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dc.contributor.advisorDebra Hurwitz
dc.contributor.authorRoderick, Sarah S.
dc.contributor.authorBurdette, Nelly
dc.contributor.authorHurwitz, Debra
dc.contributor.authorYeracaris, Pano
dc.date2022-08-11T08:10:55.000
dc.date.accessioned2022-08-23T17:25:00Z
dc.date.available2022-08-23T17:25:00Z
dc.date.issued2017-06-01
dc.date.submitted2017-08-08
dc.identifier.citationFam Syst Health. 2017 Jun;35(2):227-237. doi: 10.1037/fsh0000273.
dc.identifier.issn1939-0602
dc.identifier.doi10.1037/fsh0000273
dc.identifier.pmid28617023
dc.identifier.urihttp://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.abstractINTRODUCTION: 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.isoen_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.urlhttp://content.apa.org/record/2017-25353-012
dc.subjectpatient-centered medical home
dc.subjectbehavioral health care
dc.subjectHealth Services Administration
dc.subjectMedical Education
dc.subjectMental and Social Health
dc.titleIntegrated behavioral health practice facilitation in patient centered medical homes: A promising application
dc.typeJournal Article
dc.source.journaltitleFamilies, systems and health : the journal of collaborative family healthcare
dc.source.volume35
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/ssp/253
dc.identifier.contextkey10560126
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.submissionpathssp/253
dc.contributor.departmentCommonwealth Medicine, Office of Program Development
dc.contributor.departmentSenior Scholars Program
dc.contributor.departmentSchool of Medicine
dc.source.pages227-237


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