Cultural Change: Implementation of a Recovery Program in a Veterans Health Administration Medical Center Inpatient Unit

INTRODUCTION:The Freedom Commission’s recommendations, Substance Abuse and Mental Health Services Administration’s framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpati...

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Bibliographic Details
Published in:	Journal of the American Psychiatric Nurses Association Vol. 25; no. 3; pp. 208 - 217
Main Authors:	McDonagh, James G., Haren, William Blake, Valvano, Mary, Grubaugh, Anouk L., Wainwright, Frank C., Rhue, Colette H., Pelic, Christine M., Pelic, Christopher G., Koval, Renee, York, Janet A.
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 01-05-2019
Subjects:	Nursing mental health recovery Veterans’ health Veteran health disparities systems redesign and transformation nursing education interdisciplinary quality improvement psychiatric inpatient
Online Access:	Get full text
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Summary:	INTRODUCTION:The Freedom Commission’s recommendations, Substance Abuse and Mental Health Services Administration’s framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre–post psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1078-3903 1532-5725
DOI:	10.1177/1078390318786024