%0 Journal Article
%T Cultural Change: Implementation of a Recovery Program in a Veterans Health Administration Medical Center Inpatient Unit
%A Anouk L. Grubaugh
%A Christine M. Pelic
%A Christopher G. Pelic
%A Colette H. Rhue
%A Frank C. Wainwright
%A James G. McDonagh
%A Janet A. York
%A Mary Valvano
%A Renee Koval
%A William Blake Haren
%J Journal of the American Psychiatric Nurses Association
%@ 1532-5725
%D 2019
%R 10.1177/1078390318786024
%X INTRODUCTION:The Freedom CommissionĄ¯s recommendations, Substance Abuse and Mental Health Services AdministrationĄ¯s framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre¨Cpost psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation
%K mental health recovery
%K systems redesign and transformation
%K interdisciplinary quality improvement
%K nursing education
%K VeteransĄ¯ health
%K psychiatric inpatient
%K Veteran health disparities
%U https://journals.sagepub.com/doi/full/10.1177/1078390318786024