Name
Too Complex for PCBH? Redefining Care with the Transdiagnostic Matrix Framework
Description

Are some patients simply “too complex” for PCBH? In reality, complexity is the rule in primary care and referral alone is rarely the solution. This session introduces the transdiagnostic "Matrix" framework, a structured approach for organizing complexity and delivering meaningful intervention within the visit. Participants will learn how to translate even multifaceted presentations into actionable, values-congruent behavioral targets while maintaining fidelity to primary care principles.

Speakers
David Bauman, PsyD
Bridget Beachy, PsyD
Content Level
All Audience
Tags
Complex Patient Care, Primary Care Behavioral Health Model, Team-based care
Session Type
Concurrent
Objective 1
Explain how rigid definitions of “appropriate” PCBH patients can inadvertently limit access to care and stunt integration.
Objective 2
Apply the Matrix conceptualization to organize wide ranging (including complex) presentations within primary care visits.
Objective 3
Apply the Matrix framework to identify actionable, values-congruent behavioral targets within complex primary care presentations.
Content Reference 1

Braspenning, J., van den Kieboom, R., Bischoff, E. W. M. A., Hietland, K., Vissers, K., & Schoon, Y. (2025). What makes patients in primary care complex? A scoping review combined with a focus group analysis. Scandinavian Journal of Primary Health Care, 43(4), 786–794. https://doi.org/10.1080/02813432.2025.2507278

Content Reference 2

Dochat, C., Wooldridge, J. S., Herbert, M. S., Lee, M. W., & Afari, N. (2021). Single-session acceptance and commitment therapy (ACT) interventions for patients with chronic health conditions: A systematic review and meta-analysis. Journal of Contextual Behavioral Science, 20, 52–69. https://doi.org/10.1016/j.jcbs.2021.03.003

Content Reference 3

Kim, J., Ryu, N., & Chibanda, D. (2023). Effectiveness of single-session therapy for adult common mental disorders: A systematic review. BMC Psychology, 11, Article 373. https://doi.org/10.1186/s40359-023-01410-0

Content Reference 4

Leckey, J. M., Dagher, A., & Lee-Baggley, D. L. (2023). Using the ACT matrix to improve sleep: A practical guide for implementing the “what” and the “how” of sleep hygiene. Journal of Contextual Behavioral Science, 30, 142–154. https://doi.org/10.1016/j.jcbs.2023.10.002

Content Reference 5

Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., Dickens, C., & Coventry, P. (2012). Collaborative care for depression and anxiety problems. Cochrane Database of Systematic Reviews, (10), CD006525. https://doi.org/10.1002/14651858.CD006525.pub2; Lim, Y. W., Al-Busaidi, I. S., Caya, R., Bricca, A., Mangin, D., Wilson, R., & Abbott, J. H. (2025). Effectiveness of interventions for the management of multimorbidity in primary care and community settings: Systematic review and meta-analysis. Family Practice, 42(6), cmaf085. https://doi.org/10.1093/fampra/cmaf085 Polk, K. L., & Schoendorff, B. (Eds.). (2014). The ACT matrix: A new approach to building psychological flexibility across settings and populations. New Harbinger Publications. Unützer, J., Katon, W., Callahan, C. M., Williams, J. W., Jr., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R. D., Noël, P. H., Lin, E. H. B., Areán, P. A., Hegel, M. T., Tang, L., Belin, T. R., Oishi, S., & Langston, C. (2002). Collaborative care management of late-life depression in the primary care setting: A randomized controlled trial. JAMA, 288(22), 2836–2845. https://doi.org/10.1001/jama.288.22.2836 Wang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 603–613. https://doi.org/10.1001/archpsyc.62.6.603