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Summary
This summary is machine-generated.

Organizations struggle to train clinicians for integrated care. Practices must invest in internal training programs to onboard new staff and ensure effective team collaboration for behavioral health and primary care integration.

Keywords:
Behavioral MedicineDelivery of Health CareIntegratedPrimary Health CareQualitative Research

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Area of Science:

  • Healthcare Management
  • Workforce Development
  • Interprofessional Education

Background:

  • Integrating behavioral health and primary care requires a skilled, collaborative workforce.
  • Existing training models often fall short in preparing clinicians for interdisciplinary practice.

Purpose of the Study:

  • To identify organizational strategies for preparing clinicians to effectively integrate behavioral health and primary care.
  • To understand the challenges and best practices in clinician training for integrated care settings.

Main Methods:

  • Cross-case comparison of 19 U.S. practices with varying integration experience.
  • Data collection through direct observation, semistructured interviews, and leader-reported online diaries.
  • Grounded theory approach for data analysis.

Main Results:

  • Difficulty in recruiting clinicians with necessary integrated care skills.
  • Underestimation of training and onboarding time/resources by newer practices.
  • Effective training requires involving primary care clinicians (PCCs) and behavioral health clinicians (BHCs), not just new hires.
  • Internal training programs, including manuals, shadowing, and protected education time, are crucial.

Conclusions:

  • Limited training capacity and practical experience are significant barriers to integrated care workforce development.
  • Practices must proactively invest in internal training and resources to overcome workforce shortages.