Literature Collection | Integration Academy

1801

Behavioral health providers in integrated primary care settings: what is their role in addressing health behaviors?

Type: Journal Article

Authors: Andrea Nederveld, Jodi Summers Holtrop

Year: 2023

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1802

Behavioral health providers' perspectives of delivering behavioral health services in primary care: a qualitative analysis

Type: Journal Article

Authors: G. P. Beehler, L. O. Wray

Year: 2012

Publication Place: England

Abstract: BACKGROUND: Co-located, collaborative care (CCC) is one component of VA's model of Integrated Primary Care that embeds behavioral health providers (BHPs) into primary care clinics to treat commonly occurring mental health concerns among Veterans. Key features of the CCC model include time-limited, brief treatments (up to 6 encounters of 30 minutes each) and emphasis on multi-dimensional functional assessment. Although CCC is a mandated model of care, the barriers and facilitators to implementing this approach as identified from the perspective of BHPs have not been previously identified. METHODS: This secondary data analysis used interview data captured as part of a quality improvement project in 2008. Fourteen BHPs (48% of providers in a regional VA network) agreed to participate in a 30-minute, semi-structured phone interview. The interview included questions about their perceived role as a CCC provider, depiction of usual practice styles and behaviors, and perceptions of typical barriers and facilitators to providing behavioral healthcare to Veterans in CCC. Interviews were transcribed verbatim into a text database and analyzed using grounded theory. RESULTS: Six main categories emerged from the analysis: (a) Working in the VA Context, (b) Managing Access to Care on the Front Line, (c) Assessing a Care Trajectory, (d) Developing a Local Integrated Model, (e) Working in Collaborative Teams, and (f) Being a Behavioral Health Generalist. These categories pointed to system, clinic, and provider level factors that impacted BHP's role and ability to implement CCC. Across categories, participants identified ways in which they provided Veteran-centered care within variable environments. CONCLUSIONS: This study provided a contextualized account of the experiences of BHP's in CCC. Results suggest that these providers play a multifaceted role in delivering clinical services to Veterans while also acting as an interdependent component of the larger VA behavioral health and primary care systems. Based on the inherent challenges of enacting this role, BHPs in CCC may benefit from additional implementation support in their effort to promote health care integration and to increase access to patient-centered care in their local clinics.

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1803

Behavioral health resources among US pediatric epilepsy centers

Type: Journal Article

Authors: J. L. Wagner, R. Hirschberger, J. DesMarteau, C. Wolfe-Christensen, G. Gaston, S. Joshi, A. D. Patel, M. Sweeney, A. Jridi, Z. Ou, N. Singhal, J. Coryell

Year: 2025

Abstract:

Current guidelines, quality indicators, and recommendations broadly recognize the importance of behavioral health care integrated into routine epilepsy visits; however, no specific guidance currently exists for how to implement this care. To address this gap, the Value-based special interest group (SIG) of the Pediatric Epilepsy Research Consortium (PERC) developed and disseminated a survey to inquire about availability and access to behavioral health care and roles of behavioral health care providers (e.g., neuropsychologists, psychologists, and social workers) within epilepsy centers across the US. This 52-item survey was emailed to directors of the National Association of Epilepsy Centers (NAEC) level 3 and 4 pediatric centers (n = 130). The response rate was 38 % (N = 50 centers). The 14 questions pertaining to behavioral health care and several additional items regarding epilepsy center size (i.e., number of neurologists) and comprehensive care resource availability are presented here. Survey results identified that most sites (80 %) have access to neuropsychologist(s), who uniformly perform presurgical evaluations. In contrast, only a quarter of centers have psychologists dedicated to epilepsy patients, with 40 % of them indicating a greater than 3-month wait to see a psychologist. Approximately half of centers have social workers dedicated to epilepsy patients. Common practice for all three of these behavioral health professionals is discussed. Findings underscore the need for greater access to psychologists and more defined roles for behavioral health providers within specific settings to increase the availability of and decrease wait times for behavioral health care.

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1804

Behavioral health risk factors for nonmedical prescription opioid use in adolescence

Type: Journal Article

Authors: Junhan Cho, Lorraine Kelley-Quon, Jessica Barrington-Trimis, Afton Kechter, Sarah Axeen, Adam M. Leventhal

Year: 2021

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1805

Behavioral Health Roundtable: Using Information Technology to Integrate Behavioral Health and Primary Care

Type: Government Report

Authors: RTI International

Year: 2012

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,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1806

Behavioral health screening and intervention in primary care

Type: Journal Article

Authors: E. Trupin

Year: 2011

Publication Place: United States

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1807

Behavioral Health Screening in Pediatric Primary Care: A Pilot Study

Type: Journal Article

Authors: R. J. Valleley, N. Romer, S. Kupzyk, J. H. Evans, K. D. Allen

Year: 2014

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1808

Behavioral health service utilization: Trends in utilization within a patient-centered medical home for low-income children and women

Type: Journal Article

Authors: A. Abu-Ghname, M. Clementi, S. A. Marton, H. Schwarzwald, E. Giwa, L. Hollier, S. G. Chapman

Year: 2019

Publication Place: India

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1809

Behavioral Health Services and Older Adults: Coordinating Care Across Systems and the Lifespan

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2025

Publication Place: Rockville, MD

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1810

Behavioral Health Services for People Who Are Homeless

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2021

Publication Place: Rockville, MD

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, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1811

Behavioral health services influence medical treatment utilization among primary care patients with comorbid substance use and depression

Type: Journal Article

Authors: B. I. Felleman, D. R. Athenour, M. T. Ta, D. G. Stewart

Year: 2013

Publication Place: United States

Abstract: Although research has shown benefits of integrating psychological care in primary care settings, it is unclear how this form of treatment impacts individuals with comorbid substance use and depression. The findings are also mixed concerning how frequently this comorbid population seeks primary care services. This study examined the associations between substance use, depression, and medical treatment utilization among 224 primary care patients. The aim of the investigation was twofold. First, to determine if depression increases medical treatment utilization among patients with substance use disorders; second, to evaluate if behavioral health treatment reduces medical service utilization. A moderated mediation model with bootstrapping analyses revealed that depression strengthened the relationship between substance use and primary care treatment utilization (both medical and behavioral health). The model also indicated that behavioral health services were associated with fewer primary care visits for individuals with comorbid substance use and depression. Clinical and social implications are discussed.

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1812

Behavioral health treatment barriers and preferences of primary care patients with chronic pain and alcohol use

Type: Journal Article

Authors: K. Buckheit, D. Moskal, G. Beehler, J. Scharer, J. Funderburk, T. Loughran

Year: 2022

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1813

Behavioral Health Workforce Data-Driven Policymaking: A Utah Case Study

Type: Government Report

Authors: Rebekah Falkner

Year: 2025

Publication Place: Washington, DC

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1814

Behavioral Health Workforce Development in Washington State: Addition of a Behavioral Health Support Specialist

Type: Journal Article

Authors: W. P. O'Connell, B. N. Renn, P. A. Arean, P. J. Raue, A. Ratzliff

Year: 2024

Abstract:

The mental and behavioral health workforce shortage has hindered access to care in the United States, resulting in long waitlists for persons who need behavioral health care. Global models for task sharing, combined with U.S.-led studies of nonspecialists delivering interventions for depression and anxiety, support the development of this workforce in a stepped care system. This Open Forum highlights an innovative effort in Washington State to initiate a bachelor's-level behavioral health support specialist curriculum leading to credentialing to expand the mental health workforce and improve access to care for people with depression and anxiety.

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1815

Behavioral Health Workforce Resource Guide

Type: Government Report

Authors: National Association of State Mental Health Program Directors

Year: 2025

Publication Place: Alexandria, VA

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1816

Behavioral Health, Local Health Department Accreditation, and Public Health 3.0: Leveraging Opportunities for Collaboration

Type: Journal Article

Authors: T. Bommersbach, K. Borger, S. Steverman, R. W. Manderscheid, J. Sharfstein, A. Everett

Year: 2018

Publication Place: United States

Abstract: The rise of the opioid epidemic and the increasing rate of suicides have drawn attention to mental health and addiction and have highlighted the need for collaboration between public health and behavioral health. However, these 2 fields have had limited engagement with one another. The introduction of Public Health 3.0 and population-based financing models that promote prevention and value in health care have created opportunities and incentives for local health departments and behavioral health agencies and providers to work together. New undertakings include the creation of accountable care organizations, community health needs assessment requirements for all non-profit hospitals, local health department requirements to conduct community Health Assessments (CHA), and increasing numbers of public health departments that are pursing accreditation. We argue that by taking advantage of these opportunities and others, local health departments can play a vital role in addressing critical challenges in mental health and addiction facing their communities.

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1817

Behavioral Health, Local Health Department Accreditation, and Public Health 3.0: Leveraging Opportunities for Collaboration

Type: Journal Article

Authors: T. Bommersbach, K. Borger, S. Steverman, R. W. Manderscheid, J. Sharfstein, A. Everett

Year: 2018

Publication Place: United States

Abstract: The rise of the opioid epidemic and the increasing rate of suicides have drawn attention to mental health and addiction and have highlighted the need for collaboration between public health and behavioral health. However, these 2 fields have had limited engagement with one another. The introduction of Public Health 3.0 and population-based financing models that promote prevention and value in health care have created opportunities and incentives for local health departments and behavioral health agencies and providers to work together. New undertakings include the creation of accountable care organizations, community health needs assessment requirements for all non-profit hospitals, local health department requirements to conduct community Health Assessments (CHA), and increasing numbers of public health departments that are pursing accreditation. We argue that by taking advantage of these opportunities and others, local health departments can play a vital role in addressing critical challenges in mental health and addiction facing their communities.

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1818

Behavioral Health, Primary Care Integration, and Social Work’s Role in Improving Health Outcomes in Communities of Color: A Systematic Review

Type: Journal Article

Authors: Sprague Martinez Linda, Lena Lundgren, Wangari Walter Angela, Jessica Sousa, Nermeen Tahoun, Gail Steketee, Hyeouk Hahm, Kim T. Mueser, Ivy Krull, Daniel Do Lien, Richard Saitz

Year: 2019

Publication Place: Chicago

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1819

Behavioral Health: Federal Activities to Support Crisis Response Services

Type: Web Resource

Authors: U.S. Government Accountability Office

Year: 2025

Publication Place: Washington, DC

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1820

Behavioral health: Integrating individual and family interventions in the treatment of medical conditions

Type: Book

Authors: Len Sperry

Year: 2014

Publication Place: New York

Abstract: The emergence of behavioral health, how it is practiced, and how it will be practiced is at the heart of this book. Len Sperry, a prominent author and educator, is one of the first to describe and advocate for an approach to health care that can significantly increase the efficacy and efficiency of health care and reduce costs for patients with chronic medical conditions. He does so by addressing both core theoretical constructs and core practice competencies to help readers comfortably provide effective integrated psychosocial treatment to individuals and families. His book is split into three parts. The first provides an overview of the key family and personality dynamics and how medical conditions impact individual and family members throughout the family life cycle. Important considerations in this part include ethical and clinical issues, spiritual considerations, treatment non-compliance, motivational interviewing, and case conceptualization. Of particular importance is Dr. Sperry's description of four illness stages, which reflect patients' psychosocial adjustment to their chronic illnesses. The second part consists of seven chapters dedicated to common medical conditions, followed by the last part that addresses integrated behavioral health competency and competency-based training. Behavioral health clinicians and trainees in various behavioral health specialties, including individual psychotherapists and family therapists, will find this practical book of interest and value to their work. No matter their experience, all readers will walk away from this book with the knowledge necessary to increase motivation, deal with non-compliance issues, and tailor therapeutic change, while increasing treatment efficacy and efficiency with their patients.

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