Diagnoses, intervention strategies, and rates of functional improvement in integrated behavioral health care patients

Journal of Consulting and Clinical Psychology
Ana J BridgesTimothy A Cavell

Abstract

Compared with more traditional mental health care, integrated behavioral health care (IBHC) offers greater access to services and earlier identification and intervention of behavioral and mental health difficulties. The current study examined demographic, diagnostic, and intervention factors that predict positive changes for IBHC patients. Participants were 1,150 consecutive patients (mean age = 30.10 years, 66.6% female, 60.1% Hispanic, 47.9% uninsured) seen for IBHC services at 2 primary care clinics over a 34-month period. Patients presented with depressive (23.2%), anxiety (18.6%), adjustment (11.3%), and childhood externalizing (7.6%) disorders, with 25.7% of patients receiving no diagnosis. The most commonly delivered interventions included behavioral activation (26.1%), behavioral medicine-specific consultation (14.6%), relaxation training (10.3%), and parent-management training (8.5%). There was high concordance between diagnoses and evidence-based intervention selection. We used latent growth curve modeling to explore predictors of baseline global assessment of functioning (GAF) and improvements in GAF across sessions, utilizing data from a subset of 117 patients who attended at least 3 behavioral health visits. Hispan...Continue Reading

Citations

Jan 19, 2016·The Journal of Behavioral Health Services & Research·Kaitlin LilienthalGregory P Beehler
Aug 10, 2016·Journal of Clinical Psychology·Autumn LanoyeKristin Austin
Feb 27, 2018·Journal of Clinical Psychology in Medical Settings·Jeffrey T ReiterChristopher L Hunter
Oct 5, 2017·Journal of Clinical Psychology in Medical Settings·Christopher L HunterChristine M Hunter
Aug 22, 2018·Social Work in Health Care·Becky Bell ScottBurrit Hess
Oct 16, 2018·Journal of Health Psychology·Heather ReppetoChristopher Smith
Dec 28, 2018·Journal of Clinical Psychology·Mayra L Sanchez GonzalezTimothy R Elliott
Dec 21, 2019·Journal of Clinical Psychology in Medical Settings·Allison J CarrollLauren Holland-Carter
Sep 2, 2017·Social Work in Health Care·Denise R Black
Feb 3, 2020·Journal of Clinical Psychology in Medical Settings·Mickeal PughJoseph Tan
Oct 23, 2020·Journal of Clinical Psychology in Medical Settings·Stacy A OgbeideCory Knight
Jan 31, 2021·Journal of Affective Disorders·Jennifer S FunderburkStephen A Maisto
Apr 27, 2018·General Hospital Psychiatry·Kyle PossematoLaura O Wray
May 29, 2021·Pediatric Clinics of North America·Rachel A Petts, Scott T Gaynor
May 29, 2021·Pediatric Clinics of North America·Tyler S GibbJohn Minser

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