Performance Improvement

Behavioral Health Division/Grant Street Partnership

 

Problem Statement

  • Group material is not organized into a specific theme.
  • Clients report groups are often boring and redundant, while lacking in continuity.
  • Boundaries and differentiation between psychoeducational and psychotherapy groups are often confused and unclear.
  • Staff reports decrease in motivation when facilitating groups due to lack of material that is both innovative and cohesive.

Design

  • Create a central file that incorporates all group material to be used for a six to eight week period.
  • Implement planned group curricula for both day and evening groups utilizing a time limited theme that will be repeated at six to eight week intervals.
  • Provide different curricula for day and evening program, ensuring there is no overlap between programs to minimize potential for redundancy.
  • Design group curricula that clearly differentiates between psychoeducational material and psychotherapy protocol.

Measure – Pre and Post  

  • Baseline data collection vis a vis a survey (S1) administered to clients prior to implementation of new group curricula.  Post implementation data will also be collected via administration of same survey.
  • Staff satisfaction will also be measured via a survey specifically designed for staff.

Assess

  • 4/1/045/1/04:  Post data collection, follow-up survey (S1) will be administered randomly throughout month to both day and evening clients to determine clients’ level of satisfaction with newly implemented group format.  Staff satisfaction will be assessed via survey with feedback given during weekly supervision.
  • 5/1/046/1/04: Monthly surveys given to both clients (S1) and staff (S2) to determine ongoing level of satisfaction.  Additions and/or changes will be made to curricula in accordance with results of survey and feedback by clients and staff.
  • 6/1/04 - 8/1/04: Administration of client and staff satisfaction surveys will continue every two months. Additions and/or changes will be made to curricula in accordance with results of survey and feedback by clients and staff.
  • 8/1/04-10/1/04: Continued administration of surveys (S1, S2).  Feedback will be processed during supervision and changes made accordingly.
  • 10/1/0412/1/04: Ongoing collection of feedback via surveys.
  • 12/1/042/1/05: Ongoing administration of surveys.
  • 2/1/044/1/05 : Ongoing administration of surveys.

 

Improve

  • Clinicians and case managers will utilize time more efficiently as topics and curricula for group are prepared in advance.
  • Staff motivation regarding group facilitation will increase due to access to psychoeducational and psychotherapeutic group material that is creative and organized.
  • Staff absences will be less problematic, as materials are available in central file, thereby allowing alternate staff to run group and maintain consistency with presentation of group curricula.
  • Client’s motivation for group will increase, secondary to improvement in group curricula that offers material that is relevant to their needs during the PHP and IOP phases of treatment.
  • Provision of GSP group information to auditors will be facilitated, as evidenced by a centralized file containing revised group material.