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Journal ArticleDOI

Professional competencies and training needs of professional social workers in integrated behavioral health in primary care

12 Sep 2013-Social Work in Health Care (Soc Work Health Care)-Vol. 52, Iss: 8, pp 752-787
TL;DR: Results indicate that social workers feel prepared for general practice in IBH settings, but would benefit from additional training in IBh-specific competency areas identified in the survey, which can help guide social work training to improve workforce preparedness for practice inIBH settings in the wake of health care reform.
Abstract: The Affordable Care Act has led to a widespread movement to integrate behavioral health services into primary care settings. Integrated behavioral health (IBH) holds promise for treating mild to moderate psychiatric disorders in a manner that more fully addresses the biopsychosocial spectrum of needs of individuals and families in primary care, and for reducing disparities in accessing behavioral health care. For behavioral health practitioners, IBH requires a shift to a brief, outcome-driven, and team-based model of care. Despite the fact that social workers comprise the majority of behavioral health providers in IBH settings, little research has been done to assess the extent to which social workers are prepared for effective practice in fast-paced primary care. We conducted a survey of social workers (N = 84) in IBH settings to assess the following: (1) Key competency areas for social work practice in IBH settings and (2) Self-rated preparedness for effective practice in IBH settings. Online snowball sampling methods were used over a period of 1 month. Results indicate that social workers feel prepared for general practice in IBH settings, but would benefit from additional training in IBH-specific competency areas identified in the survey. Findings can help guide social work training to improve workforce preparedness for practice in IBH settings in the wake of health care reform.
Citations
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Journal ArticleDOI
TL;DR: Collaborative clinics with social work and medical students are a viable option for experiential learning and providing quality care for uninsured or underinsured people with comorbid medical conditions.
Abstract: Missouri did not expand Medicaid, leaving about 500,000 Missourians without health insurance To address community needs and provide additional social work training opportunities, a free integrated behavioral health clinic was established This article discusses the need, describes the clinic, and presents 1-year evaluation results Sixty-nine clients received services, and 30 students received intensive training during the first year Almost half of the clients were diagnosed with depressive disorders, and more than half had comorbid medical conditions Psychiatric symptoms were lower following treatment Quality of life increased in physical and psychological domains Collaborative clinics with social work and medical students are a viable option for experiential learning and providing quality care for uninsured or underinsured people with comorbid medical conditions

4 citations


Cites background from "Professional competencies and train..."

  • ...It is constructed in many different ways including coordinated care, colocated facilities, and integrated practices (Heath, Wise Romero, & Reynolds, 2013; Horevitz & Manoleas, 2013; Kessler & Stafford, 2008; Schaefer & Davis, 2004)....

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Dissertation
01 Jan 2018

4 citations


Cites background from "Professional competencies and train..."

  • ...This is because social workers rely on the integrated biopsychosocial approach to healthcare, in order for their profession to be relevant in healthcare spaces (Horevitz & Manoleas, 2013)....

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Journal ArticleDOI
TL;DR: In this paper, the authors recognized that interprofessional health care models have been largely recognized as a critical component of effective and efficient health-care provision, while many health professions have established methods of...
Abstract: Interprofessional health-care models have been largely recognized as a critical component of effective and efficient health-care provision. While many health professions have established methods of...

4 citations


Cites background from "Professional competencies and train..."

  • ...ARTICLE HISTORY Accepted: December 2018 With the onset of the Affordable Care Act in 2010, an emphasis on inclusive, efficient, and quality health-care services has been reinvigorated (Horevitz & Manoleas, 2013)....

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  • ...In turn, many allied health-care professions, including nursing, psychology, and marriage and family therapy, have begun incorporating interprofessional education (IPE) as a component of their curricula (DeAngelis, 2017; Horevitz & Manoleas, 2013; IEC, 2016)....

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  • ...…into social work education Although the tenets of social work offer an ideal background for medical social workers to engage in interprofessional health-care models, social workers require additional training to be most useful to the interdisciplinary team environment (Horevitz & Manoleas, 2013)....

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Journal ArticleDOI
TL;DR: A letter to the editor is presented in response to the article "Social work in a medical clinic: the nature and course of referrals to the social worker," by J. D. Stoeckle, R. Sittler, and G. Davidson in a June 2016 issue.
Abstract: A letter to the editor is presented in response to the article "Social work in a medical clinic: the nature and course of referrals to the social worker," by J. D. Stoeckle, R. Sittler, and G. E. Davidson in a June 2016 issue.

4 citations

Journal ArticleDOI
TL;DR: In the last decade, there has been increased momentum to bring the worlds of physical and behavioral health care together as discussed by the authors, and instead of social work education simply reacting to this change, they have been taking advantage of this momentum.
Abstract: Over the last decade, there has been increased momentum to bring the worlds of physical and behavioral health care together. Instead of social work education simply reacting to this change,...

4 citations


Cites background from "Professional competencies and train..."

  • ...So if the aforementioned trends hold true, it stands to reason that the preparation of social workers must change as well (Horevitz & Manoleas, 2013)....

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  • ...Primary care is again touted as the backbone of the healthcare system and the preferred front door for the majority of services a client will need (Blount & Miller, 2009; Bodenheimer, Wagner, & Grumbach, 2002; Coleman, Austin, Brach, & Wagner, 2009; Horevitz & Manoleas, 2013)....

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  • ...Horevitz and Manoleas (2013) conducted a snowball survey with 84 social workers practicing in an integrated care setting, two thirds in primary care....

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  • ...…physical and behavioral health care were launched, the reality was that more mental health treatment, including prescribing and monitoring psychotropic medication, occurred in primary care settings than in specialty behavioral health programs (Blount & Miller, 2009; Horevitz & Manoleas, 2013)....

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  • ...Integrated behavioral health “requires a shift from an individual client-based model of care to a population-based model of care” (Horevitz & Manoleas, 2013, p. 755)....

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References
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Journal ArticleDOI
TL;DR: The general view of descriptive research as a lower level form of inquiry has influenced researchers conducting qualitative research to claim methods they are really not using and not to claim the method they are using: namely, qualitative description.
Abstract: The general view of descriptive research as a lower level form of inquiry has influenced some researchers conducting qualitative research to claim methods they are really not using and not to claim the method they are using: namely, qualitative description. Qualitative descriptive studies have as their goal a comprehensive summary of events in the everyday terms of those events. Researchers conducting qualitative descriptive studies stay close to their data and to the surface of words and events. Qualitative descriptive designs typically are an eclectic but reasonable combination of sampling, and data collection, analysis, and re-presentation techniques. Qualitative descriptive study is the method of choice when straight descriptions of phenomena are desired.

9,029 citations


Additional excerpts

  • ...Consistent with recommendations for descriptive qualitative research (Sandelowski, 2000) the authors then met to discuss themes and to ensure agreement on key themes in the respondents’ answers....

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Journal ArticleDOI
TL;DR: Cultural humility is proposed as a more suitable goal in multicultural medical education that incorporates a lifelong commitment to self-evaluation and self-critique and to developing mutually beneficial and nonpaternalistic clinical and advocacy partnerships with communities on behalf of individuals and defined populations.
Abstract: Researchers and program developers in medical education presently face the challenge of implementing and evaluating curricula that teach medical students and house staff how to effectively and respect- fully deliver health care to the increasingly diverse populations of the United States. Inherent in this challenge is clearly defining educational and training outcomes consistent with this imperative. The traditional notion of competence in clinical training as a detached mastery of a theoretically finite body of knowledge may not be appropriate for this area of physician education. Cultural humility is proposed as a more suitable goal in multicultural medical education. Cultural humility incorporates a lifelong commitment to self-evaluation and self-critique, to redressing the power imbalances in the patient-physician dynamic, and to developing mutually beneficial and nonpaternalistic clinical and advocacy partner- ships with communities on behalf of individuals and defined populations.

2,277 citations


"Professional competencies and train..." refers background in this paper

  • ...For example, Tervalon and Murray-Garcia (1998) describe the concept of “cultural humility,” which places the clinician in a fundamentally different juxtaposition with the patient....

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Book
23 Nov 2011
TL;DR: This chapter discusses the design and development of the Survey Instrument, and the challenges faced in processing and Analyzing the Survey Data.
Abstract: Chapter 1 Introduction Chapter 2 Planning the Digital Survey Chapter 3 Sampling Chapter 4 Writing Survey Questions Chapter 5 Designing and Developing the Survey Instrument Chapter 6 Conducting the Survey Chapter 7 Processing and Analyzing the Survey Data Chapter 8 Reporting the Survey Results Chapter 9 Concluding Comments Appendix A: American Association for Public Opinion Research, Code of Ethics Appendix B: Commonly Used Survey Questions

1,059 citations


"Professional competencies and train..." refers background in this paper

  • ...Because there is no database of IBH clinics (i.e., no known population) (Selm & Jankowski, 2006), links to the survey were sent out to IBH listservs and posted on professional message boards such as www.cfha.net, part of the Collaborative Family Health Care Association, a national professional…...

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Journal ArticleDOI
TL;DR: A multifaceted primary care intervention improved adherence to antidepressant regimens and satisfaction with care in patients with major and minor depression.
Abstract: Background: This research study evaluates the effectiveness of a multifaceted intervention program to improve the management of depression in primary care. Methods: One hundred fifty-three primary care patients with current depression were entered into a randomized controlled trial. Intervention patients received a structured depression treatment program in the primary care setting that included both behavioral treatment to increase use of adaptive coping strategies and counseling to improve medication adherence. Control patients received "usual" care by their primary care physicians. Outcome measures included adherence to antidepressant medication, satisfaction with care of depression and with antidepressant treatment, and reduction of depressive symptoms over time. Results: At 4-month follow-up, significantly more intervention patients with major and minor depression than usual care patients adhered to antidepressant medication and rated the quality of care they received for depression as good to excellent. Intervention patients with major depression demonstrated a significantly greater decrease in depression severity over time compared with usual care patients on all 4 outcome analyses. Intervention patients with minor depression were found to have a significant decrease over time in depression severity on only 1 of 4 study outcome analyses compared with usual care patients. Conclusion: A multifaceted primary care intervention improved adherence to antidepressant regimens and satisfaction with care in patients with major and minor depression. The intervention consistently resulted in more favorable depression outcomes among patients with major depression, while outcome effects were ambiguous among patients with minor depression.

822 citations


"Professional competencies and train..." refers background in this paper

  • ...The latter is consistent with several evidence-based interventions that emphasize manualized treatment and clinical algorithms (stepped care) for depression and anxiety such as the IMPACT trials and the CALM studies (Areán al., 2008; Ayalon, Areán, Linkins, Lynch, & Estes, 2007; Katon et al., 1996)....

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Journal ArticleDOI
TL;DR: This methods review shows that most challenges are resolved when taking into account the principles that guide the conduct of conventional surveys.
Abstract: The World Wide Web (WWW) is increasingly being used as a tool and platform for survey research. Two types of electronic or online surveys available for data collection are the email and Web based survey, and they constitute the focus of this paper. We address a multitude of issues researchers should consider before and during the use of this method of data collection: advantages and liabilities with this form of survey research, sampling problems, questionnaire design considerations, suggestions in approaching potential respondents, response rates and aspects of data processing. Where relevant, the methodological issues involved are illustrated with examples from our own research practice. This methods review shows that most challenges are resolved when taking into account the principles that guide the conduct of conventional surveys.

758 citations

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Integrated behavioral health (IBH) holds promise for treating mild to moderate psychiatric disorders in a manner that more fully addresses the biopsychosocial spectrum of needs of individuals and families in primary care, and for reducing disparities in accessing behavioral health care.