Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousa "for these individuals and their families; their employers and the workforce; for the nationa (TM)s economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis.Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substancea "use conditions will benefit from this guide to achieving better care.
Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders
1 Front Matter; 2 Summary; 3 1 The Quality Chasm in Health Care for Mental and Substance-Use Conditions; 4 2 A Framework for Improving Quality; 5 3 Supporting Patients' Decision-Making Abilities and Preferences; 6 4 Strengthening the Evidence Base and Quality Improvement Infrastructure; 7 5 Coordinating Care for Better Mental, Substance-Use, and General Health; 8 6 Ensuring the National Health Information Infrastructure Benefits with Mental and Substance-Use Conditions; 9 7 Increasing Workforce Capacity for Quality Improvement; 10 8 Using Marketplace Incentives to Leverage Needed Change; 11 9 An Agenda for Change; 12 Appendix A: Study Process and Committee Membership; 13 Appendix B: Contraints on Sharing Mental Health and Substance Use Treatment Information Imposed by Federal and State Medical Records Privacy Laws; 14 Appendix C: Mental and Substance Use Health for Veterans: Experience with Performance Evaluation in the Department of Veterans Affairs; 15 Index
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb
Institute of Medicine, Board on Health Care Services, Committee on Rapid Advance Demonstration Projects: Health Care Finance and Delivery Systems, Shari M. Erickson, Ann Greiner, Janet M. Corrigan
Institute of Medicine, Board on Health Care Services, Committee on Data Standards for Patient Safety, Shari M. Erickson, Julie Wolcott, Janet M. Corrigan, Philip Aspden
Institute of Medicine, Board on Health Care Services, Committee on Identifying and Preventing Medication Errors, Linda R. Cronenwett, J. Lyle Bootman, Julie Wolcott, Philip Aspden
Institute of Medicine, Board on Health Care Services, Committee on Identifying and Preventing Medication Errors, Linda R. Cronenwett, J. Lyle Bootman, Julie Wolcott, Philip Aspden
Institute of Medicine, Board on Health Care Services, Committee on Rapid Advance Demonstration Projects: Health Care Finance and Delivery Systems, Shari M. Erickson, Ann Greiner, Janet M. Corrigan
and Medicine National Academies of Sciences, Engineering, Institute of Medicine, Board on Health Care Services, Committee on Diagnostic Error in Health Care, John R. Ball, Bryan T. Miller, Erin P. Balogh