Practical applications of implementing integrated mental health practices with primary care providers.

Ervin, Christopher; Rachel, Sharon; Baker, LeThenia Joy; Joseph, Linu; Roberson, Daniel W.; Omole, Folashade

doi:10.1037/amp0001059

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…Lewis et al (2023) described fellowship content focusing on population health, health care transformation, leadership skill development, interprofessional practice, social determinants of health, and cultural bias and results [44]. Ervin et al (2023) described a focus on leadership and team communication for their fellowship [45]. Casola et al [46] described a focus on enhancing practice management and leadership skills while providing training on preceptorship and QI [46].…”

Section: Discussionmentioning

confidence: 99%

The Community Primary Care Champions Fellowship: a mixed methods evaluation of an interprofessional fellowship for physician assistants and physicians

Stryker,

Hargraves,

Velasquez

et al. 2024

BMC Med Educ

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Background Primary care in the US faces challenges with clinician recruitment, retention, and burnout, with further workforce shortages predicted in the next decade. Team-based care can be protective against clinician burnout, and opportunities for interprofessional education (IPE) on professional development and leadership could encourage primary care transformation. Despite an increasingly important role in the primary care workforce, IPE initiatives training physician assistants (PAs) alongside physicians are rare. We describe the design, curriculum, and outcomes from an interprofessional primary care transformation fellowship for community-based primary care physicians and PAs. Methods The Community Primary Care Champions (CPCC) Fellowship was a one-year, part-time fellowship which trained nine PAs, fourteen physicians, and a behavioralist with at least two years of post-graduate clinical experience in six content pillars: quality improvement (QI), wellness and burnout, mental health, social determinants of health, medical education, and substance use disorders. The fellowship included a recurring schedule of monthly activities in self-study, lectures, mentoring, and community expert evening discussions. Evaluation of the fellowship included pre, post, and one-year follow-up self-assessments of knowledge, attitudes, and confidence in the six content areas, pre- and post- wellness surveys, lecture and discussion evaluations, and midpoint and exit focus groups. Results Fellows showed significant improvement in 24 of 28 self-assessment items across all content areas post-fellowship, and in 16 of 18 items one-year post-fellowship. They demonstrated reductions in emotional exhaustion and depersonalization post-fellowship and increased confidence in working in interprofessional teams post-fellowship which persisted on one-year follow-up assessments. All fellows completed QI projects and four presented their work at national conferences. Focus group data showed that fellows experienced collaborative, meaningful professional development that was relevant to their clinical work. They appreciated the flexible format and inclusion of interprofessional community experts in evening discussions. Conclusions The CPCC fellowship fostered an interprofessional community of practice that provided an effective IPE experience for physicians and PAs. The learning activities, and particularly the community expert discussions, allowed for a flexible, relevant experience, resulting in personal and professional growth along with increased confidence working within interprofessional teams.

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Section: Discussionmentioning

confidence: 99%

The Community Primary Care Champions Fellowship: a mixed methods evaluation of an interprofessional fellowship for physician assistants and physicians

Stryker,

Hargraves,

Velasquez

et al. 2024

BMC Med Educ

View full text Add to dashboard Cite

show abstract

“…Lewis et al (2023) described fellowship content focusing on population health, health care transformation, leadership skill development, interprofessional practice, social determinants of health, and cultural bias and results (41). Ervin et al (2023) described a focus on leadership and team communication for their fellowship (42). Casola et al (2022) described a focus on enhancing practice management and leadership skills while providing training on preceptorship and QI (43).…”

Section: Discussionmentioning

confidence: 99%

The Community Primary Care Champions Fellowship: A Mixed Methods Evaluation of an Interprofessional Fellowship for Physician Assistants and Physicians

Stryker,

Hargraves,

Velasquez

et al. 2023

Preprint

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Background: Primary care in the US faces challenges with clinician recruitment, retention, and burnout, with further workforce shortages predicted in the next decade. Team-based care can be protective against clinician burnout, and opportunities for interprofessional education (IPE) on professional development and leadership could encourage primary care transformation. Despite an increasingly important role in the primary care workforce, IPE initiatives training physician assistants (PAs) alongside physicians are rare. We describe the design, curriculum, and outcomes from an interprofessional primary care transformation fellowship for community-based primary care physicians and PAs. Methods: The Community Primary Care Champions (CPCC) Fellowship was a one-year, part-time fellowship which trained nine PAs, fourteen physicians, and a behavioralist with at least two years of post-graduate clinical experience in six content pillars: quality improvement (QI), wellness and burnout, mental health, social determinants of health, medical education, and substance use disorders. The fellowship included a recurring schedule of monthly activities in self-study, lectures, mentoring, and community expert evening discussions. Evaluation of the fellowship included pre, post, and one-year follow-up self-assessments of knowledge, attitudes, and confidence in the six content areas, pre- and post- wellness surveys, lecture and discussion evaluations, and midpoint and exit focus groups. Results: Fellows showed significant improvement in 24 of 28 self-assessment items across all content areas post-fellowship, and in 16 of 18 items one-year post-fellowship. They demonstrated reductions in emotional exhaustion and depersonalization post-fellowship and increased confidence in working in interprofessional teams post-fellowship which persisted on one-year follow-up assessments. Half of the fellows reported new professional leadership roles within two years of matriculation. All fellows completed QI projects and four presented their work at national conferences. Focus group data showed that fellows experienced collaborative, meaningful professional development that was relevant to their clinical work. They appreciated the flexible format and inclusion of interprofessional community experts in evening discussions. Conclusions: The CPCC fellowship fostered an interprofessional community of practice that provided an effective IPE experience for physicians and PAs. The learning activities, and particularly the community expert discussions, allowed for a flexible, relevant experience resulting in personal and professional growth along with increased confidence working within interprofessional teams.

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“…Whittingham et al (2023) contend that group therapeutic intervention strategies are useful and necessary to promote mental health access and equity for underserved communities. Ervin et al (2023) discuss the Community Health Advanced by Medical Practice Superstars fellowship as a model for providing practical applications of implementing integrated mental health practices with early-career primary care providers in rural health care settings. This study demonstrates how integrated health care models can be introduced through a quality improvement framework.…”

Section: What This Special Issue Contributesmentioning

confidence: 99%

How psychologists can help achieve equity in health care—advancing innovative partnerships and models of care delivery: Introduction to the special issue.

Thurston

Alegrı́a

Hood

et al. 2023

American Psychologist

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For as long as the United States has been a country, the distribution of good health has been unequal. In this special issue, we consider what psychology can do to understand and ameliorate these inequalities. The introduction sets the context for why psychologists are well positioned, well trained, and needed to champion health equity via innovative partnerships and models of care delivery. A guide is provided for engaging and maintaining a health equity lens in advocacy, research, education/training, and practice efforts for psychologists, and readers are invited to apply a health equity lens to reimagine their existing and forthcoming work. More broadly, the special issue brings together a collection of 14 articles across three core themes: (a) integration of care, (b) intersections between social drivers/ determinants of health, and (c) intersecting social systems. The articles collectively highlight the need for new conceptual models to guide research, education, and practice, the importance of engaging in transdisciplinary partnerships, and the urgency of collaborating with community members in crosssystem alliances to tackle social drivers of health, structural racism, and contextual risks, all of which are fundamental drivers of health inequity. Although psychologists are uniquely positioned to investigate causes of inequality, develop health equity interventions, and advocate for policy changes, our voice and vision have been missing from broader national dialogues around these issues. This issue is poised to provide examples of existing equity work and inspire ALL psychologists to engage for the first time or deepen existing health equity work with renewed vigor and reimagined possibilities. This document is copyrighted by the American Psychological Association or one of its allied publishers.

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Practical applications of implementing integrated mental health practices with primary care providers.

Cited by 4 publications

References 13 publications

The Community Primary Care Champions Fellowship: a mixed methods evaluation of an interprofessional fellowship for physician assistants and physicians

The Community Primary Care Champions Fellowship: a mixed methods evaluation of an interprofessional fellowship for physician assistants and physicians

The Community Primary Care Champions Fellowship: A Mixed Methods Evaluation of an Interprofessional Fellowship for Physician Assistants and Physicians

How psychologists can help achieve equity in health care—advancing innovative partnerships and models of care delivery: Introduction to the special issue.

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