National Quality Measures for Child Mental Health Care: Background, Progress, and Next Steps

Author:

Zima Bonnie T.1,Murphy J. Michael2,Scholle Sarah Hudson3,Hoagwood Kimberly Eaton4,Sachdeva Ramesh C.5,Mangione-Smith Rita6,Woods Donna7,Kamin Hayley S.8,Jellinek Michael9

Affiliation:

1. UCLA Center for Health Services & Society, UCLA Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles.;

2. Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;

3. National Committee for Quality Assurance, Washington, DC;

4. Department of Child Psychiatry, New York University Medical Center, New York, New York;

5. Medical College of Wisconsin, Children’s Hospital and Health System, Milwaukee, Wisconsin;

6. University of Washington, Seattle Children's Research Institute, Center for Child Health, Behavior, and Development, Seattle, Washington;

7. Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Illinois;

8. Department of Psychology, University of Florida, Gainesville, Florida; and

9. Partners Healthcare, Harvard Medical School, Boston, Massachusetts

Abstract

OBJECTIVE: To review recent health policies related to measuring child health care quality, the selection processes of national child health quality measures, the nationally recommended quality measures for child mental health care and their evidence strength, the progress made toward developing new measures, and early lessons learned from these national efforts. METHODS: Methods used included description of the selection process of child health care quality measures from 2 independent national initiatives, the recommended quality measures for child mental health care, and the strength of scientific evidence supporting them. RESULTS: Of the child health quality measures recommended or endorsed during these national initiatives, only 9 unique measures were related to child mental health. CONCLUSIONS: The development of new child mental health quality measures poses methodologic challenges that will require a paradigm shift to align research with its accelerated pace.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference69 articles.

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