scholarly journals Behavioral Health, Provider Payment, And More

2017 ◽  
Vol 36 (12) ◽  
pp. 2039-2039
Author(s):  
Alan R. Weil
2017 ◽  
Vol 1 (S1) ◽  
pp. 69-69
Author(s):  
Kathryn E. Kanzler ◽  
Patricia Robinson ◽  
Mariana Munante ◽  
Donald McGeary ◽  
Jennifer Potter ◽  
...  

OBJECTIVES/SPECIFIC AIMS: This study seeks to test the feasibility and effectiveness of a brief acceptance and commitment therapy (ACT) treatment for chronic pain patients in a primary care clinic METHODS/STUDY POPULATION: Primary care patients aged 18 years and older with at least 1 pain condition for 12 weeks or more in duration will be recruited. Patients will be randomized into (a) ACT intervention or (b) control group. Participants in the ACT arm will attend 1 individual visit with an integrated behavioral health provider, followed by 3 weekly ACT classes and a booster class 2 months later. Control group will receive enhanced primary care that includes patient education handouts informed by cognitive behavioral science. Data analysis will include 1-way analysis of covariance (ANCOVA), multiple regression with bootstrapping. RESULTS/ANTICIPATED RESULTS: The overall hypothesis is that brief ACT treatment reduces physical disability, improves functioning, and reduces medication misuse in chronic pain patients when delivered by an integrated behavioral health provider in primary care. In addition, it is anticipated that improvements in patient functioning will be mediated by patient change in pain acceptance and patient engagement in value-consistent behaviors. DISCUSSION/SIGNIFICANCE OF IMPACT: This pilot study will establish preliminary data about the effectiveness of addressing chronic pain in a generalizable integrated primary care setting. Data will help support a larger trial in the future. Findings have potential to transform the way chronic pain is currently managed in primary care settings, with results that could decrease disability and improve functioning among patients suffering from chronic pain.


2019 ◽  
Author(s):  
Danielle M. Gainer ◽  
Karley B. Fischer ◽  
Parvaneh K. Nouri

Integrated care models allow a team of providers to interact in a systematic manner, producing cost-effective and superior outcomes for patients. The collaborative care model (CCoM), one type of integrated care, has emerged as one approach with over 80 randomized controlled trials to support its efficacy. In this model, a behavioral health provider offers evidence-based, brief interventions but also serves as a liaison between the patient, medical providers, and the psychiatric consultant. The team also monitors outcomes through a registry and provides a stepped care approach to adjust interventions collaboratively, as needed. If the barriers to integrated care implementation are surmounted, psychiatrists working as consultants in this model can provide care in an efficient and sustainable manner. This review contains 5 figures, 5 tables, and 48 references. Key Words: barriers to implementation, behavioral health provider, collaborative care, cost-effective, integrated care, psychiatric consultant, cost-effective, registry, stepped care


2019 ◽  
Vol 16 (4) ◽  
pp. 651-656
Author(s):  
Thomas W. Britt ◽  
Kathleen M. Wright ◽  
Maurice L. Sipos ◽  
Dennis McGurk

2014 ◽  
Vol 27 (3) ◽  
pp. 367-374 ◽  
Author(s):  
B. F. Miller ◽  
S. Petterson ◽  
S. M. Brown Levey ◽  
J. C. Payne-Murphy ◽  
M. Moore ◽  
...  

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