Outcomes of “Integrated Behavioral Health” Training: A Pilot Study

Agaskar, Vaibhavee R.; Lin, Yung-Wei; Wambu, Grace W.

doi:10.1007/s10447-021-09435-z

Cited by 6 publications

(2 citation statements)

References 34 publications

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“…9,10 IBH implementation requires specific skills and specialized training for medical and behavioral health clinicians. [11][12][13] Family medicine residency training programs are required to have behavioral health faculty and provide training in IBH 14 and typically serve learners from a variety of professional programs (medical, social work, nursing, psychology, etc.). For trainees in family medicine residencies to effectively meet the demand of addressing patient behavioral health needs, training programs must have a curriculum that includes effective models of IBH delivery.…”

Section: Introductionmentioning

confidence: 99%

Integrated Behavioral Health Implementation and Training in Primary Care: A Practice-Based Research Network Study

Filippi,

Waxmonsky,

Williams

et al. 2023

J Am Board Fam Med

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Introduction: Integrating behavioral health services into primary care has a strong evidence base, but how primary care training programs incorporate integrated behavioral health (IBH) into care delivery and training has not been well described. The goal of this study was to evaluate factors related to successful IBH implementation in family medicine (FM) residency programs and assess perspectives and attitudes on IBH among program leaders.Methods: FM residency programs, all which are required to provide IBH training, were recruited from the American Academy of Family Physicians National Research Network. After completing eligibility screening that included the Integrated Practice Assessment Tool (IPAT) questionnaire, 14 training programs were included. Selected practices identified 3 staff in key roles to be interviewed: medical director or similar, behavioral health professional (BHP), and chief medical officer or similar.Results: Forty-one individuals from 14 FM training programs were interviewed. IPAT scores ranged from 4 (Close Collaboration Onsite) to 6 (Full Collaboration). Screening, outcome tracking, and treatment differed among and within practices. Use of curricula and trainee experience also varied with little standardization. Most participants described similar approaches to communication and collaboration between primary care clinicians and BHPs and believed that IBH should be standard practice. Participants reported space, staff, and billing support as critical for sustainability.Conclusions: Delivery and training experiences in IBH varied widely despite recognition of the value and benefits to patients and care delivery processes. Standardizing resources and training and simplifying and assuring reimbursement for services may promote sustainable and high quality IBH implementation.

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Section: Introductionmentioning

confidence: 99%

Integrated Behavioral Health Implementation and Training in Primary Care: A Practice-Based Research Network Study

Filippi,

Waxmonsky,

Williams

et al. 2023

J Am Board Fam Med

View full text Add to dashboard Cite

show abstract

“…The integrated primary care workforce comprises multiple behavioral health occupations (i.e., psychiatric consultants, social workers, nurses, psychologists, licensed professional counselors, marriage and family therapists, certified addiction and substance use treatment counselors, and peer specialists), who each play an important, distinct, and complementary role to the development and practice of integrated primary care (Rosenberg & Mullin, 2018; Skillman et al, 2016). Training efforts from all behavioral health occupations are critical to address the shortage of behavioral health workforce (which is now characterized as a crisis) and the rising demand for integrated services (Agaskar et al, 2021; Putney et al, 2017). Although education/training pathways vary by occupations, there is convergence in roles and functions among the occupations as a behavioral health provider in primary care teams (Fraher et al, 2018; Skillman et al, 2016).…”

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confidence: 99%