Name
Poster 72 - Alleviating Burden? Effects of Behavioral Health Consultants on Primary Care Team Burnout and Dissatisfaction, A Systematic Review
Description

Nearly 20 years since Robinson and Reiter’s guide that introduced Primary Care Behavioral Health (PCBH) as a model of integrated care (Robinson and Reiter, 2006), PCBH has been promoted to reduce turnover among primary care providers by integrating Behavioral Health Consultants (BHCs) into primary care teams (Reiter et al., 2018; Serrano et al., 2018). Building on this insight, this systematic review examines research on the effects of PCBH integration on employee burden and job dissatisfaction among the primary care workforce since the publication of Robinson and Reiter’s guide. This on-going systematic review provides recent developments in the integration of BHCs into primary care with regard to workforce outcomes, and thus addresses audiences with a general understanding of PCBH and who want to learn more about the intersection of behavioral health integration and the healthcare workforce. Results from screening studies that cite Robinson and Reiter (2006) thus far indicate at least 45 articles advocating for integrating behavioral health, with at least two empirical studies exploring the effect of co-location and proximity on health outcomes or on patient outcomes. There is need for research on workforce outcomes like burden, with a growing research stream of articles examining integrated behavioral health and its effect on burnout (Leun et al., 2020).

Date & Time
Friday, October 25, 2024, 5:00 PM - 6:30 PM
Co-Authors
Sylvia, J. Hysong, Ph.D. Professor of Medicine, Center for Innovation in Quality, Effectiveness, and Safety / Baylor College of Medicine, Houston, TX
Sylvia.Hysong@va.gov
Content Level
All Audience
Session Type
Poster
Location Name
Lone Star DEF & Corr.
Objective 1
Describe the extent of research in which Primary Care Behavioral Health has been used to reduce turnover and burnout among physicians.
Objective 2
Identify recent studies that evaluate the integration of behavioral health in relation to staff burden and turnover.
Objective 3
Discuss future directions and research methods for evaluating the impacts of PCBH on healthcare workforce outcomes.
Content Reference 1
Reiter, J. T., Dobmeyer, A. C., & Hunter, C. L. (2018). The Primary Care Behavioral Health (PCBH) Model: An Overview and Operational Definition. Journal of Clinical Psychology in Medical Settings, 25(2), 109–126. https://doi.org/10.1007/s10880-017-9531-x
Content Reference 2
Zubatsky, M., Runyan, C., Gulotta, S., Knight, J. R., & Pettinelli, J. D. (2020). Burnout Among Behavioral Health Providers in Integrated Care Settings. Families Systems & Health, 38(1), 74–82. https://doi.org/10.1037/fsh0000456
Content Reference 3
Serrano, N., Cordes, C., Cubic, B., & Daub, S. (2018). The State and Future of the Primary Care Behavioral Health Model of Service Delivery Workforce. Journal of Clinical Psychology in Medical Settings, 25(2), 157–168. https://doi.org/10.1007/s10880-017-9491-1
Content Reference 4
Lombardi, B. M., Richman, E. L., & Zerden, L. de S. (2021). Using Latent Class Analysis to Understand Social Worker Roles in Integrated Health Care. Journal of Evidence-Based Social Work, 18(4), 1–468. https://doi.org/10.1080/26408066.2021.1914264
Content Reference 5
Leung, L. B., Rose, D., Rubenstein, L. V., Guo, R., Dresselhaus, T. R., & Stockdale, S. (2020). Does Mental Health Care Integration Affect Primary Care Clinician Burnout? Results from a Longitudinal Veterans Affairs Survey. Journal of General Internal Medicine : JGIM, 35(12), 3620–3626. https://doi.org/10.1007/s11606-020-06203-4