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Evidence-based psychosocial interventions and meaningful measurement tools are key drivers of quality improvement in the delivery of services for persons with mental health and substance use disorders; however, they will not lead to improvements in quality unless they are used appropriately and applied in a system or organization that is equipped to implement change. This chapter examines the array of levers that can be used by various categories of stakeholders to enhance the quality improvement of psychosocial interventions. Consumer participation in clinician training has led to trainees having a more positive attitude toward people with severe mental illness, valuing them as a knowledge resource, reconsidering stereotypes and assumptions about consumers, and improving their communication skills (Taylor et al., 2009; Towle and Godolphin, 2013; Turnbull et al., 2013). Effectiveness-implementation hybrid designs: Combining elements of clinical effectiveness and implementation research to enhance public health impact. Likewise, training has been shown to be effective when consumers play a significant role in developing the format and content of the training (Towle and Godolphin, 2013). Consumers have been involved at all levels of evaluation, from evaluation design to data collection (Delman, 2007). At the design level, consumer participation helps organizations understand clients’ views and expectations for mental health care (Linhorst and Eckert, 2002), and ensures that outcomes meaningful to consumers are included in evaluations and that data are collected in a way that is acceptable to and understood by consumers (Barbato et al., 2014). In Knowledge translation in health care: Moving from evidence to practice, edited by S.
As noted in Chapter 2, participatory action research (PAR) methods engage consumers. Training Consumers can be valuable members of the workforce training team. The active involvement of consumers in the education and training of health care professionals has been increasing largely because of recognition that patients have unique expertise derived from their experience of illness, treatment, and related socioeconomic detriments (Towle et al., 2010). The discussion is based on the premise that engaging the perspectives and leveraging the opportunities of multiple stakeholders can best accomplish overall system improvement. Consumer-driven and conducted survey research in action. The chapter is organized around five categories of stakeholders: The levers available to each of these categories of stakeholders are summarized in Table 6-1 and discussed in detail in the following sections. In Towards best practices for surveying persons with disabilities, Vol.