Author
John D. Mack
Bio: John D. Mack is an academic researcher from Mayo Clinic. The author has contributed to research in topics: Psychological intervention & Cognitive behavioral therapy. The author has an hindex of 3, co-authored 4 publications receiving 21 citations.
Papers
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TL;DR: Patients suffering from anxiety, depression, and adjustment disorders can be effectively treated in primary care with CBT, and future efforts are needed to match patient characteristics with the types and timing of therapy interventions to improve clinical and functional outcomes.
15 citations
TL;DR: Findings support the use of a population-based approach to anxiety disorders treatment and suggest that evidence-based CBT can be implemented in the real-world setting.
12 citations
TL;DR: The development and implementation of an innovative approach that, with further empirical study and refinement, could enable health care professionals and systems to understand their population and clinical process in a way that addresses essential gaps in the integrated care literature.
Abstract: INTRODUCTION Although there is a rapid increase in the integration of behavioral health services in primary care, few studies have evaluated the effectiveness of these services in real-world clinical settings, in part due to the difficulty of translating traditional mental health research designs to this setting. Accordingly, innovative approaches are needed to fit the unique challenges of conducting research in primary care. The development and implementation of one such approach is described in this article. METHOD A continuously populating database for psychotherapy services was implemented across 5 primary care clinics in a large health system to assess several levels of patient care, including service utilization, symptomatic outcomes, and session-by-session use of psychotherapy principles by providers. RESULTS Each phase of implementation revealed challenges, including clinician time, dissemination to clinics with different resources, and fidelity of data collection strategy across providers, as well as benefits, including the generation of useful data to inform clinical care, program development, and empirical research. DISCUSSION The feasible and sustainable implementation of data collection for routine clinical practice in primary care has the potential to fuel the evidence base around integrated care. The current project describes the development of an innovative approach that, with further empirical study and refinement, could enable health care professionals and systems to understand their population and clinical process in a way that addresses essential gaps in the integrated care literature. (PsycINFO Database Record
11 citations
TL;DR: In this paper, the effectiveness of CBT for depression in primary care has been investigated and significant reductions in depression and anxiety symptoms were reported by participants with depressive disorders who engaged in short-term CBT within primary care.
5 citations
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TL;DR: A systematic review and meta-analysis of primary care based CBT for depression and anxiety disorders in primary care using robust variance estimation in meta-regression identified significant treatment effect for depressive and anxiety measures.
Abstract: The original version of this article unfortunately contained a typo in the second author surname. The author surname was incorrectly listed as Borhneimer. The correct name should be Bornheimer.
52 citations
TL;DR: Patients suffering from anxiety, depression, and adjustment disorders can be effectively treated in primary care with CBT, and future efforts are needed to match patient characteristics with the types and timing of therapy interventions to improve clinical and functional outcomes.
15 citations
TL;DR: Findings support the use of a population-based approach to anxiety disorders treatment and suggest that evidence-based CBT can be implemented in the real-world setting.
12 citations
TL;DR: In this paper, the authors summarize efforts at Mayo Clinic to develop and disseminate evidence-based psychological interventions across multiple primary care clinics, aiming at improving access to care, enhancing the quality of care, and incorporating a system of measurement-based outcomes.
8 citations
TL;DR: In this paper, the effectiveness of CBT for depression in primary care has been investigated and significant reductions in depression and anxiety symptoms were reported by participants with depressive disorders who engaged in short-term CBT within primary care.
5 citations