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Integrated Primary Care and Health Behavior Support: A Survey of Behavioral Health Providers
Andrea Nederveld1, Kimberly Wiggins1, Linda Miriam Dickinson1,2
1University of Colorado, Aurora, CO, USA.
Journal of Primary Care & Community Health
|April 29, 2023
Summary
Behavioral health providers (BHPs) in primary care often address health behaviors, not just mental health. Formalizing these services can improve patient health outcomes.
Area of Science:
- Integrated primary care
- Behavioral health services
- Health behavior change
Background:
- Behavioral health providers (BHPs) in primary care settings frequently dedicate most of their time to mental health concerns rather than behavior change.
- Understanding the specific practices of BHPs in integrated primary care is crucial for optimizing service delivery.
Purpose of the Study:
- To investigate the current practices of BHPs within integrated primary care settings.
- To understand the scope of services BHPs provide, including mental health diagnoses and health behavior support.
- To assess BHPs' interest and perceived effectiveness of techniques for behavior change and weight management.
Main Methods:
- A survey was administered to BHPs participating in the Colorado State Innovation Model (SIM) initiative.
- The survey collected data on referral diagnoses, treated conditions, intervention techniques used, perceived effectiveness, and interest in weight management support.
- Data were analyzed using descriptive statistics and Spearman correlations.
Main Results:
- 79 BHPs completed the survey, representing 26% of SIM practices.
- BHPs reported addressing health-related behaviors even when referred for mental health diagnoses.
- Cognitive behavioral therapy, mindfulness, and relaxation/stress management were commonly used techniques.
- Increased time in practice correlated with more referrals for weight management and addressing diet and weight.
- Practices with care managers or health coaches received more referrals for weight management and physical activity, respectively.
Conclusions:
- BHPs demonstrate a strong interest in and frequently engage in addressing health-related behaviors.
- Formalizing health behavior services provided by BHPs in primary care settings holds potential for enhancing patient behavior change support.
- Optimizing these services can lead to improved overall health outcomes for patients.
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