TY - JOUR
AU - A. Burns
AU - E. Meanwell
AU - J. Blackburn
AU - Z. Adams
AU - L. Hulvershorn
AU - B. Pescosolido
A1 - 
AB - OBJECTIVE: Recent federal investments have accelerated a nationwide transformation of the behavioral health crisis care (BHCC) system, raising pertinent questions about quality and effectiveness. In response to calls to collect more data and define outcomes for assessing BHCC, this study sought to identify patient-centered outcomes (PCOs) from the perspectives of individuals with lived experience of a behavioral disorder and individuals who have delivered BHCC services. METHODS: Via a multiphased recruitment approach, qualitative interviews were conducted with 120 stakeholders: peers with lived experience (N=21), direct-service providers (N=47), program directors and managers (N=44), and executive leaders (N=8). All interview transcripts were analyzed by using an open coding approach to generate emerging themes that captured measurable components of BHCC and outcomes of interest meaningful to stakeholders. RESULTS: A PCO framework for evaluating BHCC was developed by mapping emerging themes to a conceptual framework adapted from Donabedian's structure-process-outcome model. Forty-five themes were identified and grouped under five domains: system structure, system implementation, system use, social outcomes, and health outcomes. CONCLUSIONS: Although further efforts are needed to engage patients and providers in the process of developing specific measures, this framework provides a starting point for PCO research on BHCC.
AD - Department of Psychiatry, Indiana University School of Medicine, Indianapolis (Burns, Adams, Hulvershorn); Department of Sociology (Burns, Pescosolido), Social Science Research Commons (Meanwell), and Irsay Institute (Pescosolido), Indiana University-Bloomington, Bloomington; Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis (Blackburn).
AN - 40534318
BT - Psychiatr Serv
C5 - Education & Workforce
CP - 9
DA - Sep 1
DO - 10.1176/appi.ps.20250040
DP - NLM
ET - 20250619
IS - 9
JF - Psychiatr Serv
LA - eng
N2 - OBJECTIVE: Recent federal investments have accelerated a nationwide transformation of the behavioral health crisis care (BHCC) system, raising pertinent questions about quality and effectiveness. In response to calls to collect more data and define outcomes for assessing BHCC, this study sought to identify patient-centered outcomes (PCOs) from the perspectives of individuals with lived experience of a behavioral disorder and individuals who have delivered BHCC services. METHODS: Via a multiphased recruitment approach, qualitative interviews were conducted with 120 stakeholders: peers with lived experience (N=21), direct-service providers (N=47), program directors and managers (N=44), and executive leaders (N=8). All interview transcripts were analyzed by using an open coding approach to generate emerging themes that captured measurable components of BHCC and outcomes of interest meaningful to stakeholders. RESULTS: A PCO framework for evaluating BHCC was developed by mapping emerging themes to a conceptual framework adapted from Donabedian's structure-process-outcome model. Forty-five themes were identified and grouped under five domains: system structure, system implementation, system use, social outcomes, and health outcomes. CONCLUSIONS: Although further efforts are needed to engage patients and providers in the process of developing specific measures, this framework provides a starting point for PCO research on BHCC.
PY - 2025
SN - 1075-2730
SP - 834
EP - 845+
ST - A Patient-Centered Outcomes Framework for Evaluating Behavioral Health Crisis Care
T1 - A Patient-Centered Outcomes Framework for Evaluating Behavioral Health Crisis Care
T2 - Psychiatr Serv
TI - A Patient-Centered Outcomes Framework for Evaluating Behavioral Health Crisis Care
U1 - Education & Workforce
U3 - 10.1176/appi.ps.20250040
VL - 76
VO - 1075-2730
Y1 - 2025
ER -