Using the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to identify practice patterns

Beehler, Gregory P.; Funderburk, Jennifer S.; King, Paul R.; Possemato, Kyle

doi:10.1007/s13142-015-0325-0

Cited by 21 publications

(15 citation statements)

References 33 publications

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“…Overall, around half of pediatricians report routinely asking their adolescent patients about ATOD use, while the remaining half report selectively asking certain adolescents about these topics (Periodic Survey of Fellows, AAP) (26). Unfortunately, there is often little congruence between providers' assumptions of adolescent ATOD use, as compared to screening and diagnostic results (27), and there is evidence that providers will often overreport their performance of desired clinical behaviors in order to appear adherent to bestpractices (28). Additionally, there is evidence of discrepancy between instances of substance use documented in clinical records, and the instances of positive screening for substance use in primary care (29).…”

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confidence: 99%

A Comparison of Screening Practices for Adolescents in Primary Care After Implementation of Screening, Brief Intervention, and Referral to Treatment

Monico

Mitchell

Dušek

et al. 2019

Journal of Adolescent Health

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Purpose: The American Academy of Pediatrics recommends screening adolescents for substance use at all well-child and appropriate acute-care visits. However, many pediatric practices aim for such screenings annually at well-child visits.Methods: As part of a larger study, 7 urban Federally Qualified Health Center clinics implemented universal screening for risky alcohol and drug use using the CRAFFT. The current study compared uptake of screening and screening results at well-child versus acute-care visits.Results: Over a period of 13 months for which encounter-level electronic medical records data were available, there were 6346 clinic visits by 3475 unique patients ages 12-17, at which 76.6% (n=4865) of visits had a screening for problematic substance use conducted. Rates of screening were 95.1% (2750/2891 involving 2629 unique adolescents) for well-child visits; and 61.2% (2115/3455 involving 1535 unique adolescents) for acute-care visits. Rates of positive screening results were 9.0% (248/2750 involving 245 unique adolescents) for well-child visits; and 7.8% (164/2115 involving 126 unique adolescents) for acute-care visits. Of the 469 unique adolescents screened only during an acute-care visit during that same period, 40 unique adolescents had positive screening results, for a positive screening rate of 8.5%.

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confidence: 99%

A Comparison of Screening Practices for Adolescents in Primary Care After Implementation of Screening, Brief Intervention, and Referral to Treatment

Monico

Mitchell

Dušek

et al. 2019

Journal of Adolescent Health

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“…CM involves longitudinal follow-up for mental health conditions, including medication management, guideline-based treatment support, and patient activation and education. CCC focuses on same-day mental health access, with brief problemfocused assessments and interventions and referral to specialty mental health clinics for individuals requiring complex mental health treatment (6,7,9). Site leadership determines whether these service components are delivered by the same staff, and patterns of staffing assignment vary across sites.…”

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confidence: 99%

Primary Care-Mental Health Integration in the Veterans Affairs Health System: Program Characteristics and Performance

Cornwell

Brockmann

Lasky

et al. 2018

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“…Analyses will be descriptive. Implementation fidelity at the program (CBOC) level and provider level [ 62 ] and fidelity to the implementation strategy will be determined as described in Additional file 1 .…”

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confidence: 99%

Using implementation facilitation to implement primary care mental health integration via clinical video telehealth in rural clinics: protocol for a hybrid type 2 cluster randomized stepped-wedge design

et al. 2019

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BackgroundIntegrating mental health providers into primary care clinics improves access to and outcomes of mental health care. In the Veterans Health Administration (VA) Primary Care Mental Health Integration (PCMHI) program, mental health providers are co-located in primary care clinics, but the implementation of this model is challenging outside large VA medical centers, especially for rural clinics without full mental health staffing. Long wait times for mental health care, little collaboration between mental health and primary care providers, and sub-optimal outcomes for rural veterans could result. Telehealth could be used to provide PCMHI to rural clinics; however, the clinical effectiveness of the tele-PCMHI model has not been tested. Based on evidence that implementation facilitation is an effective implementation strategy to increase uptake of PCMHI when delivered on-site at larger VA clinics, it is hypothesized that this strategy may also be effective with regard to ensuring adequate uptake of the tele-PCMHI model at rural VA clinics.MethodsThis study is a hybrid type 2 pragmatic effectiveness-implementation trial of tele-PCMHI in six sites over 24 months. Tele-PCMHI, which will be delivered by clinical staff available in routine care settings, will be compared to usual care. Fidelity to the care model will be monitored but not controlled. We will use the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework to evaluate the patient-level clinical effectiveness of tele-PCMHI in rural VA clinics and also to evaluate the fidelity to and outcomes of the implementation strategy, implementation facilitation. The proposed study will employ a stepped-wedge design in which study sites sequentially begin implementation in three steps at 6-month intervals. Each step will include (1) a 6-month period of implementation planning, followed by (2) a 6-month period of active implementation, and (3) a final period of stepped-down implementation facilitation.DiscussionThis study will evaluate the effectiveness of PCMHI in a novel setting and via a novel method (clinical video telehealth). We will test the feasibility of using implementation facilitation as an implementation strategy to deploy tele-PCMHI in rural VA clinics.Trial registrationClinicalTrials.gov registration number NCT02713217. Registered on 18 March 2016Electronic supplementary materialThe online version of this article (10.1186/s13012-019-0875-5) contains supplementary material, which is available to authorized users.

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Using the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to identify practice patterns

Cited by 21 publications

References 33 publications

A Comparison of Screening Practices for Adolescents in Primary Care After Implementation of Screening, Brief Intervention, and Referral to Treatment

A Comparison of Screening Practices for Adolescents in Primary Care After Implementation of Screening, Brief Intervention, and Referral to Treatment

Primary Care-Mental Health Integration in the Veterans Affairs Health System: Program Characteristics and Performance

Using implementation facilitation to implement primary care mental health integration via clinical video telehealth in rural clinics: protocol for a hybrid type 2 cluster randomized stepped-wedge design

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