3/16/23 Grand Rounds

Matthew Louis Goldman, MD, MS, FAPA
Medical Director, Comprehensive Crisis Services,
San Francisco Department of Public Health

Associate Medical Director; Volunteer Clinical Assistant Professor,
Department of Psychiatry and Behavioral Sciences,
University of California, San Francisco

Crisis response programs that serve as alternatives to traditional police response have drawn widespread attention. However, there remain significant barriers to defining, implementing, and evaluating high-quality crisis services. In this presentation, Dr. Goldman will summarize the current landscape of crisis services research, highlighting gaps in identifying best practices and in accessing meaningful data to inform quality and equity aims. Next, he will review implementation science research methods that can help circumvent the unique challenges of crisis services research. In particular, he will focus on ways that mental health services implementation research can focus both on conventional metrics such as post-crisis episode utilization of mental health services, as well as measures related to social determinants of mental health such as linkage to housing and jail diversion. Finally, Dr. Goldman will discuss how to develop and refine meaningful quality measures for crisis services that can be used in research as well as program evaluation and continuous quality improvement activities.

Learning Objectives:

1. Articulate the current state of knowledge on what constitutes high-quality and equitable mental health crisis services.

2. Apply implementation science principles to select research methods that address the unique challenge and opportunities of evaluation crisis services.

3. Advocate for meaningful data collection and program evaluation within mental health systems.