Name
Integrating Behavioral Health and Chronic Pain Management in Primary Care: Outcomes from a Collaborative Care Model
Description

This poster describes outcomes from Tandem Care, a primary care–embedded Collaborative Care program operating across multiple senior primary care centers. The program integrates behavioral health services and behavioral support for chronic pain management within routine primary care workflows. Data from standardized screening tools, patient feedback, and provider surveys demonstrate improvements in patient outcomes and high provider satisfaction. Operational strategies that support program sustainability and scalability across multiple sites will also be highlighted. This model demonstrates how integrated behavioral health can improve access, patient engagement, and provider support in complex healthcare environments.

Co-Authors
Lisa Edwards
Elizabeth Pautler, APRN
Content Level
Intermediate
Tags
Collaborative Care Model of Integrated Care, Outcomes, Team-based care
Session Type
Poster
Objective 1
Describe how a Collaborative Care model can integrate behavioral health and chronic pain management within primary care settings.
Objective 2
Identify measurable patient outcome metrics used to evaluate chronic pain management in integrated behavioral health programs.
Objective 3
Discuss operational strategies that support sustainable implementation of collaborative care programs across multiple primary care sites.
Content Reference 1

Connell, N., Pallavi Prathivadi, Lorenz, K. A., Zupanc, S. N., Singer, S. J., Krebs, E. E., Yano, E. M., Wong Connie C, & Giannitrapani, K. F. (2022). Teaming in Interdisciplinary Chronic Pain Management Interventions in Primary Care: a Systematic Review of Randomized Controlled Trials. Journal of General Internal Medicine, 37(6), 1501–1512. https://doi.org/10.1007/s11606-021-07255-w

Content Reference 2

Littenberg, B., Bonnell, L., Callas, P., Hitt, J., Macchi, C. R., Martin, M., McEntee, M. L., Mullin, D. J., Rose, G. L., & van Eeghen, C. (2025). Degree of Behavioral Health Integration and Patient Outcomes. The Journal of the American Board of Family Medicine, 38(5), 834–845. https://doi.org/10.3122/jabfm.2025.250052r1

Content Reference 3

Yong, R. J., Mullins, P. M., & Bhattacharyya, N. (2021). The prevalence of chronic pain among adults in the United States. Pain, 163(2), e328–e332. https://doi.org/10.1097/j.pain.0000000000002291

Content Reference 4

Goodie, J. L., Kanzler, K. E., McGeary, C. A., Young-McCaughan, S., Peterson, A. L., Cobos, B. A., Dobmeyer, A. C., Hunter, C. L., Star, J. B., Bhagwat, A., Houle, T. T., Buhrer, J. C., Fowler, P., Brackins, N., Cardona, M. R., & McGeary, D. D. (2026). Targeting Chronic Pain in Primary Care Settings Using Behavioral Health Consultants: A Pilot Study Implementing Brief Cognitive Behavioral Therapy for Chronic Pain. Journal of Clinical Psychology in Medical Settings. https://doi.org/10.1007/s10880-025-10121-0

Content Reference 5

Kim, K., Rendon, I., & Starkweather, A. (2021). Patient and provider perspectives on patient-centered chronic pain management. Pain Management Nursing, 22(4), 470–477. https://doi.org/10.1016/j.pmn.2021.02.003