Staff Education to Address Financial Barriers in Outpatient Psychiatric Care
Abstract
This staff education project addressed financial barriers that prevent psychiatric outpatients from accessing consistent care. High no-show rates in outpatient psychiatry, often 20–40%, stem largely from costs such as co-pays, transportation, and medication, leading to missed appointments, poorer outcomes, and increased healthcare costs. The practice-focused question was “In an outpatient psychiatric clinic, does a targeted staff education program on non-judgmental financial discussions, sliding-scale fees, and telehealth options improve staff knowledge, confidence, and patient referral rates to resources over 8 weeks?” The purpose was to implement and evaluate a structured educational intervention to equip staff with tools for addressing financial barriers, promoting equitable access and evidence-based practice. Analytical strategies included anonymous pre- and post-training surveys designed to measure changes in staff knowledge immediately following the educational intervention. Descriptive statistics were used to compare pre- and post-education results. Immediate post-education findings demonstrated improved staff knowledge. Mean knowledge scores increased by 35% following the education session (N = 25). Normalized learning gain calculations demonstrated a 58% learning gain in knowledge, indicating substantial educational impact. Major products of the project included a staff education presentation, a resource toolkit, and pre/post surveys. The project promotes equitable mental health care by reducing financial stigma and enhancing access, contributing to positive social change through decreased disparities and improved outcomes for underserved populations.
Fields of Study & Subjects
Mental Health Treatment and Access
Psychiatric care and mental health services
Cultural Competency in Health Care
Publication details
- Journal / source
- ScholarWorks (Walden University)
- Publication date
- 9 February 2026
- Language
- EN
- Document type
- Thesis