Keeping Up with the Times: Opportunities for applied research and quality improvement evaluation in a Child Partial Hospital Program
Donelan, Jill ; Daly, Stephanie
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Abstract
The Child Partial Hospitalization Program (CPHP) is a program of the Department of Psychiatry at Baystate Medical Center in Holyoke, MA. CPHP is an acute day treatment program offering a full range of clinical services within a highly structured setting for children and adolescents in need of psychiatric crisis intervention and stabilization. Methods of intervention are based on principles of trauma-informed care, Collaborative Problem Solving, and evidence-based interventions. The treatment model includes group psychotherapy, psychoeducation, recreational therapy, academic tutoring, psychiatric consultation, family engagement, and case management. Treatment goals include comprehensive assessment, conceptualization and referral to appropriate services as well as stabilization of high-risk symptoms.
The CPHP is constantly evolving as a result of the shifting healthcare landscape, developing models for mental health care, and changing demands from managed care systems. The challenge is to provide high quality care within this context. Current quality improvement efforts include refining the suicide risk assessment and management protocol, implementing Collaborative Problem Solving as a program model, and integrating trauma-informed assessment tools and practices.
Within this context, the CPHP is enthusiastically seeking research collaborators who share similar interests in completing applied research with this diverse, at-risk, and underserved population.
Goals of clinical relevance to the program which may be appropriate for applied research investigation include:
- improving safety (seclusion and restraint, staff injury, suicidal and self-harm behaviors, aggression, substance abuse)
- improving patient outcomes (readmission rates, successful transition to lower levels of care, decreased symptomatology, improved functioning)
- decreasing burnout, vicarious trauma and secondary traumatic