Evidence map›Paper›PMID 39585597›Full record

ArticleCommunity mental health journal2025

Implementing Quality Improvement Initiatives Within Community Psychiatry: Challenges and Strategies.

Lucy Ogbu-Nwobodo, Anya Fang, Harminder Gill, Sam Ricardo Saenz, Paul Wallace, Christina Mangurian, Johanna B Folk

Abstract read
In one paragraph

Article in Community mental health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lucy Ogbu-NwobodoDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA. Lucy.Ogbu-Nwobodo@ucsf.edu.ORCID 0009-0004-7264-729X
Anya FangDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-7213-5102
Harminder GillDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.
Sam Ricardo SaenzDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0001-5844-4446
Paul WallaceDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.
Christina MangurianDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.
Johanna B FolkDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0003-0503-7307

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Implementation of quality improvement (QI) initiatives within community mental health settings is crucial to addressing equity-related issues affecting mental health services delivery, including for co-occurring substance use disorders. Given the growing recognition of QI interventions as an effective framework to facilitate structural change within systems of care, it is important to equip mental health providers with the knowledge and ability to execute QI initiatives that are feasible, sustainable, and integrate a health equity lens. To demystify the QI process, we describe the design and methodologies of four fellows' capstone projects conducted during the 2022-2023 academic year at the University of California, San Francisco (UCSF) Public Psychiatry Fellowship at Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG). By highlighting fellows' experiences with leading QI initiatives within community mental health settings, we discuss strategies for overcoming implementation barriers including stakeholder engagement and transparency factors, resource and time constraints, unexpected changes in direction, and lack of infrastructure for QI. Lastly, we reflect on best practices and sustainability considerations for leading QI initiatives in partnership with academic centers, departments of public health, and community mental health clinics.

Indexed as

Community Mental Health ServicesCommunity PsychiatryQuality ImprovementHumansSan FranciscoHealth equityMental health disparitiesPublic psychiatryQuality improvement

Identifiers

PMID39585597
PMCPMC11968491

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.