Public-Academic Partnerships: A Program to Improve the Quality of Antipsychotic Prescribing in a Community Mental Health System

Brunette, Mary F.; Nesnera, Alexander de; Swain, Karin; Riera, Erik G.; Lotz, Doris; Bartels, Stephen J.

doi:10.1176/appi.ps.62.9.1004

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…Public care agency leaders and academic researchers in PAPs declining and terminated perceived a low level of alignment in the context. This echoes the findings from studies focused on PAPs in other fields, such as public health insurance [ 31 ], environmental health [ 32 ], health care delivery [ 30 ], child welfare and mental health services [ 10 ], and general and adult mental health care [ 2 , 4 - 6 , 37 ] in which successful PAPs were reported to have aligned structure, goals, and agenda-setting process.…”

Section: Discussionsupporting

confidence: 69%

“…PAPs need conveners to bring partners together into a partnership formation. Previous studies have documented the importance of such a role in bringing partners together in long-standing relationships within both organizations, identifying problem areas and developing initiatives in response, maintaining the necessary structure of PAP to disseminate the information generated by the partnership, and promoting the use of research evidence by policy makers [ 33 , 35 , 37 ]. Individuals who possess knowledge spanning both research and policy realms can support translating knowledge into the policy process [ 35 ].…”

Section: Introductionmentioning

confidence: 99%

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Purpose Formulation, Coalition Building, and Evidence Use in Public–Academic Partnerships: Web-Based Survey Study

Kang-Yi¹,

Page²

2022

JMIR Hum Factors

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Background Partnerships between academic institutions and public care agencies (public–academic partnerships [PAPs]) can promote effective policy making and care delivery. Public care agencies are often engaged in PAPs for evidence-informed policy making in health care. Previous research has reported essential partnership contextual factors and mechanisms that promote evidence-based policy making and practice in health care. However, the studies have not yet informed whether public care agency leaders’ and academic researchers’ perceptions of partnership purpose formulation and coalition building evolve through the PAP life cycle and whether public care agency leaders’ use of research evidence differs through life cycle stages. Objective This exploratory study aims to focus on PAPs designed to improve youth mental health and well-being outcomes. This study also aims to identify public care agency leaders’ and academic researchers’ perceptions of PAP purpose formulation (structure, goals, primary function, and agenda-setting process) and coalition building (mutual benefits, trust, convener’s role, member role clarity, and conflict management) by PAP life cycle stage and examine whether public care agency leaders’ use of research evidence differs according to the perception of PAP purpose formulation and coalition building through the PAP life cycle. Methods A web-based survey of PAP experience was conducted by recruiting academic researchers (n=40) and public care agency leaders (n=26) who were engaged in PAPs for the past 10 years. Public care agency leaders additionally participated in the survey of the Structured Interview for Evidence Use scale (n=48). Results Most public care agency leaders and academic researchers in PAPs formed, matured, and sustained perceived their PAP as having purpose formulation context well aligned with their organizational purpose formulation context, pursuing mutual benefits, having leadership representation and role clarity, having a higher level of trust, and knowing how to handle conflicts. Most PAPs across all life cycle stages crystallized another issue to focus, but not all PAPs with issue crystallization had purpose reformulation. Public care agency leaders who trusted academic researchers in their PAP had greater use of research evidence. Public care agency leaders in PAPs that had gone through new issue crystallization also showed greater use of research evidence compared with those that had not. Conclusions To promote public care agency leaders’ use of research evidence, focusing on developing trusting partnerships and continuously crystallizing PAP issues are important. International Registered Report Identifier (IRRID) RR2-10.2196/14382

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Purpose Formulation, Coalition Building, and Evidence Use in Public–Academic Partnerships: Web-Based Survey Study

Kang-Yi¹,

Page²

2022

JMIR Hum Factors

View full text Add to dashboard Cite

show abstract

“…Public care agency leaders and academic researchers in PAPs declining and terminated perceived a low level of alignment in the context. This echoes the findings from studies focused on PAPs in other fields, such as public health insurance [31], environmental health [32], health care delivery [30], child welfare and mental health services [10], and general and adult mental health care [2,[4][5][6]37] in which successful PAPs were reported to have aligned structure, goals, and agenda-setting process.…”

Section: Purpose Formulation Coalition Building and Pap Life Cycle St...supporting

confidence: 73%

Purpose Formulation, Coalition Building, and Evidence Use in Public–Academic Partnerships: Web-Based Survey Study (Preprint)

Kang-Yi¹,

Page²

2021

Preprint

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BACKGROUND Partnerships between academic institutions and public care agencies (public–academic partnerships [PAPs]) can promote effective policy making and care delivery. Public care agencies are often engaged in PAPs for evidence-informed policy making in health care. Previous research has reported essential partnership contextual factors and mechanisms that promote evidence-based policy making and practice in health care. However, the studies have not yet informed whether public care agency leaders’ and academic researchers’ perceptions of partnership purpose formulation and coalition building evolve through the PAP life cycle and whether public care agency leaders’ use of research evidence differs through life cycle stages. OBJECTIVE This exploratory study aims to focus on PAPs designed to improve youth mental health and well-being outcomes. This study also aims to identify public care agency leaders’ and academic researchers’ perceptions of PAP purpose formulation (structure, goals, primary function, and agenda-setting process) and coalition building (mutual benefits, trust, convener’s role, member role clarity, and conflict management) by PAP life cycle stage and examine whether public care agency leaders’ use of research evidence differs according to the perception of PAP purpose formulation and coalition building through the PAP life cycle. METHODS A web-based survey of PAP experience was conducted by recruiting academic researchers (n=40) and public care agency leaders (n=26) who were engaged in PAPs for the past 10 years. Public care agency leaders additionally participated in the survey of the Structured Interview for Evidence Use scale (n=48). RESULTS Most public care agency leaders and academic researchers in PAPs formed, matured, and sustained perceived their PAP as having purpose formulation context well aligned with their organizational purpose formulation context, pursuing mutual benefits, having leadership representation and role clarity, having a higher level of trust, and knowing how to handle conflicts. Most PAPs across all life cycle stages crystallized another issue to focus, but not all PAPs with issue crystallization had purpose reformulation. Public care agency leaders who trusted academic researchers in their PAP had greater use of research evidence. Public care agency leaders in PAPs that had gone through new issue crystallization also showed greater use of research evidence compared with those that had not. CONCLUSIONS To promote public care agency leaders’ use of research evidence, focusing on developing trusting partnerships and continuously crystallizing PAP issues are important. INTERNATIONAL REGISTERED REPORT RR2-10.2196/14382

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“…The study state public mental health authority contracts with ten private, nonprofit community mental health centers to deliver rehabilitation services and comprehensive care to people with severe mental illness. During the period of study, the mental health authority initiated a quality initiative to improve health among people with severe mental illness (18). State leaders engaged community mental health center leaders, other community stakeholders such as the National Alliance on Mental Illness, and then all community mental health psychiatric care providers (psychiatrists and advance practice nurses) in the initiative with education and discussion.…”

Section: Methodsmentioning

confidence: 99%

“…To address this gap, we implemented a statewide program consisting of academic detailing with audit and feedback to community mental health psychiatric care providers (18). The intervention aimed to minimize the use of high cardiometabolic risk antipsychotics and antipsychotic polypharmacy.…”

mentioning

confidence: 99%

Use of Academic Detailing With Audit and Feedback to Improve Antipsychotic Pharmacotherapy

Brunette

Cotes

Nesnera

et al. 2018

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Public-Academic Partnerships: A Program to Improve the Quality of Antipsychotic Prescribing in a Community Mental Health System

Cited by 4 publications

References 18 publications

Purpose Formulation, Coalition Building, and Evidence Use in Public–Academic Partnerships: Web-Based Survey Study

Purpose Formulation, Coalition Building, and Evidence Use in Public–Academic Partnerships: Web-Based Survey Study

Purpose Formulation, Coalition Building, and Evidence Use in Public–Academic Partnerships: Web-Based Survey Study (Preprint)

Use of Academic Detailing With Audit and Feedback to Improve Antipsychotic Pharmacotherapy

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