wow-inequalities/02-data/intermediate/wos_sample/98d99034a511bace45464ec9f031a512-hamilton-alison-b./info.yaml

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abstract: 'ObjectiveStudy a quality improvement approach for implementing
evidence-based employment services at specialty mental health clinics.
Data Sources/Study SettingSemistructured interviews with clinicians and
administrators before, during, and after implementation. Qualitative
field notes, structured baseline and follow-up interviews with patients,
semistructured interviews with patients after implementation, and
administrative data.
Study DesignSite-level controlled trial at four implementation and four
control sites. Hybrid implementation-effectiveness study with mixed
methods intervention evaluation design.
Data Collection/Extraction MethodsSite visits, in-person and telephone
interviews, patient surveys, patient self-assessment. A total of 801
patients completed baseline surveys and 53 clinicians and other clinical
key stakeholders completed longitudinal qualitative interviews.
Principal FindingsAt baseline, sites varied in the availability,
utilization, and quality of supported employment. Each site needed
quality improvement for this service, though for differing reasons, with
some needing development of the service itself and others needing
increased service capacity. Improvements in knowledge, attitudes,
beliefs, and referral behaviors were evident in mid- and
postimplementation interviews, though some barriers persisted. Half of
patients expressed an interest in working at baseline. Patients at
implementation sites were 2.3 times more likely to receive employment
services during the study year. Those who had a service visit were more
likely to be employed at follow-up than those who did not.
ConclusionsStudies of implementation and effectiveness require mixed
methods to both enhance implementation in real time and provide context
for interpretation of complex results. In this study, a quality
improvement approach resulted in superior patient-level outcomes and
improved clinician knowledge, attitudes, and behaviors, in the context
of substantial variation among sites.'
affiliation: 'Hamilton, AB (Corresponding Author), Univ Calif Los Angeles, Dept Psychiat
\& Biobehav Sci, 11301 Wilshire Blvd 210A, Los Angeles, CA 90073 USA.
Hamilton, Alison B.; Cohen, Amy N.; Young, Alexander S., Univ Calif Los Angeles,
Dept Psychiat \& Biobehav Sci, Los Angeles, CA 90073 USA.
Hamilton, Alison B.; Cohen, Amy N.; Glover, Dawn L.; Young, Alexander S., Greater
Los Angeles VA Healthcare Ctr, Los Angeles, CA 90073 USA.
Whelan, Fiona, Univ Calif Los Angeles, Dept Psychiat \& Biobehav Sci, Semel Inst
Biostat Core SIStat, Los Angeles, CA 90073 USA.
Chemerinski, Eran, James J Peters VA Med Ctr, Bronx, NY USA.
McNagny, Kirk P.; Reist, Christopher, Long Beach VA Healthcare Syst, Long Beach,
CA USA.
Mullins, Deborah, Michael E DeBakey VA Med Ctr, Houston, TX USA.
Schubert, Max, Cent Texas Vet Healthcare Syst, Waco, TX USA.'
author: Hamilton, Alison B. and Cohen, Amy N. and Glover, Dawn L. and Whelan, Fiona
and Chemerinski, Eran and McNagny, Kirk P. and Mullins, Deborah and Reist, Christopher
and Schubert, Max and Young, Alexander S.
author-email: alisonh@ucla.edu
author_list:
- family: Hamilton
given: Alison B.
- family: Cohen
given: Amy N.
- family: Glover
given: Dawn L.
- family: Whelan
given: Fiona
- family: Chemerinski
given: Eran
- family: McNagny
given: Kirk P.
- family: Mullins
given: Deborah
- family: Reist
given: Christopher
- family: Schubert
given: Max
- family: Young
given: Alexander S.
da: '2023-09-28'
doi: 10.1111/1475-6773.12115
eissn: 1475-6773
files: []
issn: 0017-9124
journal: HEALTH SERVICES RESEARCH
keywords: 'Mixed methods; implementation research; schizophrenia; supported
employment; health services'
keywords-plus: 'SUPPORTED EMPLOYMENT; ORGANIZATIONAL READINESS; COMPETITIVE EMPLOYMENT;
MIXED METHODS; QUALITY; DESIGNS; MANAGEMENT; ILLNESS; CARE'
language: English
month: DEC
number: 6, 2
number-of-cited-references: '37'
orcid-numbers: 'Hamilton, Alison B/0000-0003-3998-7212
McNagny, Kelly/0000-0003-4737-3499'
pages: 2224-2244
papis_id: ff40ba377bddf2129774bba6d0eb72c7
ref: Hamilton2013implementationeviden
researcherid-numbers: 'Hamilton, Alison B/IUP-2045-2023
McNagny, Kelly/P-5239-2014'
times-cited: '20'
title: Implementation of Evidence-Based Employment Services in Specialty Mental Health
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000327391900006
usage-count-last-180-days: '0'
usage-count-since-2013: '19'
volume: '48'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2013'