Literature Collection

BACKGROUND: Integrated behavioral health in a primary care setting is a paradigm shift that requires academic reconfiguration on how health care professionals are educated and trained in the clinical arena. METHOD: An academic university was able to create interprofessional didactic and clinical learning experiences for students within the Schools of Nursing, Social Work, Health Professions-Rehabilitation Counseling Department and Pharmacy resulting in improved models for patient care delivery. RESULTS: Interdisciplinary faculty developed the didactic, clinical and evaluative areas based on the HRSA grant work plan. Deliverables included 18 modules, case studies focused on population health, and team-focused standardized patient experiences to test their behavioral health and psychiatric skills in a primary care setting. CONCLUSIONS: Faculty from the different disciplines were able to collaborate on the deliverables, take the opportunities to engage students and collaborate on scholarly presentations at a national, state and local professional organizations. Academic course for interprofessional practice has been developed and implemented as an outcome of this grant.

BACKGROUND: There is a strong need for integrated behavioral health (IBH) services in clinics that serve patients with chronic illness who experience high co-occurring mental and physical health burdens. However, the specific needs of patients with pulmonary diseases and sleep disorders, whose mental and physical health are significantly affected by these conditions, are not well characterized. We conducted a needs assessment in an outpatient practice serving patients with pulmonary diseases and/or sleep disorders, that recently began providing IBH services. Our goal was to broadly characterize the physical and mental health needs of these patients, as well as explore differences by medical condition, sex, and level of functioning. METHODS: Among the 260 patients who participated in our online survey (51% female, 77% age 51 or older), 38% had sleep disorders, 26% airway diseases, 6% interstitial lung diseases/diffuse parenchymal lung diseases, 6% pulmonary vascular diseases, and 24% other pulmonary diseases (e.g., lung cancer). RESULTS: Patients with airway diseases and patients with sleep disorders emerged as two groups with significant physical and mental health burdens based on ANOVAs. T-tests showed that female patients reported worse mental and physical health functioning compared to male patients. ANOVAs also showed that patients with limited physical ability had lower physical, mental, and pulmonary health functioning, as well as greater patient care needs, compared to patients who were symptom-free. CONCLUSIONS: Findings highlight the potential need for and promise of integrating behavioral health services within clinics serving patients with pulmonary and sleep conditions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-026-14011-5.; Our needs assessment shows how pulmonary disease and sleep disorder patients bear a significant burden of physical and mental health-related needs, and how specific concerns relate to their particular condition, sex, and functional status. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-026-14011-5.; eng