From: Disseminating quality improvement: study protocol for a large cluster-randomized trial
Reduce Waiting Time (months 1 to 6) | Increase Continuation (months 7 to 12) | Increase Admissions (months 13 to 18) |
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Increase availability of time slots • Add groups • Add time slots • Combine intake appointments • Double-book time slots Increase the amount of counseling • Ask clients to complete paperwork • Assign backup counselors • Cross-train counselors • Eliminate excessive paperwork • Reassign tasks • Transition existing clients Eliminate appointments • Establish walk-in hours • Provide interim services Make appointments immediately • Make appointments at the front desk • Make appointments during the first call for service • Open access to all time slots • Suspend financial arrangements | Make it easy to enter treatment • Connect with clients during first contact • Establish clear two-way expectations • Help eliminate barriers to treatment • Include family and friends • Offer an inviting physical environment • Remind clients about the next appointment Make it difficult to refuse or quit treatment • Collaborate with referral sources • Follow up with no-shows • Identify clients at risk for leaving and intervene Make it easy to stay in treatment • Assign peer buddies • Build community among clients • Have clients help create their treatment plans • Have clients select groups • Use contingency management | Clients • Offer a tour guide • Overlap levels of care • Blend levels of care • Include family and friends in discharge and admission planning • Use motivational interviewing • Use video conferencing • Map out continuing treatment • Orient clients to outpatient treatment • Offer telephone support • Reward attendance at the first outpatient appointment Referrers • Assign one contact person to each referral source • Schedule outpatient appointments before clients leave • Guide referral sources to make appropriate referrals • Tailor brochures for each referral source • Hold joint staffing • Streamline paperwork • Increase referral sources |