naa a22 4500 510781918 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20130701xx s 000 0 eng 10.1007/s11414-013-9331-5 doi (NATIONALLICENCE)springer-10.1007/s11414-013-9331-5 The Impact of System Level Factors on Treatment Timeliness: Utilizing the Toyota Production System to Implement Direct Intake Scheduling in a Semi-rural Community Mental Health Clinic [Elektronische Daten] [Addie Weaver, Catherine Greeno, Donald Goughler, Kathleen Yarzebinski, Tina Zimmerman, Carol Anderson] This study examined the effect of using the Toyota Production System (TPS) to change intake procedures on treatment timeliness within a semi-rural community mental health clinic. One hundred randomly selected cases opened the year before the change and 100 randomly selected cases opened the year after the change were reviewed. An analysis of covariance demonstrated that changing intake procedures significantly decreased the number of days consumers waited for appointments (F(1,160) = 4.9; p = .03) from an average of 11 to 8days. The pattern of difference on treatment timeliness was significantly different between adult and child programs (F(1,160) = 4.2; p = .04), with children waiting an average of 4days longer than adults for appointments. Findings suggest that small system level changes may elicit important changes and that TPS offers a valuable model to improve processes within community mental health settings. Results also indicate that different factors drive adult and children's treatment timeliness. National Council for Community Behavioral Healthcare, 2013 Weaver Addie Curtis Research Center, University of Michigan School of Social Work, 1080 S. University, 48109, Ann Arbor, MI, USA aut Greeno Catherine School of Social Work, University of Pittsburgh, 2117 Cathedral of Learning, 15260, Pittsburgh, PA, USA aut Goughler Donald Family Services of Western Pennsylvania, 3230 William Pitt Way, 15238, Pittsburgh, PA, USA aut Yarzebinski Kathleen Family Services of Western PA, 310 Central City Plaza, 15968, New Kensington, PA, USA aut Zimmerman Tina Allegheny Health Choices Inc, 444 Liberty Avenue, Suite 240, 15222, Pittsburgh, PA, USA aut Anderson Carol Department of Psychiatry, University of Pittsburgh, 3811 O'Hara St, 15213, Pittsburgh, PA, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/3(2013-07-01), 294-305 1094-3412 40:3<294 2013 40 11414 https://doi.org/10.1007/s11414-013-9331-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-013-9331-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Weaver Addie Curtis Research Center, University of Michigan School of Social Work, 1080 S. University, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Greeno Catherine School of Social Work, University of Pittsburgh, 2117 Cathedral of Learning, 15260, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Goughler Donald Family Services of Western Pennsylvania, 3230 William Pitt Way, 15238, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Yarzebinski Kathleen Family Services of Western PA, 310 Central City Plaza, 15968, New Kensington, PA, USA aut NATIONALLICENCE 700 1- Zimmerman Tina Allegheny Health Choices Inc, 444 Liberty Avenue, Suite 240, 15222, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Anderson Carol Department of Psychiatry, University of Pittsburgh, 3811 O'Hara St, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/3(2013-07-01), 294-305 1094-3412 40:3<294 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer