Date of Conferral

2-9-2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Deborah Lewis

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.

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