Name
Poster 42 - And the Answer to your Problems is… PST-IC! An Overview of Sustainment Data Regarding Problem-Solving Training for Integrated Care
Date & Time
Friday, October 17, 2025, 5:00 PM - 6:30 PM
Description

As a part of a quality improvement project designed to increase evidence-based psychosocial intervention (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 Integrated Care (PST-IC) was developed and opened to a variety of BHPs working in integrated care settings. November of 2024 marked one year since the very first cohort of PST-IC providers who were trained under this new model. In order to understand the scope of sustainment among those trained, a survey was sent to the PST-IC providers. This presentation will review the results of the survey, and provide information regarding facilitators and barriers to sustainment, as well as provide an overview on reported ongoing use by those trained.

Speakers
Janette Mance-Khourey Ph.D., Education and Implementation Specialist, Center for Integrated Healthcare (VISN 2), Suffolk,
Sarah Ingle, Education and Implementation Specialist, Center for Integrated Healthcare - Department of Veterans Affairs, Syracuse, NY
Katherine Dollar PhD, ABPP, Executive Director, Center for Integrated Healthcare (VISN 2), Syracuse, New York
Content Level
All Audience
Tags
Innovations, Patient-centered care or Patient perspectives, Population and public health
Session Type
Poster
SIG or Committee
Primary Care Behavioral Health (PCBH)
Objective 1
Review the updated training model, the scope of roll out, and data regarding the sustainment of Problem-solving Training in Integrated Care (PST-IC) at 18 months
Objective 2
Examine feedback provided by PST-IC providers regarding facilitators and barriers to sustainment
Objective 3
Discuss implications and limitations of reported study, including next steps for frontline providers, leaders, researchers, and trainers in evidence-based practice
Content Reference 1

Crowe, C., Collie, C., Johnson, C., & Wiltsey Stirman, S. (2020). An intervention mapping process to increase evidence-based psychotherapy within a complex healthcare system. American Psychologist, 75(8), 1116–1129. https://doi-org.va.proxy.liblynxgateway.com/10.1037/amp0000631

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

Valentstein-Mah, H., Greer, N., McKenzie, L., Hansen, L., Strom, T. Q., Wiltsey Stirman, S., Wilt, T. J., & Kehle-Forbes, S. M. (2020). Effectiveness of training methods for delivery of evidence-based psychotherapies: A systematic review. Implementation Science, 15(40). DOI: 10.1186/s13012-020-00998-w.