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Integrated behavioral health training for primary care clinicians: Five lessons learned from a negative study
1Duke/SR-AHEC Family Medicine Residency Program.
Summary
Integrated behavioral health training for medical residents showed no significant change in attitudes or collaboration, with a notable drop in referrals. Future research should focus on core competencies and long-term curriculum effectiveness.
Area of Science:
- Primary Care
- Behavioral Health
- Medical Education
Background:
- Limited research exists on integrated behavioral health training for primary care clinicians.
- Effective workforce development in integrated care settings is crucial.
Purpose of the Study:
- To review findings from a negative study on medical resident training in integrated behavioral health.
- To propose future research directions for integrated behavioral health workforce development.
Main Methods:
- Twenty-three family medicine residents participated in a required integrated behavioral health rotation.
- Data collected via pre/post surveys (n=14) and post-rotation interviews (n=23).
Main Results:
- Resident attitudes towards collaboration and behavioral health consultants did not significantly change.
- Internal referral orders for behavioral health services decreased post-rotation.
- Qualitative data indicated residents valued integrated behavioral health.
Conclusions:
- Learning outcomes must align with learning activities for effective training.
- Direct observation and longitudinal data are valuable for assessing change.
- Future research should define core competencies and evaluate curriculum effectiveness.
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