilization of Mental Health Services -- Treatment Setting, Encounter Characteristics, and Types of Providers Seen by PTSD and Depression Patients -- Assessments and Behavioral Interventions Delivered to Service Members in the PTSD and Depression Cohorts -- Prescriptions for Psychotropic Medications Filled by Service Members in the PTSD and Depression Cohorts -- Summary -- Chapter Four: Quality of Care for PTSD and Depression: Quality Measure Results for PTSD -- Overview of Measures for Service Members in PTSD Cohort -- Quality Measure Results for Depression -- Summary of Measures for Service Members in the Depression Cohort -- Chapter Five: Variations in Care for PTSD and Depression Based on Patient Characteristics: Performance of PTSD Measures by Age of Service Member -- Performance of PTSD Measures by Race/Ethnicity of Service Member -- Performance of PTSD Measures by Gender of Service Member -- Performance of PTSD Measures by Pay Grade of Service Member -- Performance of PTSD Measures by Deployment History of Service Member -- Performance of Depression Measures by Age of Service Member -- Performance of Depression Measures by Race/Ethnicity of Service Member -- Performance of Depression Measures by Gender of Service Member -- Performance of Depression Measures by Pay Grade of Service Member -- Performance of Depression Measures by Deployment History of Service Member -- Summary of Variations by Service Member Characteristics -- Chapter Six: Summary and Recommendations: Main Findings -- Policy Implications -- Final Thoughts -- Appendix: A. Technical Specifications for Administrative Data Quality Measures for PTSD -- B. Technical Specifications for Administrative Data Quality Measures for Depression -- C. Rules for Processing Administrative Data for Inpatient Stays and Outpatient Visits -- References
    Abstract: Preface -- Figures -- Tables -- Summary -- Acknowledgments -- Abbreviations -- Chapter One: Introduction: PTSD and Depression Among Service Members -- Care Provided to Service Members with PTSD and Depression -- Measuring Quality of Health Care -- PTSD and Depression Quality Measures -- Organization of This Report -- Chapter Two: Methods: Overview -- Processing Inpatient and Outpatient Encounter Data -- Identification of Service Members in PTSD and Depression Cohorts -- Technical Specifications for Quality Measures -- Analyses -- Chapter Three: Characteristics of Service Members in PTSD and Depression Cohorts, and Their Care Settings and Treatments: Demographic Characteristics of the PTSD and Depression Cohorts -- Military Service Characteristics of the PTSD and Depression Cohorts -- Utilization of Mental Health Services -- Treatment Setting, Encounter Characteristics, and Types of Providers Seen by PTSD and Depression Patients -- Assessments and Behavioral Interventions Delivered to Service Members in the PTSD and Depression Cohorts -- Prescriptions for Psychotropic Medications Filled by Service Members in the PTSD and Depression Cohorts -- Summary -- Chapter Four: Quality of Care for PTSD and Depression: Quality Measure Results for PTSD -- Overview of Measures for Service Members in PTSD Cohort -- Quality Measure Results for Depression -- Summary of Measures for Service Members in the Depression Cohort -- Chapter Five: Variations in Care for PTSD and Depression Based on Patient Characteristics: Performance of PTSD Measures by Age of Service Member -- Performance of PTSD Measures by Race/Ethnicity of Service Member -- Performance of PTSD Measures by Gender of Service Member -- Performance of PTSD Measures by Pay Grade of Service Member -- Performance of PTSD Measures by Deployment History of Service Member -- Performance of Depression Measures by Age of Service Member -- Performance of Depression Measures by Race/Ethnicity of Service Member -- Performance of Depression Measures by Gender of Service Member -- Performance of Depression Measures by Pay Grade of Service Member -- Performance of Depression Measures by Deployment History of Service Member -- Summary of Variations by Service Member Characteristics -- Chapter Six: Summary and Recommendations: Main Findings -- Policy Implications -- Final Thoughts -- Appendix: A. Technical Specifications for Administrative Data Quality Measures for PTSD -- B. Technical Specifications for Administrative Data Quality Measures for Depression -- C. Rules for Processing Administrative Data for Inpatient Stays and Outpatient Visits -- References
    Note: "February 18, 2016"--Table of contents page , Includes bibliographical references
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  • 4
    Online Resource
    Online Resource
    Improving Care for Co-Occurring Psychological Health and Substance Use Disorders : An Implementation Evaluation of the Co-Occurring Disorders Clinician Training Program (2015)
    [Erscheinungsort nicht ermittelbar] : RAND Corporation
    Details
    ISBN: 9780833091468 , 9780833089083
    Language: Undetermined
    Pages: 1 Online-Ressource
    Keywords: Medical study & revision guides & reference material ; Medicolegal issues ; Psychology ; Coping with personal problems
    Abstract: This report presents results of an implementation evaluation of a clinician training program to improve care for Navy personnel with co-occurring disorders. Clinicians saw a need for such training and viewed it positively. Results also suggest that careful planning and targeting training towards programs best suited to treating co-occurring disorders would improve training effectiveness and likely translate into higher-quality care
    Note: English
    URL: kostenfrei
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  • 5
    Online Resource
    Online Resource
    Assessing the Quality and Value of Psychological Health Care in Civilian Health Plans : Lessons and Implications for the Military Health System (2015)
    [Erscheinungsort nicht ermittelbar] : RAND Corporation
    Details
    ISBN: 9780833093202 , 9780833087812
    Language: Undetermined
    Pages: 1 Online-Ressource
    Keywords: Medicolegal issues ; Clinical & internal medicine ; Psychology
    Abstract: The Military Health System (MHS) provides care to many patients with psychological health conditions, but little is known about the degree to which care adheres to evidence-based clinical practice guidelines or improves patient outcomes. RAND described civilian health plans’ approaches to measuring the quality of psychological health care as part of a larger effort to develop a framework for monitoring the quality of care in the MHS
    Note: English
    URL: kostenfrei
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  • 6
    Online Resource
    Online Resource
    Measuring the Quality of Care for Psychological Health Conditions in the Military Health System : Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder (2015)
    [Erscheinungsort nicht ermittelbar] : RAND Corporation
    Details
    ISBN: 9780833086594 , 9780833086563
    Language: Undetermined
    Pages: 1 Online-Ressource
    Keywords: Medicolegal issues ; Clinical & internal medicine ; Abnormal psychology
    Abstract: To inform improvements to the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder, researchers developed a framework and identified, developed, and described a candidate set of measures for monitoring, assessing, and improving the quality of care. This document describes their research approach and the measure sets that they identified
    Note: English
    URL: kostenfrei
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  • 7
    Online Resource
    Online Resource
    Quality of Care for PTSD and Depression in the Military Health System : Phase I Report (2012)
    [Erscheinungsort nicht ermittelbar] : RAND Corporation
    Details
    ISBN: 9780833090522 , 9780833090492
    Language: Undetermined
    Pages: 1 Online-Ressource
    Keywords: Clinical & internal medicine ; Psychology ; Abnormal psychology
    Abstract: Understanding the current quality of care for posttraumatic stress disorder (PTSD) and depression delivered to service members is an important step toward improving care across the Military Health System (MHS). T.his report describes the characteristics of active-component service members who received care for PTSD or depression through the MHS and assesses the quality of care received using quality measures derived from administrative data
    Note: English
    URL: kostenfrei
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