Name
C14 - Implementing a Modified, Low-intensity Training in an Evidence-based Psychosocial Intervention among Rural Integrated Care Providers
Description

Evidence-based psychosocial interventions (EBPIs) delivered in integrated primary care (PC) have the potential to improve population health, particularly for rural patients with little access to specialty services. As a part of a quality improvement project designed to increase EBPI use by rural behavioral health providers (BHPs) in the Veterans Health Administration (VHA), a modified, low intensity, graduated training model for Problem-Solving Training for Primary Care (PST-PC) was developed and marketed to a variety of BHPs working in integrated care settings. The new training model, Problem-Solving Training for Integrated Care (PST-IC), was rolled out in November 2023 with a pilot cohort of BHPs working in rural VHA integrated care settings. Participant feedback following the training indicates a high degree of satisfaction with the new model, and post-training data collected regarding implementation suggests PST-IC skills are being integrated into training participants’ clinical practice. This presentation will spur discussion among frontline rural BHPs, program leaders, and researchers about improving accessibility and usability of EBPI training to enhance outcomes for hard-to-reach rural populations.

Date & Time
Thursday, October 24, 2024, 2:15 PM - 3:15 PM
Speakers
Janette Mance-Khourey, Education and Implementation Specialist, Center for Integrated Care
SARAH INGLE, Education and Implementation Specialist, Center for Integrated Healthcare, Syracuse VA Medical Center
KATHERINE DOLLAR, Executive Director, Center for Integrated Healthcare, Center for Integrated Care
Co-Authors
Jennifer S. Funderburk, PhD; Paul R. King, PhD; Kyle Possemato, PhD; Michael Wade, MS
Content Level
All Audience
Tags
Innovations, Primary Care Behavioral Health Model, Rural
Session Type
Concurrent
SIG or Committee
PCBH
Location Name
Bonham D
Objective 1
Describe the modified training model, scope of roll out, and results regarding satisfaction with adapted training
Objective 2
Describe how the RE-AIM framework was applied and discuss results regarding reach, effectiveness, adoption, and integration of PST-IC into clinical practice
Objective 3
Discuss implications and limitations of reported study, including next steps for frontline providers, leaders, researchers, and training developers
Content Reference 1
Cully, J. A., Jameson, J. P., Phillips, L. L., Kunik, M. E., & Fortney, J. C. (2010). Use of psychotherapy by rural and urban Veterans. The Journal of Rural Health, 26, 225-233.
Content Reference 2
Funderburk, J. S., Dollar, K. M., King, P. R., Pomerantz, A. S., Bernstein, L., Aspnes, A., Tenhula, W., & Wray, L. O. (2021). Problem-Solving Training for VA Integrated Primary Care Providers: Real-World Outcomes. Professional Psychology: Research & Practice, 52(1), 58-66.
Content Reference 3
Miller, S. A., Aspnes, A., DeMuth, L., McGill, K., King, P., Nezu, A. M., & Nezu, C. M. (2019). Problem-Solving Training in Primary Care: Manual for VA Primary Care Mental Health Integration. Washington, DC: U.S. Department of Veterans Affairs.
Content Reference 4
Pullen, S. J., Horgan, L., Romanelli, L. H., Radin, A., Gardner, K., Edwards, C., Crapo, T., Bolen, B., Huck, B., Wells, K., & Lochman, J. (2021). The effectiveness of training rural mental health clinicians to treat disruptive behavior disorders. Journal of Rural Mental Health, 45(4), 288-296.
Content Reference 5
Selby-Nelson, E. M., Bradley, J. M., Schiefer, R. A., & Hoover-Thompson, A. (2018). Primary care integration in rural areas: A community-focused approach. Families, Systems, & Health, 36(4), 528-534.