The Impact of Integrated Psychological Services in a Safety Net Primary Care Clinic on Medical Utilization

Lanoye, Autumn; Stewart, Karen; Rybarczyk, Bruce; Auerbach, Stephen M.; Sadock, Elizabeth; Aggarwal, Arpita; Waller, Rachel; Wolver, Susan; Austin, Kristin R.

doi:10.1002/jclp.22367

Cited by 31 publications

(16 citation statements)

References 31 publications

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“…On this line, a significant example is the Virginia Commonwealth University (VCU) which proposed PhDs in telepsychology, with the aim of training future psychologists in managing the psychological effects of the pandemic through an online psychology service ( Baylor et al, 2019 ). The service provided by the VCU had been effective in reducing anxiety, depression ( Sadock et al, 2017 ), and hospital recoveries ( Lanoye et al, 2017 ). As shown, telepsychology assumes a key role in the improvement of health care.…”

Section: Telepsychology: Training and Promotion Of Psychological Wellmentioning

confidence: 99%

The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being

Algeri²,

2020

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The recent Covid-19 pandemic has had significant psychological and social effects on the population. Research has highlighted the impact on psychological well-being of the most exposed groups, including children, college students, and health workers, who are more likely to develop post-traumatic stress disorder, anxiety, depression, and other symptoms of distress. The social distance and the security measures have affected the relationship among people and their perception of empathy toward others. From this perspective, telepsychology and technological devices assume important roles to decrease the negative effects of the pandemic. These tools present benefits that could improve psychological treatment of patients online, such as the possibility to meet from home or from the workplace, saving money and time and maintaining the relationship between therapists and patients. The aim of this paper is to show empirical data from recent studies on the effect of the pandemic and reflect on possible interventions based on technological tools.

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Section: Telepsychology: Training and Promotion Of Psychological Wellmentioning

confidence: 99%

The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being

Algeri²,

2020

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“…Positive outcomes have been associated with patients receiving integrated primary care services, such as greater adherence to their medical regimens (Robinson & Strosahl, ), better health behavior outcomes (e.g., Sadock et al., ), and fewer hospitalizations for chronic conditions (see Lanoye et al. ). Thus, in addition to the quantitative evidence in the present studies, there are many compelling reasons why the integration of psychological services into primary care helps improve overall patient care.…”

Section: Resultsmentioning

confidence: 99%

Initial and Follow‐Up Evaluations of Integrated Psychological Services for Anxiety and Depression in a Safety Net Primary Care Clinic

et al. 2017

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“…Such strategies may better facilitate communication amongst providers, referral connection and follow-up for supplemental services, identification of behavioral health conditions (including administration and interpretation of universal screeners), generate a costs savings to the practice, patient, and the healthcare system (102), and provide psychoeducation to increase buy-in by physician colleagues and better inform and empower the patients, as seen in chronic illness and cancer populations (106,107). The BHN process is multifaceted which allows for adaptability in increasing access to care and improvement in quality of life for the patient (108).…”

Section: Barriers and Opportunities To Clinical Implementationmentioning

confidence: 99%

Utilizing Multidisciplinary Medicine in Pain Management: A Narrative Review

et al. 2021

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BACKGROUND: The role of psychological factors influencing chronic pain has been well documented. This review includes a historical perspective and current examination of the literature on psychological and behavioral health characteristics and their influence on chronic pain. OBJECTIVES: To identify psychological and behavioral health factors involved with chronic pain, as well as the challenges and opportunities of integrating multidisciplinary care into a pain management practice. STUDY DESIGN: Narrative review of peer-reviewed literature examining psychological and behavioral health factors associated with poor clinical outcomes with an emphasis on orthopedics. METHODS: The Medline database was reviewed to identify peer-reviewed research that discussed psychological and behavioral health factors relevant to pain management or orthopedics. RESULTS: The evidence provided suggests that these constructs should receive strong consideration when managing chronic pain. The incorporation of such factors may improve patient care and clinical outcomes and reduce total health care costs. LIMITATIONS: This narrative review is not systematic in nature, but rather focused on the impacts on orthopedics and pain management. CONCLUSIONS: Psychological and behavioral health factors should be an integral component of a pain management practice as there is substantial overlap between depression and anxiety with chronic pain. Positive affect, such as resilience, may act as a buffer and confer some protection against the sequelae of chronic pain. There is evidence that psychological screeners offer further insight into the patient condition and would contribute to the treatment plan. The novel role of a behavioral health navigator in a pain management clinic is worthy of further exploration as it has proved beneficial in other chronic health conditions. KEY WORDS: Pain management, chronic pain, psychological, multidisciplinary, behavioral health navigator, resiliency, opioids

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The Impact of Integrated Psychological Services in a Safety Net Primary Care Clinic on Medical Utilization

Abstract: IBH was associated with decreased rates of preventable inpatient visits. IBH may present opportunities to deliver improved holistic patient care while reducing unnecessary inpatient medical utilization.

Cited by 31 publications

References 31 publications

The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being

The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being

Initial and Follow‐Up Evaluations of Integrated Psychological Services for Anxiety and Depression in a Safety Net Primary Care Clinic

Utilizing Multidisciplinary Medicine in Pain Management: A Narrative Review

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