The Impact of System Level Factors on Treatment Timeliness: Utilizing the Toyota Production System to Implement Direct Intake Scheduling in a Semi-rural Community Mental Health Clinic

Springer Science and Business Media LLC - Tập 40 - Trang 294-305 - 2013
Addie Weaver1, Catherine G. Greeno2, Donald H. Goughler3, Kathleen Yarzebinski4, Tina Zimmerman5, Carol Anderson6
1Curtis Research Center, University of Michigan School of Social Work, Ann Arbor, USA
2School of Social Work, University of Pittsburgh, Pittsburgh, USA
3Family Services of Western Pennsylvania, Pittsburgh, USA
4Family Services of Western PA, New Kensington, USA
5Allegheny Health Choices Inc, Pittsburgh, USA
6Department of Psychiatry, University of Pittsburgh, Pittsburgh, USA

Tóm tắt

This study examined the effect of using the Toyota Production System (TPS) to change intake procedures on treatment timeliness within a semi-rural community mental health clinic. One hundred randomly selected cases opened the year before the change and 100 randomly selected cases opened the year after the change were reviewed. An analysis of covariance demonstrated that changing intake procedures significantly decreased the number of days consumers waited for appointments (F(1,160) = 4.9; p = .03) from an average of 11 to 8 days. The pattern of difference on treatment timeliness was significantly different between adult and child programs (F(1,160) = 4.2; p = .04), with children waiting an average of 4 days longer than adults for appointments. Findings suggest that small system level changes may elicit important changes and that TPS offers a valuable model to improve processes within community mental health settings. Results also indicate that different factors drive adult and children’s treatment timeliness.

Tài liệu tham khảo

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