Researching warm hand-offs: Should we give a WHOot?

Beehler, Gregory P.

doi:10.1037/fsh0000626

Cited by 3 publications

(2 citation statements)

References 12 publications

(14 reference statements)

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“…As is evident in other research suggesting improvements in operational definitions (e.g., interventions; Hoffmann et al, 2014), lack of attention to thoroughly describing the presence and components of an active ingredient (e.g., warm handoffs, see Beehler, 2021) can threaten whether the mechanism is triggered. Therefore, it is recommended that individuals testing these hypotheses also be mindful to assessing the fidelity being achieved to the active ingredients (more information and tools on assessing fidelity to these active ingredients can be found in Beehler et al, 2020; Funderburk, Pigeon, et al, 2021; Robinson & Reiter, 2015).…”

Section: Discussionmentioning

confidence: 99%

How do models of integrated primary care work? A proposed model for mechanisms of change using primary care behavioral health.

Funderburk,

Wray,

Martin

et al. 2024

Psychological Services

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Embedding a behavioral health consultant (BHC) into primary care settings is a common way to address the challenge of providing mental health services to primary care patients. Systematic research on the mechanisms of change that underlie the relationship between the active components of these integrated models of care delivery on patient outcomes is needed to help maximize effectiveness and, in turn, guide future implementation efforts. Using the existing primary care behavioral health (PCBH) literature, this article provides a conceptual framework using a common presenting problem, depression and identifies the active ingredients of PCBH and hypothesized mechanisms of patient change that result in decreased depressive symptoms and improved functioning within a patient. Eight hypothesized mechanisms (i.e., belief that PCBH services provided by BHC is a standard part of care within primary care; increased credibility of BHC and PCBH care provided; increased receptivity to the PCBH services offered; increased understanding of problem and options; realignment of patient expectations for care; increased readiness to change; decrease stigma; increase capacity to cope and manage symptoms) are proposed within this conceptual framework along with four potential mediators/moderators (i.e., team processes, PCBH factors, common factors, treatment engagement). The theoretical conceptualization included calls for future research to provide an evidence base to inform clinical practice. An increased understanding of the relationship between these active ingredients and the identified mechanisms of change is essential to maximize PCBH's effectiveness. Public Significance StatementEmbedding a BHC into primary care settings, such as within primary care behavioral health, is a popular way to increase access to mental health services. Greater systematic research and attention to the eight proposed mechanisms in this article can assist in maximizing effectiveness and optimizing implementation.

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Section: Discussionmentioning

confidence: 99%

How do models of integrated primary care work? A proposed model for mechanisms of change using primary care behavioral health.

Funderburk,

Wray,

Martin

et al. 2024

Psychological Services

View full text Add to dashboard Cite

show abstract

“…Collaboration with an interdisciplinary learning team in hands-on SP scenarios created an opportunity to practice the kinds of dialogue and interactions that foster implementation of warm handoffs in clinical practice. Our study builds on prior work showing that mixed-methods approaches are needed to elucidate the best methods for implementing warm handoffs in clinical practice (Beehler, 2021). Receiving collaborative critiques during debriefings and constructive peer feedback reinforced learners’ adoption of this new skill.…”

Section: Discussionmentioning

confidence: 99%