Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-23T17:57:55.339Z Has data issue: false hasContentIssue false

10 - Recovering US Mental Healthcare

Systems, Culture, and Change

from Part III - The Future

Published online by Cambridge University Press:  03 March 2022

By
Meaghan A. Stacy  and
Charlie A. Davidson
Edited by
Meaghan Stacy  and
Charlie A. Davidson
Meaghan Stacy
Affiliation:
Yale University, Connecticut
Charlie A. Davidson
Affiliation:
Emory University, Atlanta
Get access

Summary

This chapter summarizes the key themes from the preceding chapters by experts in the field of psychosis: the connection between mental healthcare and the larger social climate; the need to combat stigma and change beliefs and attitudes; the important role of training; the necessity of breaking down silos; and the essential nature of learning from others. Given that successful implementation and dissemination will likely require interventions at multiple levels of the system, we apply best practices from organizational change management to provide a path forward. Using the ADKAR model to develop awareness of the need for change, foster desire to be involved in the change, generate the knowledge and ability to participate in the change, and reinforce desired behaviors are essential steps forward. We provide concrete suggestions to promote change of the mental healthcare system as each step of the change process.

Keywords

change managementorganizational changesystems transformationADKAR model
Type
Chapter
Information
Recovering the US Mental Healthcare System
The Past, Present, and Future of Psychosocial Interventions for Psychosis
 , pp. 230 - 248
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(1), 1–15.Google Scholar
Davidson, L. (2016). The recovery movement: Implications for mental health care and enabling people to participate fully in life. Health Affairs, 35, 1091–1097.Google Scholar
DiClemente, C. C., & Velasquez, M. M. (2002). Motivational interviewing and the stages of change. Motivational interviewing: Preparing People for Change, 2, 201–216.Google Scholar
Dixon, L. B., Dickerson, F., Bellack, A. S., Bennett, M., Dickinson, D., Goldberg, R. W., … & Kreyenbuhl, J. (2010). The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophrenia Bulletin, 36(1), 48–70.Google Scholar
Faris, R. E. L., & Dunham, H. W. (1939). Mental disorders in urban areas: An ecological study of schizophrenia and other psychoses. University Chicago Press.Google Scholar
Glasgow, R. E. (2006). RE-AIMing research for application: Ways to improve evidence for family medicine. The Journal of the American Board of Family Medicine, 19(1), 11–19.Google Scholar
Green, L., Ottoson, J., García, C., & Hiatt, R. (2009). Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annual Review of Public Health, 30, 151–74Google Scholar
Hiatt, J. (2006). ADKAR: A Model For Change in Business, Government, and Our Community. Prosci, Inc.Google Scholar
Hiatt, J., & Creasey, T. J. (2003). Change Management: The People Side of Change. Prosci, Inc.Google Scholar
Karlin, B. E., & Cross, G. (2014). Enhancing access, fidelity, and outcomes in the national dissemination of evidence-based psychotherapies. American Psychologist, 69(7), 709–711. https://doi.org/10.1037/a0037384Google Scholar
Metzl, J. M. (2010). The protest psychosis: How schizophrenia became a black disease. Beacon Press.Google Scholar
Miller, W. R., & Rollnick, S. (2004). Talking oneself into change: Motivational interviewing, stages of change, and therapeutic process. Journal of Cognitive Psychotherapy, 18(4), 299–308.Google Scholar
National Institute for Health and Care Excellence (NICE). (2014). Psychosis and schizophrenia in adults: Prevention and management. NICE. https://www.nice.org.uk/guidance/cg178/chapter/1-Recommendations#subsequent-acute-episodes-of-psychosis-or-schizophrenia-and-referral-in-crisis-2Google Scholar
Prochaska, J. O., & Norcross, J. C. (2001). Stages of change. Psychotherapy: Theory, Research, Practice, Training, 38(4), 443.Google Scholar
Ringard, Å., Sagan, A., Sperre Saunes, I., Lindahl, A. K., & World Health Organization. (2013). Norway: Health system review. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/330299/HiT-15-8-2013-eng.pdfGoogle Scholar
Trochim, W. (2010). Translation won’t happen without dissemination and implementation: Some measurement and evaluation issues. 3rd Annual Conference on the Science of Dissemination and Implementation. Bethesda, MD.Google Scholar
Westfall, J., Mold, J., & Fagnan, L. (2007). Practice-based research: “Blue Highways” on the NIH roadmap. JAMA, 297, 403–406.Google Scholar
Williams, R. D., Shah, A., Tikkanen, R., Schneider, E. C., & Doty, M. M. (2020). Do Americans face greater mental health and economic consequences from COVID-19? Comparing the US with other high-income countries. Commonwealth Fund. Retrieved September, 15, 2020.Google Scholar
Wiltsey Stirman, S., & Beidas, R. S. (2020). Expanding the reach of psychological science through implementation science: Introduction to the special issue. American Psychologist, 75(8), 1033–1037. http://dx.doi.org/10.1037/amp0000774aGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×