Ongoing case management, education, and peer support to low-income parents struggling with mental health and substance abuse disorders focuses on reducing the stigma associated with illness, increasing positive family interaction, and identifying and addressing cognitive and behavioral problems in children. Evidence suggests the program leads to less mental health–related stigma and stress, improved parenting skills and social support networks, few psychiatric hospitalizations, enhanced access to needed services for children, and many lasting family reunifications.
A tailored, home-based physical therapy program slows functional decline in moderately frail, community-dwelling older adults.
CIGNA uses a multifaceted approach to facilitate culturally appropriate behavioral health care for members, including the matching of patients to providers who meet desired characteristics; the program enhanced the diversity of the behavioral health practitioner network and increased member satisfaction.
A hospital-based telephone triage system allows patients to describe their symptoms to a nurse, who uses an algorithm to assess acuity and determine the best setting for treatment, leading to reductions in emergency department patient volumes, wait times, average length of stay, and walkouts.
A 10-week, hospital-based support group offers information, education, and support to women suffering from postpartum depression, leading to reduced incidence of depression and increased life satisfaction.
A medical complex houses a primary care practice, a wide array of specialty practices, and ancillary service providers who operate independently but collaborate closely to provide same-day access and communicate in real time on individual cases, leading to improvements in breast and colon cancer screening rates and to higher physician and patient satisfaction.
During pre- and postsurgery visits, thoracic surgeons encourage lung cancer patients to quit smoking and provide assistance to help them do so, leading to a 35 percent quit rate, which is above the average quit rate documented in other smoking cessation programs.
General practices in England offered cognitive behavioral therapy via secure, online instant messaging to patients with depression, who could schedule and execute up to 10 online sessions with the same therapist; the program proved effective in helping participants recover from depression, with qualitative patient feedback suggesting that it may be attractive to certain subgroups of patients who lack access to or dislike face-to-face therapy.
Care staff use software-based protocols to screen older clients' medications and collaborate with pharmacists and physicians to reduce the risk of medication errors and adverse effects, leading to more appropriate medication use and fewer cases of duplicative medications.
A senior center–based practitioner meets with functionally independent, community-dwelling seniors to assess risk factors and develop a targeted self-management plan, and conducts followup visits and telephone calls with the seniors over a 6-month period to help them adhere to the plan. The program has led to fewer disability days and risk factors for disability, improved self-reported health status and ability to perform activities of daily living, and reduced inpatient utilization.