6.60 Acceptability and Results of Web-Based Behavioral Health Assessment Platform Implemented Within a Primary Care Pediatric Integrated Care Clinic

2017 ◽  
Vol 56 (10) ◽  
pp. S297
Author(s):  
Jessica Kay Jeffrey ◽  
Maegan Sinclair ◽  
Hilary Aralis ◽  
Rachel Linonis ◽  
Wendy Barrera ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Integrated Care ◽  
Health Assessment ◽  
Web Based ◽  
Care Clinic

scholarly journals 2135

2017 ◽  
Vol 1 (S1) ◽  
pp. 69-69
Author(s):  
Kathryn E. Kanzler ◽  
Patricia Robinson ◽  
Mariana Munante ◽  
Donald McGeary ◽  
Jennifer Potter ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Behavioral Health ◽  
Control Group ◽  
Health Provider ◽  
Care Clinic ◽  
Integrated Behavioral Health ◽  
Behavioral Health Provider ◽  
Chronic Pain Patients ◽  
Pain Patients

OBJECTIVES/SPECIFIC AIMS: This study seeks to test the feasibility and effectiveness of a brief acceptance and commitment therapy (ACT) treatment for chronic pain patients in a primary care clinic METHODS/STUDY POPULATION: Primary care patients aged 18 years and older with at least 1 pain condition for 12 weeks or more in duration will be recruited. Patients will be randomized into (a) ACT intervention or (b) control group. Participants in the ACT arm will attend 1 individual visit with an integrated behavioral health provider, followed by 3 weekly ACT classes and a booster class 2 months later. Control group will receive enhanced primary care that includes patient education handouts informed by cognitive behavioral science. Data analysis will include 1-way analysis of covariance (ANCOVA), multiple regression with bootstrapping. RESULTS/ANTICIPATED RESULTS: The overall hypothesis is that brief ACT treatment reduces physical disability, improves functioning, and reduces medication misuse in chronic pain patients when delivered by an integrated behavioral health provider in primary care. In addition, it is anticipated that improvements in patient functioning will be mediated by patient change in pain acceptance and patient engagement in value-consistent behaviors. DISCUSSION/SIGNIFICANCE OF IMPACT: This pilot study will establish preliminary data about the effectiveness of addressing chronic pain in a generalizable integrated primary care setting. Data will help support a larger trial in the future. Findings have potential to transform the way chronic pain is currently managed in primary care settings, with results that could decrease disability and improve functioning among patients suffering from chronic pain.

Integrated Pediatric Health Care in Pennsylvania: A Survey of Primary Care and Behavioral Health Providers

2018 ◽  
Vol 58 (2) ◽  
pp. 213-225 ◽  
Author(s):  
David J. Kolko ◽  
Eunice Torres ◽  
Kevin Rumbarger ◽  
Everette James ◽  
Renee Turchi ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Integrated Care ◽  
Primary Care Physicians ◽  
Empirical Literature ◽  
Health Providers ◽  
Pediatric Health ◽  
Care Experience ◽  
Pediatric Health Care

This study reports on a statewide survey of medical and behavioral health professionals to advance the knowledge base on the benefits and obstacles to delivering integrated pediatric health care. Surveys distributed in 3 statewide provider networks were completed by 110 behavioral health specialists (BHSs) and 111 primary care physicians (PCPs). Survey content documented their perceptions about key services, benefits, barriers, and needed opportunities related to integrated care. Factor analyses identified 8 factors, and other items were examined individually. We compared responses by specialty group (BHS vs PCP) and integrated care experience (no vs yes). The findings revealed differences across domains by specialty subgroup. In several cases, BHS (vs PCP) respondents, especially those with integrated care experience, reported lower benefits, higher barriers, and fewer resource requests. The implications of these results for enhancing care integration development, delivery, training, and research are discussed along with the study’s limitations and empirical literature.

Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic.

2012 ◽  
Vol 30 (1) ◽  
pp. 60-71 ◽  
Author(s):  
Bobbie N. Ray-Sannerud ◽  
Diana C. Dolan ◽  
Chad E. Morrow ◽  
Kent A. Corso ◽  
Kathryn E. Kanzler ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Primary Care Clinic ◽  
Health Intervention ◽  
Integrated Primary Care ◽  
Care Clinic ◽  
Longitudinal Outcomes ◽  
Behavioral Health Intervention

scholarly journals Social Workers as Behavioral Health Consultants in the Primary Care Clinic

2016 ◽  
Vol 41 (3) ◽  
pp. 196-200 ◽  
Author(s):  
C. Corinne Mann ◽  
John H. Golden ◽  
Nikole J. Cronk ◽  
Jamie K. Gale ◽  
Tim Hogan ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Social Workers ◽  
Primary Care Clinic ◽  
Care Clinic

Integrating Behavioral Health and Primary Care

2017 ◽  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Integrated Care ◽  
Brief Treatment ◽  
Patient Centered ◽  
Care Environment ◽  
Treatment Approaches ◽  
Integrated Team

This book describes real-world examples and practical approaches for integrating behavioral and physical health services in primary care and some specialty medical environments. Integrated care models are patient-centered; delivered by teams of medical professionals, utilize care coordination, and a population-based approach. This book is comfortably accessible to students, residents, faculty, and all mental health professionals, primary care and medical specialists who are working in ambulatory/office-based practices. We examine the integrated care literature and recommend applying collaborative care and other existing models of integrated care based on the existing evidence-based research. When there is no literature supporting a specific approach, our experts offer their ideas and take an aspirational approach about how to manage and treat specific behavioral disorder or problems. We assume the use of a fully integrated team staffing model while also recognizing this an ideal that may need modification based on local resources and practice cultures. The full integrated team includes a primary care or specialist provider(s), front desk staff, medical assistant(s), nurse(s), nurse practitioners, behavioral health specialist(s), health coaches, consulting psychiatrist, and care coordinator(s)/manager(s). The book has four sections: Part 1: Models of Integrated Care provides an overview of the principles and the framework of integrated care focusing on five highly successful integrated practices. We also discuss team-based care, financing, tele-behavioral health, and use of mental health assessments and outcome measures. Part 2: Integrative Care for Psychiatry and Primary Care is a review of existing and proposed models of integrated care for common psychiatric disorders. Our continuity approach emphasizes problem identification, differential diagnosis, brief treatment, and yearlong critical pathways with tables and figures detailing “how to” effectively deliver mental health care and manage substance misuse in an integrated care environment. Part 3: Integrated Care for Medical Sub-Specialties & Behavioral Medicine Conditions in Primary Care focuses on two models of integrating behavioral health care: (1) integrating wellness with behavioral health and (2) integrating psychiatry and neurology. Other chapters are “Women’s Mental Health Across the Reproductive Lifespan,” “Assessing and Treating Sexual Problems in an Integrated Care Environment,” “Integrated Chronic Pain and Psychiatric Management,” and “Death and Dying: Integrated Teams.” Part 4: Psychosocial Treatments in Integrated Care describes brief office-based counseling and psychosocial treatment approaches including: health coaching, crisis intervention, family, and group interventions. All of these brief treatment approaches are patient–centered, tailored to be used effectively integrated care settings and as an important contribution to population management.

scholarly journals Integration of a Web-based Behavioral Health Assessment within a Collaborative Care Setting

2018 ◽  
Vol 7 (1) ◽  
pp. 9-15
Author(s):  
Jessica Jeffrey ◽  
Maegan Sinclair ◽  
Rachel Linonis ◽  
Alan Semaan ◽  
Tommy Hsiao ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Collaborative Care ◽  
Care Setting ◽  
Health Assessment ◽  
Web Based

The Readiness for Integrated Care Questionnaire (RICQ): An instrument to assess readiness to integrate behavioral health and primary care.

2017 ◽  
Vol 87 (5) ◽  
pp. 520-530 ◽  
Author(s):  
Victoria C. Scott ◽  
Tara Kenworthy ◽  
Erin Godly-Reynolds ◽  
Gilberte Bastien ◽  
Jonathan Scaccia ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Integrated Care

Have Rates of Behavioral Health Assessment and Treatment Increased for Massachusetts Children Since the Rosie D. Decision? A Report From Two Primary Care Practices

2013 ◽  
Vol 53 (3) ◽  
pp. 243-249 ◽  
Author(s):  
Giusy Romano-Clarke ◽  
Michael H. Tang ◽  
Dean C. Xerras ◽  
Harwood S. Egan ◽  
Roger C. Pasinski ◽  
...  
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Health Assessment ◽  
Assessment And Treatment ◽  
Care Practices ◽  
Primary Care Practices
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