Table 3.

Formative evaluation of participatory system dynamics (PSD) modeling: stakeholder participation and perspectives

Representative stakeholder concerns or modeling goals Evening out the workload so that all providers are seeing an approximately equal number of patients each week Improving psychotherapy access Proper referrals to trauma focus therapy with the PTSD Specialty Program The flow to/from the women’s counseling center All mental health processes Stakeholder ‘dynamic hypotheses’ or scenario tests What if the intake duration was 60 min instead of 90 min? What if intake was in BHIP and PCT started EBP without an info group and second intake (streamlined scenario)? What stakeholders find useful about PSD If staff feel heard, that will improve morale Better scheduling and sensible workflow Getting everyone on the same page Implement change in a far more targeted way Show accurate numbers/stats to help give the overall staff understanding of process, uniformity and reflect workload adequately Having an outside consultant with the potential to engage without vested interest to manipulate Having a physical representation for fine tuning a process That is looking at systems and allowing needed dialogue Taking into consideration more real world complexity

BHIP Behavioral Health Integration Program, PCT PTSD Clinical Team