Provider Perspectives on an Integrated Behavioral Health Prevention Approach in Pediatric Primary Care.

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Tiffany M Rybak, Rachel B Herbst, Lori J Stark, Zeina M Samaan, Cynthia Zion, Alyssa Bryant, Jessica M McClure, Aileen Maki, Elizabeth Bishop, Aimee Mack, Robert T Ammerman
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Abstract

The purpose of this study was to use qualitative interviews to ascertain the perspective of pediatric primary care providers on the implementation of Integrated Behavioral Health (IBH) as provided by psychologists within an expanded HealthySteps™ model, and with a particular focus on prevention of behavioral health symptoms in the first five years. A semi-structured interview guide was used to assess medical providers' perceptions of behavioral health integration into their primary care clinics. A conventional qualitative content analysis approach was utilized to identify patterns of meaning across qualitative interviews. Four themes were identified: (1) practice prior to IBH and initial concerns about integration, (2) psychologist's role and perceived added value, (3) what integration looks like in practice, and (4) perceived families' response to and experiences with IBH. Despite initial concerns about potential disruptions to clinic flow, providers indicated that adoption of IBH was seamless. The distinct roles of the psychologist were clear, and both treatment and prevention services provided by IBH were valued. Multidisciplinary collaboration and real-time response to family needs was seen as especially important and primary care providers reported that families were accepting of and highly valued IBH.

Abstract Image

儿童初级保健综合行为健康预防方法的提供者观点。
本研究的目的是使用定性访谈来确定儿科初级保健提供者对心理学家在扩展的健康步骤中提供的综合行为健康(IBH)实施的看法™ 模型,并特别关注前五年的行为健康症状预防。使用半结构化访谈指南来评估医疗提供者对将行为健康融入其初级保健诊所的看法。采用传统的定性内容分析方法来识别定性访谈中的意义模式。确定了四个主题:(1)IBH之前的实践和对整合的最初关注,(2)心理学家的角色和感知的附加值,(3)整合在实践中是什么样子,以及(4)感知的家庭对IBH的反应和经历。尽管最初担心诊所流程可能会中断,但医疗机构表示,IBH的采用是无缝的。心理学家的独特作用是明确的,IBH提供的治疗和预防服务都受到重视。多学科合作和对家庭需求的实时响应被视为特别重要,初级保健提供者报告说,家庭正在接受并高度重视IBH。
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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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