ISSN 2146-8346
 

Original Research 


A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative

Jennifer Langhinrichsen-Rohling, Candice Selwyn, Heather Finnegan.

Abstract
Background: Primary care and mental/behavioral health (MBH) integration is designed to improve patient outcomes and enhance access to care. To achieve system-level change, embedded integrated care champions are needed; however, no known conceptual model for identifying champion PCPs of integrated care has been articulated. To address this gap, we propose that PCP championship consists of greater: (i) Awareness of patients’ MBH needs, (ii) Comfort assessing patients’ MBH needs, and (iii) dedication to MBH Training (A.C.T.).
Method: A provider survey was administered yearly (n = 4 time points, 2013-2016) at a large multi-site Federally Qualified Health Center (FQHC) actively working to achieve MBH integration. The survey assessed PCPs’ Awareness of a variety of MBH needs, Comfort diagnosing MBH disorders, and interest in MBH Training.
Results: As expected, the cohort of PCPs demonstrated significantly increased Awareness of MBH needs, greater Comfort diagnosing MBH disorders, and increased interest in MBH Training over time. Overall prevalence of champions, indicated by both high levels of comfort and an expressed interest in training, decreased initially and then consistently increased across time (37%, 19%, 22%, 52%).
Conclusions: The A.C.T. model may aid in future MBH integration efforts by providing a framework for assessing and facilitating PCP integrated care championship.

Key words: primary care providers, integrated care, mental and behavioral health, champions


 
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How to Cite this Article
Pubmed Style

Langhinrichsen-Rohling J, Selwyn C, Finnegan H, . A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative. J Behav Health. 2018; 7(4): 177-184. doi:10.5455/jbh.20180726054143


Web Style

Langhinrichsen-Rohling J, Selwyn C, Finnegan H, . A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative. http://www.jbehavioralhealth.com/?mno=1946 [Access: May 21, 2019]. doi:10.5455/jbh.20180726054143


AMA (American Medical Association) Style

Langhinrichsen-Rohling J, Selwyn C, Finnegan H, . A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative. J Behav Health. 2018; 7(4): 177-184. doi:10.5455/jbh.20180726054143



Vancouver/ICMJE Style

Langhinrichsen-Rohling J, Selwyn C, Finnegan H, . A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative. J Behav Health. (2018), [cited May 21, 2019]; 7(4): 177-184. doi:10.5455/jbh.20180726054143



Harvard Style

Langhinrichsen-Rohling, J. ., Selwyn, C. ., Finnegan, H. . & (2018) A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative. J Behav Health, 7 (4), 177-184. doi:10.5455/jbh.20180726054143



Turabian Style

Langhinrichsen-Rohling, Jennifer , Candice Selwyn, Heather Finnegan, and . 2018. A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative. Journal of Behavioral Health, 7 (4), 177-184. doi:10.5455/jbh.20180726054143



Chicago Style

Langhinrichsen-Rohling, Jennifer , Candice Selwyn, Heather Finnegan, and . " A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative." Journal of Behavioral Health 7 (2018), 177-184. doi:10.5455/jbh.20180726054143



MLA (The Modern Language Association) Style

Langhinrichsen-Rohling, Jennifer , Candice Selwyn, Heather Finnegan, and . " A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative." Journal of Behavioral Health 7.4 (2018), 177-184. Print. doi:10.5455/jbh.20180726054143



APA (American Psychological Association) Style

Langhinrichsen-Rohling, J. ., Selwyn, C. ., Finnegan, H. . & (2018) A.C.T. like a champion: Primary care providers’ responses to an integrated care initiative. Journal of Behavioral Health, 7 (4), 177-184. doi:10.5455/jbh.20180726054143





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