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Abstract
In response to changes in population patterns, resource allocation, and public attitudes, the New York State Office of Mental Health has revised its approach to psychiatric treatment. State psychiatric ftcilities have been downsized and now provide primanly intermediate and long-term care for individuals with serious and persistent mental illness (1). General hospitals are becoming the sole providers of acute psychiatric care, and county or nonprofit agencies are assuming additional responsibility for community support programs. During such periods of change, mental health facilities may be tempted to postpone attention to quality improvement until less hectic times. However, implementing a quality improvement program in the midst ofsystem change may actually increase a ftcility’s likelihood of a successful transition. This paper describes implementation of a quality improvement program at a state hospital in rural New York that was faced with substantial downsizing.
Published Version
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