Competency Framework for Bachelor-Level Social Workers to Deliver Psychosocial Interventions within Integrated Care

This study aimed to develop and validate a competency framework for a bachelor-level social worker, or related degree type, to work in integrated behavioral healthcare settings under clinical supervision. In Washington state, a new bachelor-level certification called a Behavioral Health Support Specialist or BHSS includes social work, psychology, and related degree programs.

Focus group interviews with stakeholders from across Washington State (n = 49) were conducted in addition to a confidential survey. A thematic analysis of data and validity check preceded interpretation of results.

Qualitative data generated salient recommendations to shape a competency framework tailored to integrated care, and other behavioral health settings. Survey data helped gauge the degree of endorsement for a new mental health provider for integrated care in Washington State.

Participants recommended specific action steps related to scope of practice, differentiation from other non-specialists, work setting expansion, supervisor qualifications, and ethics to align the competency framework with real-world practice.

A BHSS competency framework supports the development of a new professional role to prepare a bachelor level social worker to deliver evidence-informed psychosocial interventions under supervision within integrated care settings.