Integrated behavioral health practice facilitation in patient centered medical homes: A promising application
dc.contributor.advisor | Debra Hurwitz | |
dc.contributor.author | Roderick, Sarah S. | |
dc.contributor.author | Burdette, Nelly | |
dc.contributor.author | Hurwitz, Debra | |
dc.contributor.author | Yeracaris, Pano | |
dc.date | 2022-08-11T08:10:55.000 | |
dc.date.accessioned | 2022-08-23T17:25:00Z | |
dc.date.available | 2022-08-23T17:25:00Z | |
dc.date.issued | 2017-06-01 | |
dc.date.submitted | 2017-08-08 | |
dc.identifier.citation | Fam Syst Health. 2017 Jun;35(2):227-237. doi: 10.1037/fsh0000273. | |
dc.identifier.issn | 1939-0602 | |
dc.identifier.doi | 10.1037/fsh0000273 | |
dc.identifier.pmid | 28617023 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/49313 | |
dc.description | <p>First author Sarah S. Roderick participated in this study as a medical student as part of the Senior Scholars research program at the University of Massachusetts Medical School.</p> | |
dc.description.abstract | INTRODUCTION: The purpose of this study was to assess the degree of behavioral health (BH) integration change in patient-centered medical homes (PCMHs) when using a practice facilitator (PF) specially trained in implementing integrated care and how a quasi-experimental design assists in this process. METHOD: Twelve PCMHs, 8 Federally Qualified Health Centers and 4 private practices, with varying degrees of BH services participated in this study. The degree of BH integration was assessed with a quasi-experimental design using the Maine Health Access Foundation's Site Self Assessment (MeHAF SSA) at baseline and after implementing site-specific BH services. The sites tracked completion of unique objectively measured goals being implemented using the Goal Attainment Scale (GAS) score. RESULTS: At the conclusion of the study, sites saw a statistically significant increase in the level of BH integration from a baseline of 2.73 (SD = 0.44) to a postintervention score of 3.49 (SD = 0.22) with improvements from mild-moderate overall integration to moderate-advanced overall integration (p < .001). In addition, 10 out of the 12 sites achieved successful implementation of unique goals with assistance from the PF. DISCUSSION: This study provides the first quasi-experimental/pretest-posttest evidence utilizing real-world data that the practice facilitation method is an effective solution toward increasing the degree of BH integration. This paper describes the real-world efforts to evaluate the degree of BH integration change in PCMHs when using a PF with content expertise in BH integration within primary care. | |
dc.language.iso | en_US | |
dc.relation | <a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=28617023&dopt=Abstract">Link to article in PubMed</a> | |
dc.relation.url | http://content.apa.org/record/2017-25353-012 | |
dc.subject | patient-centered medical home | |
dc.subject | behavioral health care | |
dc.subject | Health Services Administration | |
dc.subject | Medical Education | |
dc.subject | Mental and Social Health | |
dc.title | Integrated behavioral health practice facilitation in patient centered medical homes: A promising application | |
dc.type | Journal Article | |
dc.source.journaltitle | Families, systems and health : the journal of collaborative family healthcare | |
dc.source.volume | 35 | |
dc.source.issue | 2 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/ssp/253 | |
dc.identifier.contextkey | 10560126 | |
html.description.abstract | <p>INTRODUCTION: The purpose of this study was to assess the degree of behavioral health (BH) integration change in patient-centered medical homes (PCMHs) when using a practice facilitator (PF) specially trained in implementing integrated care and how a quasi-experimental design assists in this process.</p> <p>METHOD: Twelve PCMHs, 8 Federally Qualified Health Centers and 4 private practices, with varying degrees of BH services participated in this study. The degree of BH integration was assessed with a quasi-experimental design using the Maine Health Access Foundation's Site Self Assessment (MeHAF SSA) at baseline and after implementing site-specific BH services. The sites tracked completion of unique objectively measured goals being implemented using the Goal Attainment Scale (GAS) score.</p> <p>RESULTS: At the conclusion of the study, sites saw a statistically significant increase in the level of BH integration from a baseline of 2.73 (SD = 0.44) to a postintervention score of 3.49 (SD = 0.22) with improvements from mild-moderate overall integration to moderate-advanced overall integration (p < .001). In addition, 10 out of the 12 sites achieved successful implementation of unique goals with assistance from the PF.</p> <p>DISCUSSION: This study provides the first quasi-experimental/pretest-posttest evidence utilizing real-world data that the practice facilitation method is an effective solution toward increasing the degree of BH integration. This paper describes the real-world efforts to evaluate the degree of BH integration change in PCMHs when using a PF with content expertise in BH integration within primary care.</p> | |
dc.identifier.submissionpath | ssp/253 | |
dc.contributor.department | Commonwealth Medicine, Office of Program Development | |
dc.contributor.department | Senior Scholars Program | |
dc.contributor.department | School of Medicine | |
dc.source.pages | 227-237 |