Adaptations of an Integrated Behavioral Health Program During COVID-19

Bogucki, Olivia E.; Mattson, Angela B.; Leasure, William B.; Berg, Summer L.; Mulholland, Hannah; Sawchuk, Craig N.

doi:10.1016/j.cbpra.2021.01.006

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…Psychological assessment and treatment were conducted within integrated behavioral health, which offers time-limited psychological and psychiatric services within primary care. Services were adapted during the COVID-19 pandemic to ensure patient and staff safety (Bogucki et al, 2021).…”

Section: Methodsmentioning

confidence: 99%

Cognitive processing therapy for posttraumatic stress disorder due to COVID-19-related traumas: A case study.

Bogucki¹,

Sawchuk²

2023

Psychological Services

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Coronavirus disease 2019 (COVID-19) has been associated with a multitude of physical, psychological, and psychosocial issues including posttraumatic stress disorder (PTSD). While the presence of posttraumatic symptoms has been reported in the general population, little is known about the prevalence of PTSD in patients who experienced a traumatic COVID-19 infection or sequelae. There are currently no documented reports on the treatment of PTSD in patients with COVID-19-related index traumas. The present case study details the use of cognitive processing therapy for PTSD in a patient with multiple COVID-19 infections and post-COVID-19 syndrome. The patient successfully completed treatment and reported a clinically significant change in PTSD symptoms, providing preliminary support for this evidence-based treatment protocol among patients with COVID-19-related index traumas. This case study highlights the need for PTSD symptom screening among patients with COVID-19 and referral to evidence-based psychological interventions. Recommendations for providers who regularly interface with patients diagnosed with COVID-19 and provide trauma-focused treatments are provided.

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Section: Methodsmentioning

confidence: 99%

Cognitive processing therapy for posttraumatic stress disorder due to COVID-19-related traumas: A case study.

Bogucki¹,

Sawchuk²

2023

Psychological Services

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“…62 Over the course of the pandemic, both individual therapy and group therapy programs were adapted for a virtual format. 63 The database can support direct comparisons between in-person and virtual treatment approaches, including both treatment outcomes and frequency of service use. Reporting on patient and practice outcomes to leadership is of critical importance when advocating for program-level change such as the need for additional clinicians or organization of clinician schedules (eg, to include unscheduled time blocks for curbside consultations).…”

Section: Researchmentioning

confidence: 99%

Study What You Do: Developing a Psychotherapy Tracking Database in a Large-Scale Integrated Behavioral Health Service

Roche

Savitz²,

Kelpin³

et al. 2023

Ann Fam Med

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PURPOSE Many individuals with behavioral health challenges receive services in primary care, and integrated behavioral health (IBH) programs can help increase access to evidencebased interventions. IBH programs can benefit substantially from integrating standardized tracking databases that allow for the implementation of measurement-based care to evaluate patient-, clinician-, and practice-level outcomes. We describe the development and integration of Mayo Clinic's pediatric and adult primary care psychotherapy tracking database.METHODS IBH practice leaders directed the development of a large psychotherapy tracking database that continuously populates from Mayo Clinic's electronic health record system. The database captures numerous patient variables including demographics, behavioral health and substance use issues, psychotherapy principles used, and self-reported symptoms. We retrieved current data for patients empaneled in Mayo Clinic's pediatric and adult primary care psychotherapy programs from June 2014 to June 2022. RESULTSThe tracking database contained data for 16,923 adult patients and 6,298 pediatric patients. The mean age of adult patients was 43.2 years (SD 18.3), 88.1% were non-Latine White, and 66.7% identified as female. The mean age of pediatric patients was 11.6 years (SD 4.2), 82.5% were non-Latine White, and 56.9% identified as female. We provide examples of practical applications of the database across clinical, educational, research, and administrative domains. CONCLUSIONSThe development and integration of a psychotherapy tracking database supports clinician communication, examination of patient outcomes, practice quality improvement efforts, and clinically relevant research. Our description of Mayo Clinic's IBH database may serve as a model for other IBH practices.

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“…[10][11][12] However, there are few studies that describe how such elements were impacted by the pandemic and how care teams adapted to deliver services. [13][14][15] In this article, we report on these disruptions and adaptations.…”

Section: Introductionmentioning

confidence: 97%

Integrated Behavioral Health Adaptations During the COVID-19 Pandemic

Filippi,

Nederveld,

Williams

et al. 2023

J Am Board Fam Med

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Introduction: COVID-19 pandemic lockdowns threatened standard components of integrated behavioral health (IBH) such as in-person communication across care teams, screening, and assessment. Restrictions also exacerbated pre-existing challenges to behavioral health (BH) access.Methods: Semistructured interviews were completed with clinicians from family medicine residency programs on the impact of the pandemic on IBH care delivery along with adaptations employed by care teams to ameliorate disruption.Results: Participants (n = 41) from 14 family medicine residency programs described the rapid shift to virtual care, creating challenges for IBH delivery and increased demand for BH services. With patients and care team members at home, virtual warm handoffs and increased attention to communication were necessary. Screening and measurement were more difficult, and referrals to appropriate services were challenging due to higher demand. Tele-BH facilitated continued access to BH services but was associated with logistic challenges. Participants described adaptations to stay connected with patients and care teams and discussed the need to increase capacity for both in-person and virtual care.Discussion: Most practices modified their workflows to use tele-BH as COVID-19 cases increased. Participants shared key learnings for successful implementation of tele-BH that could be applied in future health care crises.Conclusion: Practices adapted readily to challenges posed by pandemic restrictions and their ability to sustain key elements of IBH during the COVID-19 pandemic demonstrates innovation in maintaining access when in-person care is not possible, informing strategies applicable to other scenarios.

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Adaptations of an Integrated Behavioral Health Program During COVID-19

Cited by 6 publications

References 28 publications

Cognitive processing therapy for posttraumatic stress disorder due to COVID-19-related traumas: A case study.

Cognitive processing therapy for posttraumatic stress disorder due to COVID-19-related traumas: A case study.

Study What You Do: Developing a Psychotherapy Tracking Database in a Large-Scale Integrated Behavioral Health Service

Integrated Behavioral Health Adaptations During the COVID-19 Pandemic

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