{"id":{"repo_id":"msu","oai_identifier":"oai:d.lib.msu.edu:dnp_53"},"canonical_url":"https://search.dev.ndltd.org/etd/msu/oai:d.lib.msu.edu:dnp_53","repository":{"repo_id":"msu","name":"Michigan State University","base_url":"https://d.lib.msu.edu/oai"},"display":{"title":"Improving enrollment in outpatient group therapy at a federally qualified health center : a quality improvement project","abstract":"Background: An increase in demand for psychotherapy and a mental health provider shortage have created limited access to psychotherapy services. Group therapy is an evidence-based psychotherapy modality that improves access to psychotherapy but is often underutilized. Local Problem: An FQHC in Battle Creek, Michigan attempted to initiate a group therapy program to improve access to psychotherapy and provide the benefits of group therapy. The program was unsuccessful due to low enrollment. Methods: This evidence-based quality improvement project aims to increase enrollment in a group therapy program at an FQHC by structuring the enrollment process using evidence synthesized in a literature review. The enrollment process was implemented using the Plan-Do-Study-Act framework. The outcomes were evaluated based on the referrals received, the number of patients enrolled in group therapy, and patient feedback during the enrollment process. Interventions: Implementation of a structured enrollment process included written education for referring providers, educational flyers for patients, referral screening, verbal education for patients, and pre-screening/pre-training sessions provided by a therapist. Results: Enrollment in group therapy increased by 50% and was maintained throughout the sessions, sustaining the program. With the implementation of the interventions, the enrollment rate of patients meeting minimum criteria increased from 8% to about 21%. Conclusions: A structured group therapy enrollment process that increases appropriate referrals, addresses attitudes towards group therapy, ensures appropriate patient selection, and provides pre-screening/pre-training sessions may improve enrollment in group therapy.","abstract_html":"Background: An increase in demand for psychotherapy and a mental health provider shortage have created limited access to psychotherapy services. Group therapy is an evidence-based psychotherapy modality that improves access to psychotherapy but is often underutilized. Local Problem: An FQHC in Battle Creek, Michigan attempted to initiate a group therapy program to improve access to psychotherapy and provide the benefits of group therapy. The program was unsuccessful due to low enrollment. Methods: This evidence-based quality improvement project aims to increase enrollment in a group therapy program at an FQHC by structuring the enrollment process using evidence synthesized in a literature review. The enrollment process was implemented using the Plan-Do-Study-Act framework. The outcomes were evaluated based on the referrals received, the number of patients enrolled in group therapy, and patient feedback during the enrollment process. Interventions: Implementation of a structured enrollment process included written education for referring providers, educational flyers for patients, referral screening, verbal education for patients, and pre-screening/pre-training sessions provided by a therapist. Results: Enrollment in group therapy increased by 50% and was maintained throughout the sessions, sustaining the program. With the implementation of the interventions, the enrollment rate of patients meeting minimum criteria increased from 8% to about 21%. Conclusions: A structured group therapy enrollment process that increases appropriate referrals, addresses attitudes towards group therapy, ensures appropriate patient selection, and provides pre-screening/pre-training sessions may improve enrollment in group therapy.","abstract_has_math":false,"creators":["Wilkey, Janelle (Janelle Kaprice)"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Bowen, Morgan"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024","date_published":"2024","updated_at":"2026-07-24T03:16:39Z","subjects":["Group psychotherapy","Hospitals--Outpatient services--Utilization"],"languages":["English"],"rights":["Attribution 4.0 International"],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:53","oclc:1458458341","local:R_3qHYeGHGPk8zIm3"],"render_values":[{"text":"dnp:53","href":null,"code":true},{"text":"oclc:1458458341","href":null,"code":true},{"text":"local:R_3qHYeGHGPk8zIm3","href":null,"code":true}]}]},"links":{"outbound_url":"https://doi.org/doi:10.25335/g6ny-6q80","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Bowen, Morgan"]},{"key":"dc:creator","label":"Author","values":["Wilkey, Janelle (Janelle Kaprice)"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:coverage","label":"Dc Coverage","values":["Michigan--Battle Creek"]},{"key":"dc:date","label":"Dc Date","values":["2024"]},{"key":"dc:relation","label":"Dc Relation","values":["Doctor of Nursing Practice Projects"]},{"key":"dc:type","label":"Dc Type","values":["Text","Theses"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Group psychotherapy","Hospitals--Outpatient services--Utilization"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["Attribution 4.0 International"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["dnp:53","oclc:1458458341","local:R_3qHYeGHGPk8zIm3","https://doi.org/doi:10.25335/g6ny-6q80"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Background: An increase in demand for psychotherapy and a mental health provider shortage have created limited access to psychotherapy services. Group therapy is an evidence-based psychotherapy modality that improves access to psychotherapy but is often underutilized. Local Problem: An FQHC in Battle Creek, Michigan attempted to initiate a group therapy program to improve access to psychotherapy and provide the benefits of group therapy. The program was unsuccessful due to low enrollment. Methods: This evidence-based quality improvement project aims to increase enrollment in a group therapy program at an FQHC by structuring the enrollment process using evidence synthesized in a literature review. The enrollment process was implemented using the Plan-Do-Study-Act framework. The outcomes were evaluated based on the referrals received, the number of patients enrolled in group therapy, and patient feedback during the enrollment process. Interventions: Implementation of a structured enrollment process included written education for referring providers, educational flyers for patients, referral screening, verbal education for patients, and pre-screening/pre-training sessions provided by a therapist. Results: Enrollment in group therapy increased by 50% and was maintained throughout the sessions, sustaining the program. With the implementation of the interventions, the enrollment rate of patients meeting minimum criteria increased from 8% to about 21%. Conclusions: A structured group therapy enrollment process that increases appropriate referrals, addresses attitudes towards group therapy, ensures appropriate patient selection, and provides pre-screening/pre-training sessions may improve enrollment in group therapy.","Thesis (D.N.P.)--Michigan State University. Psychiatric mental health practitioner, 2024","Includes bibliographical references (pages 40-45)"]},{"key":"dc:format","label":"Dc Format","values":["71 pages","application/pdf"]},{"key":"dc:title","label":"Title","values":["Improving enrollment in outpatient group therapy at a federally qualified health center : a quality improvement project"]}]}],"canonical_facts":{"dc:contributor":["Bowen, Morgan"],"dc:coverage":["Michigan--Battle Creek"],"dc:creator":["Wilkey, Janelle (Janelle Kaprice)"],"dc:date":["2024"],"dc:description":["Background: An increase in demand for psychotherapy and a mental health provider shortage have created limited access to psychotherapy services. Group therapy is an evidence-based psychotherapy modality that improves access to psychotherapy but is often underutilized. Local Problem: An FQHC in Battle Creek, Michigan attempted to initiate a group therapy program to improve access to psychotherapy and provide the benefits of group therapy. The program was unsuccessful due to low enrollment. Methods: This evidence-based quality improvement project aims to increase enrollment in a group therapy program at an FQHC by structuring the enrollment process using evidence synthesized in a literature review. The enrollment process was implemented using the Plan-Do-Study-Act framework. The outcomes were evaluated based on the referrals received, the number of patients enrolled in group therapy, and patient feedback during the enrollment process. Interventions: Implementation of a structured enrollment process included written education for referring providers, educational flyers for patients, referral screening, verbal education for patients, and pre-screening/pre-training sessions provided by a therapist. Results: Enrollment in group therapy increased by 50% and was maintained throughout the sessions, sustaining the program. With the implementation of the interventions, the enrollment rate of patients meeting minimum criteria increased from 8% to about 21%. Conclusions: A structured group therapy enrollment process that increases appropriate referrals, addresses attitudes towards group therapy, ensures appropriate patient selection, and provides pre-screening/pre-training sessions may improve enrollment in group therapy.","Thesis (D.N.P.)--Michigan State University. Psychiatric mental health practitioner, 2024","Includes bibliographical references (pages 40-45)"],"dc:format":["71 pages","application/pdf"],"dc:identifier":["dnp:53","oclc:1458458341","local:R_3qHYeGHGPk8zIm3","https://doi.org/doi:10.25335/g6ny-6q80"],"dc:language":["English"],"dc:relation":["Doctor of Nursing Practice Projects"],"dc:rights":["Attribution 4.0 International"],"dc:subject":["Group psychotherapy","Hospitals--Outpatient services--Utilization"],"dc:title":["Improving enrollment in outpatient group therapy at a federally qualified health center : a quality improvement project"],"dc:type":["Text","Theses"]},"updated_at":"2026-07-24T03:16:39Z"}