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Patient Driven Service Delivery Models in Mental Health Care

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Abstract

Current service delivery models for mental health care (especially inpatient mental health care) frequently result in patient noncompliance and repeated admissions. This chapter addresses both the noncompliance and recidivism issues by exploring patient driven service model creation. Using socio-ethnographic tools such as concept mapping, patient led focus groups, and patient populated advisory groups, service delivery models which are more acceptable to patients, lower in cost, and higher in quality can be developed. These are characterized by a greater level of individualization to specific patient needs than is currently allowed by service calls used. Service delivery models developed under these protocols leverage community resources and non-traditional sources of patient support to create patient approved service delivery where costs, resources, and responsibilities are controlled through a distributed model. The chapter aims at creating a vision of future mental health care that is free of many of the barriers which now impede patient adherence, cost controlled services, and delivery of high quality care. The objectives of this chapter are to demonstrate such ethnographic approaches in a manner that can be used by both novice learners and those more experienced. Hands on examples in a case study are included in the chapter.

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Author information

Authors and Affiliations

  1. University of Missouri, 734 CS&E Building, Columbia, MO, 65212, USA

    Patricia E. Alafaireet PhD, MHA

  2. Department of Psychiatry, University of Missouri, #3 Hospital Drive, Columbia, MO, 65212, USA

    Howard Houghton

Authors
  1. Patricia E. Alafaireet PhD, MHA
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  2. Howard Houghton
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Correspondence to Patricia E. Alafaireet PhD, MHA .

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Editors and Affiliations

  1. Hochschule Neu-Ulm, University of Applied Sciences, Neu-Ulm, Germany

    Mario A. Pfannstiel

  2. University of Potsdam, Potsdam, Germany

    Christoph Rasche

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Alafaireet, P.E., Houghton, H. (2017). Patient Driven Service Delivery Models in Mental Health Care. In: Pfannstiel, M., Rasche, C. (eds) Service Business Model Innovation in Healthcare and Hospital Management. Springer, Cham. https://doi.org/10.1007/978-3-319-46412-1_7

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