Behavioral Health Consultation and Primary Care: Lessons Learned
Abstract
This article provides an overview of 20 years of professional experiences with developing and implementing a model for integrating behavioral health services into primary care. The Primary Care Behavioral Health (PCBH) model is designed to provide immediate access to behavioral care for a large number of primary care patients by positioning a behavioral health consultant in the exam room area to function as a core member of the primary care team. In an initial era of discovery, the authors were directly involved in developing and testing a variety of new approaches to providing behavioral health services in general medicine. In a second era focused on feasibility, the authors worked with Kaiser Permanente, the United States Air Force and Navy, the Veteran's Administration, and the Bureau of Primary Care to system test this innovative model of integrated care. Now in an era devoted to dissemination, the authors review the various roles formal research, system level quality improvement initiatives and stakeholder analysis play in promoting integrated care. The authors also describe current efforts to (1) create a tool that helps systems develop integration targets and (2) use the PCBH model as a platform for teaching medical residents and behavioral health providers to work together in a redesigned primary care team model.
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The Primary Care Behavioral Health (PCBH) model recommends that patients who come to the first consult with the psychologist need 4-6 sessions CBT.
“The PCBH model recomends that the patients who came to the first consult with the psychologist needs 4–6 sessions CBT.”
Robinson and Strosahl pioneered the successful integration of brief behavioral interventions into primary care settings, with flexible use of ACT content across numerous models and studies.
“Robinson and Strosahl [51] pioneered the successful integration of brief behavioral interventions into primary care settings, with flexible use of ACT content across numerous models and studies.”
From Acceptance and Commitment Therapy: A Transdiagnostic Behavioral Intervention for Mental Health and Medical Conditions. (2017) · cites this paper as [51]
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“The duration of ACT interventions varies considerably; ranging from 12 one-hour individual sessions (16) to as short as 20 minute sessions integrated into primary care visits (17).”
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“Previous literature introduced Primary Care Behavioral Health (PCBH) model designed by the Veteran’s Administration and the Bureau of Primary Care [23].”
Method
- Authors
- Robinson, P. J., & Strosahl, K. D.
- Corresponding author
- Robinson, Patricia J.
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2009-01-31
- Volume
- 16
- Issue
- 1
- Pages
- 58-71
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- OpenAlex
- W2002087777
- Cited by
- 80
- References
- 28
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 7 · 2020: 6 · 2019: 4 · 2018: 6 · 2017: 11 · 2016: 4 · 2015: 2 · 2014: 10 · 2013: 5 · 2012: 4
- FWCI
- 7.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- behavioral health integration, primary care, behavioral health consultants, integrated care, care coordination, quality improvement, stakeholder analysis, residency training, behavioral health workforce, Kaiser Permanente, veterans' health care
- MeSH terms
- Mental Disorders, Behavioral Medicine, Education, Medical, Humans, Mental Health Services, Primary Health Care, Quality of Life, Referral and Consultation, United States, Cognitive Behavioral Therapy, Delivery of Health Care, Integrated
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