Behavioral Health Interventions Being Implemented in a VA Primary Care System
Abstract
The integration of behavioral health and primary care has received much attention in the literature. Behavioral health providers (BHPs) in integrated settings are faced with different treatment constraints than those who work in specialty mental health. The existing literature focuses on what BHPs should do in primary care settings; however, little research exists specifying what BHPs are actually doing. This study provides a glimpse into what types of interventions BHPs are using, and what types of patients they are seeing, in primary care. A chart review was conducted of patients (N = 180) seen by BHPs in five Veterans Affairs primary care clinics. Depression was the most common diagnosis, while less common presenting problems included substance abuse/dependence, psychosis, and bipolar disorder. Common interventions used were medical management, psycho-education, elements of cognitive-behavioral therapy (CBT), and supportive psychotherapy. Future research should examine the efficacy of brief interventions in primary care settings.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
IPC prescribers rely most heavily on medication management.
“IPC prescribers rely most heavily on medication management (Funderburk et al., 2011).”
From Barriers to and Facilitators of Using Evidence-Based, Cognitive–Behavioral Anxiety Interventions in Integrated Primary Care Practice (2023) · cites this paper as Funderburk et al., 2011
Research suggests that the most effective anxiety intervention techniques, such as exposure and cognitive therapy, are much less common in IPC compared to psychoeducation, supportive therapy, and relaxation training.
“Further, research suggests that the most effective anxiety intervention techniques, such as exposure and cognitive therapy, are much less common in IPC compared to psychoeducation, supportive therapy, and relaxation training (Funderburk et al., 2011; Shepardson et al., 2020).”
From Barriers to and Facilitators of Using Evidence-Based, Cognitive–Behavioral Anxiety Interventions in Integrated Primary Care Practice (2023) · cites this paper as Funderburk et al., 2011
BHPs lack access to empirically-supported manualized brief treatments for IPC, but they frequently draw upon CBT to use specific intervention techniques such as psychoeducation and relaxation training in routine clinical practice.
“While behavioral health providers (BHPs) lack access to empirically-supported manualized brief treatments for IPC, they frequently draw upon CBT to use specific intervention techniques such as psychoeducation and relaxation training in their routine clinical practice (Funderburk et al., 2011).”
From Barriers to and Facilitators of Using Evidence-Based, Cognitive–Behavioral Anxiety Interventions in Integrated Primary Care Practice (2023) · cites this paper as Funderburk et al., 2011
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,482 · see citing works
Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., Gallop, R., McGlinchey, J. B., Markley, D. K., Gollan, J. K., et al. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.4.658 · Cited by 1,607 · cited 2× · see citing works
“There has been some research showing that medication management improves adherence to anti-depressants (e.g., Vergouwen, Bakker, Katon, Verheij, & Koerselman, 2003), hypertensive medications ( Devine & Reif-Schneider, 1995 ), and asthma medications (Schaffer & Tian, 2004).”
BackgroundBrief interventions for alcohol problems: a review
BIEN, T. H., MILLER, W. R., & TONIGAN, J. S. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb00820.x · Cited by 1,577 · cited 1× · see citing works
“For instance, there is a large empirical literature supporting the use of brief alcohol interventions in primary care (see literature reviews: Bertholet, Daeppen, Wietlisbach, Fleming, & Burnand, 2005; Bien, Miller, & Tonigan, 1993 ), and there is a growing literature examining abbreviated sleep interventions for prim…”
BackgroundDetecting and monitoring depression with a two-item questionnaire (PHQ-2)
Löwe, B., Kroenke, K., & Gräfe, K. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.09.006 · Cited by 1,473 · see citing works
Bertholet, N. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.9.986 · Cited by 710 · see citing works
Tew, J., Klaus, J., & Oslin, D. W. (2010) · Families, Systems, & Health · doi:10.1037/a0020249 · Cited by 87 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Cully, J. A., Armento, M. E. A., Mott, J., Nadorff, M. R., Naik, A. D., Stanley, M. A., Sorocco, K. H., Kunik, M. E., Petersen, N. J., & Kauth, M. R. (2012) · Implementation Science · doi:10.1186/1748-5908-7-64 · Cited by 72 · see citing works
Cully, J. A., Stanley, M. A., Petersen, N. J., Hundt, N. E., Kauth, M. R., Naik, A. D., Sorocco, K., Sansgiry, S., Zeno, D., & Kunik, M. E. (2017) · Journal of General Internal Medicine · doi:10.1007/s11606-017-4101-3 · Cited by 72 · see citing works
Mignogna, J., Martin, L. A., Harik, J., Hundt, N. E., Kauth, M., Naik, A. D., Sorocco, K., Benzer, J., & Cully, J. (2018) · Implementation Science · doi:10.1186/s13012-018-0768-z · Cited by 47 · see citing works
Shepardson, R. L., Buchholz, L. J., Weisberg, R. B., & Funderburk, J. S. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.12.004 · Cited by 44 · see citing works
Self-citationBeehler, G. P., Funderburk, J. S., Possemato, K., & Vair, C. L. (2013) · Implementation Science · doi:10.1186/1748-5908-8-19 · Cited by 41 · see citing works
Self-citationImplementing brief cognitive behavioral therapy in primary care: A pilot study
Mignogna, J., Hundt, N. E., Kauth, M. R., Kunik, M. E., Sorocco, K. H., Naik, A. D., Stanley, M. A., York, K. M., & Cully, J. A. (2014) · Translational Behavioral Medicine · doi:10.1007/s13142-013-0248-6 · Cited by 39 · see citing works
Shepardson, R. L., Funderburk, J. S., & Weisberg, R. B. (2016) · Families, Systems, & Health · doi:10.1037/fsh0000175 · Cited by 20 · see citing works
Self-citationIntegrating Cognitive Behavioral Therapy Into Primary Care Settings
Weisberg, R. B., & Magidson, J. F. (2014) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2014.04.002 · Cited by 18 · see citing works
Shepardson, R. L., Fletcher, T. L., Funderburk, J. S., Weisberg, R. B., Beehler, G. P., & Maisto, S. A. (2023) · Psychological Services · doi:10.1037/ser0000696 · Cited by 13 · see citing works
Self-citationAnxiety interventions delivered in primary care behavioral health routine clinical practice
Shepardson, R. L., Minnick, M. R., & Funderburk, J. S. (2020) · Families, Systems, & Health · doi:10.1037/fsh0000493 · Cited by 10 · see citing works
Self-citation
- Authors
- Funderburk, J. S., Sugarman, D. E., Labbe, A. K., Rodrigues, A., Maisto, S. A., & Nelson, B.
- Affiliations
- Syracuse VA Medical Center (US)
- VA Connecticut Healthcare System (US)
- Corresponding author
- Funderburk, Jennifer S.
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2011-02-25
- Volume
- 18
- Issue
- 1
- Pages
- 22-29
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- OpenAlex
- W2070297025
- Cited by
- 52
- References
- 7
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 8 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 8 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 3 · 2012: 2
- FWCI
- 4.35
- 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)
- Funders
- U.S. Department of Veterans Affairs
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- behavioral health integration, primary care, behavioral health providers, Veterans Affairs clinics, depression, substance abuse, psychosis, bipolar disorder, brief intervention, cognitive behavioral therapy, psychoeducation, supportive therapy, medical management
- MeSH terms
- Adult, Aged, Aged, 80 and over, Mental Disorders, Behavioral Medicine, Bipolar Disorder, Combined Modality Therapy, Cooperative Behavior, Depressive Disorder, Female, Hospitals, Veterans, Humans, Male, Middle Aged, New York, Patient Care Team, Patient Education as Topic, Primary Health Care, Psychotic Disorders, Psychotropic Drugs, Retrospective Studies, Veterans, Comorbidity, Cognitive Behavioral Therapy, Delivery of Health Care, Integrated, Substance-Related Disorders, Interdisciplinary Communication
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
