Practice Members' Perspectives on the Implementation of Colorado Integrated Behavioral Health Plus (CIBH +).

Abstract

Integrated Behavioral Health is a key solution in addressing significant problems of access and quality of care. This study assessed practice members' perspectives on the feasibility, acceptability, and appropriateness of an integrated care model called Colorado Integrated Behavioral Health Plus (CIBH +) in a large integrated health system. Seven family medicine practices implemented CIBH + . Practice members completed surveys regarding feasibility, acceptability, and appropriateness (analyzed with descriptive statistics) and semi-structured interviews (analyzed using a grounded theory hermeneutic editing approach). A total of 156 practice members responded to the survey (62% response rate) and 46 participated in interviews (78% response rate). Respondents indicated high levels of agreement about the perceived feasibility, acceptability, and appropriateness of CIBH + . Qualitative themes included: (1) observing the benefits to patients and comprehensive team care reinforced the value of integrating care; (2) supports from teamwork, leadership, and telehealth facilitated implementation; and (3) limitations from role clarity, staffing, space, telehealth, and lack of long-term care options remained challenging for implementation. Identifying the key features of CIBH + may make practical implementation in other settings more feasible to implement and acceptable for patients and care teams to use.