Name
G10 - Findings on Integrated Behavioral Health in Primary Care: Improved Outcomes and Measurable Ways to Achieve Them with the Practice Integration Profile
Description

We will report on integration and patient health outcomes from the Integrating Behavioral Health and Primary Care for Comorbid Behavioral and Medical Problems (IBH-PC) study that ended in 2023. This pragmatic trial, which included 42 primary care practices across the United States, used the Practice Integration Profile as a measure of integration and the PROMIS-29 as a measure of patient health. We found that practices with higher levels of primary care and behavioral health integration have healthier patients. Additionally, we found that practices that engaged with the IBH-PC practice transformation toolkit were able to increase their level of integration. Finally, we found that practices with scores on the Practice Integration Profile > 65 had patients with improved physical and mental health. We will discuss implications of these results for researchers, clinicians, and other stakeholders.

Date & Time
Friday, October 25, 2024, 2:45 PM - 3:45 PM
Daniel Mullin Constance van Eeghen
Content Level
Intermediate
Tags
Outcomes, Research and evaluation (e.g. data analysis methods), Technical assistance
Session Type
Concurrent
Location Name
Presidio B
Objective 1
Be able to summarize three key findings from the IBH-PC trial
Objective 2
Be able to describe the Practice Integration Profile and its use in research and practice management
Objective 3
Be able to generate new research questions that build on the findings from the IBH-PC trial
Content Reference 1
Littenberg, B., Clifton, J., Crocker, A. M., Baldwin, L.-M., Bonnell, L. N., Breshears, R. E., Callas, P., Chakravarti, P., Clark/Keefe, K., Cohen, D. J., deGruy, F. V., Eidt-Pearson, L., Elder, W., Fox, C., Frisbie, S., Hekman, K., Hitt, J., Jewiss, J., Kaelber, D. C., … Eeghen, C. van. (2023). A Cluster Randomized Trial of Primary Care Practice Redesign to Integrate Behavioral Health for Those Who Need It Most: Patients With Multiple Chronic Conditions. The Annals of Family Medicine, 21(6), 483–495. https://doi.org/10.1370/afm.3027
Content Reference 2
Mullin, D. J., Hargreaves, L., Auxier, A., Brennhofer, S. A., Hitt, J. R., Kessler, R. S., Littenberg, B., Macchi, C. R., Martin, M., Rose, G., Trembath, F., and Eeghen, C. (2019). Measuring the integration of primary care and behavioral health services. Health Services Research, 54(2), 379–389. https://doi.org/10.1111/1475-6773.13117
Content Reference 3
Hitt, J. R., Brennhofer, S. A., Martin, M. P., Macchi, C. R., Mullin, D., Eeghen, C. van, Littenberg, B., and Kessler, R. S. (2022). Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration. Journal of Clinical Psychology in Medical Settings, 29(2), 274–284. https://doi.org/10.1007/s10880-021-09806-z