Can We Move the Needle on School Mental Health Quality Through Systematic Quality Improvement Collaboratives?

Connors, Elizabeth H.; Smith-Millman, Mills; Bohnenkamp, Jill H.; Carter, Taneisha; Lever, Nancy; Hoover, Sharon

doi:10.1007/s12310-020-09374-x

Cited by 14 publications

(16 citation statements)

References 48 publications

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“…4 The National Center for School Mental Health adapted the BTS model to improve school mental health systems across 14 states. 9 The Child Health and Development Institute used the BTS model in 15 collaboratives to disseminate and sustain various evidence-based mental health treatments. 47 Others have focused on behavioral health and primary care integration, supported employment, addiction treatment, and emergency department care.…”

Section: Learning Collaboratives In Behavioral Healthmentioning

confidence: 99%

“…4 While first developed in general health care, learning collaboratives, also called quality improvement collaboratives, have been used frequently in behavioral health by providers of training, technical assistance, and services as a strategy to promote quality improvement and implementation of a range of evidence-based practices (e.g., cognitive behavioral therapy for psychosis, integrated services for co-occurring mental health and substance use disorders, school mental health, supported employment, trauma informed care). [5][6][7][8][9][10][11][12] These collaboratives generally involve bringing together teams from different organizations and using experts to educate and coach them in a quality or implementation project and measure the effects. 13 Sharing of strategies, data, successes, and obstacles among participating teams is central to the approach.…”

Section: Introductionmentioning

confidence: 99%

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Learning Collaboratives: a Strategy for Quality Improvement and Implementation in Behavioral Health

Gotham

Paris

Hoge

2022

J Behav Health Serv Res

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Learning collaboratives are increasingly used in behavioral health. They generally involve bringing together teams from different organizations and using experts to educate and coach the teams in quality improvement, implementing evidence-based practices, and measuring the effects. Although learning collaboratives have demonstrated some effectiveness in general health care, the evidence is less clear in behavioral health and more rigorous studies are needed. Learning collaboratives may contain a range of elements, and which elements are included in any one learning collaborative varies widely; the unique contribution of each element has not been established. This commentary seeks to clarify the concept of a learning collaborative, highlight its common elements, review evidence of its effectiveness, identify its application in behavioral health, and highlight recommendations to guide technical assistance purveyors and behavioral health providers as they employ learning collaboratives to improve behavioral health access and quality.

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Section: Learning Collaboratives In Behavioral Healthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Learning Collaboratives: a Strategy for Quality Improvement and Implementation in Behavioral Health

Gotham

Paris

Hoge

2022

J Behav Health Serv Res

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“…LC district teams were selected through a competitive application process. There were 24 district teams in 14 states who participated in the LC, but teams could focus their quality improvement efforts on a variety of domains within SMH quality (Connors et al, 2020). Thus, only a subset of teams focused on mental health screening during the LC.…”

Section: Methodsmentioning

confidence: 99%

“…Collection and use of quality improvement data submitted during the LC was approved by the University of Maryland Human Research Protections Office as nonhuman subjects research exempt from IRB oversight. Additional details about the LC model and data on the feasibility and acceptability of its application to SMH quality are available elsewhere (Connors et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

“…This study occurred within the context of a systematic, 15-month LC designed to support school district teams improve the quality of their multitiered SMH system (see Connors et al, 2020 for a detailed description). Teams applied to participate in the LC to improve SMH system quality, with screening as one of several domains they could opt to focus on.…”

Section: The Current Studymentioning

confidence: 99%

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Advancing mental health screening in schools: Innovative, field‐tested practices and observed trends during a 15‐month learning collaborative

Connors

Moffa

Carter

et al. 2022

Psychology in the Schools

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Schools are well positioned to facilitate early identification and intervention for youth with emerging mental health needs through universal mental health screening. Early identification of mental health concerns via screening can improve long‐term student development and success, but schools face logistical challenges and lack of pragmatic guidance to develop local screening policies and practices. This study summarizes mental health screening practices tested by six school districts participating in a 15‐month learning collaborative. Qualitative analysis of 42 Plan‐Do‐Study‐Act cycles revealed that districts tested quality improvement changes across seven screening practice areas, with all teams conducting at least one test to (1) build a foundation and (2) identify resources, logistics, and administration processes. Quantitative data indicated that the average percentage of total students screened increased from 0% to 22% (range = 270–4850 students screened at follow‐up). Together, these results demonstrate how school districts not currently engaged in mental health screening can apply small, specific tests of change to develop a locally‐tailored, practical, and scalable process to screen for student mental health concerns. Lessons learned are provided to inform future directions for school‐based teams.

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Advancing School Mental Health Quality Through National Learning Communities

Orenstein¹,

Connors²,

Fields³

et al. 2023

Issues in Clinical Child Psychology

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Can We Move the Needle on School Mental Health Quality Through Systematic Quality Improvement Collaboratives?

Cited by 14 publications

References 48 publications

Learning Collaboratives: a Strategy for Quality Improvement and Implementation in Behavioral Health

Learning Collaboratives: a Strategy for Quality Improvement and Implementation in Behavioral Health

Advancing mental health screening in schools: Innovative, field‐tested practices and observed trends during a 15‐month learning collaborative

Advancing School Mental Health Quality Through National Learning Communities

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