Integrated Behavioral Health

Fledderman, Nicole; Deleon, Jocelyn; Patel, Dilip R.

doi:10.1016/j.pcl.2021.02.007

Cited by 3 publications

(2 citation statements)

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“…S. Beidas & Kendall, 2010;Whiteside, Deacon, et al, 2016). One such model, integrated behavioral health (IBH) programs, is designed to address many of the barriers to accessing evidence-based mental health care by integrating mental health services into the primary care practice (Fledderman et al, 2021). IBH services are intended to deliver brief interventions with a strong emphasis on EBTs.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to clinician factors (e.g., training, knowledge, and beliefs), organizational characteristics that provide time, encouragement, and access to support and engagement in ongoing active learning can facilitate the use of evidence‐based techniques, including exposure (Becker‐Haimes et al, 2017; R. S. Beidas & Kendall, 2010; R. Beidas et al, 2017; Whiteside, Deacon, et al, 2016). One such model, integrated behavioral health (IBH) programs, is designed to address many of the barriers to accessing evidence‐based mental health care by integrating mental health services into the primary care practice (Fledderman et al, 2021). IBH services are intended to deliver brief interventions with a strong emphasis on EBTs.…”

Section: Introductionmentioning

confidence: 99%

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Using session recordings to understand the content of community‐based treatment for childhood anxiety disorders and response to technology‐based training

et al. 2023

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ObjectiveThe goal of the current study is to advance efforts to increase the quality of care for childhood anxiety disorder (CADs) through (1) detailing the content of community‐based treatment sessions, (2) exploring the validity of therapist surveys, (3) examining the influence of setting differences, and (4) testing the effects of a technology‐based training on use of nonexposure strategies.MethodsThirteen therapists were randomly assigned to technology‐based training in the use of exposure therapy or treatment as usual (TAU) for CADs. Therapeutic techniques were coded from 125 community‐based treatment sessions.ResultsConsistent with survey responses community therapists spent the majority of session time reviewing symptoms (34% of session time), implementing nonexposure cognitive behavioral therapy (CBT; 36%), and rarely engaged in exposure (3%). An integrated behavioral health setting was associated with greater endorsement of exposure on survey, p < 0.05, although this difference was not significant in session recordings, p = 0.14. Multilevel models indicated that technology‐based training that has been shown to increase exposure, also decreased use of nonexposure CBT techniques (2% vs. 29%, p < 0.001).ConclusionThe study supports the validity of survey‐based findings that community‐based care for CADs consists of non‐exposure CBT techniques. Efforts should be invested in dissemination of within‐session exposure.

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Section: Introductionmentioning

confidence: 99%