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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: An overview of Parkinson’s disease and its complexity is provided, a summary of role and functions identified in a survey of health social workers working with Parkinson's disease and/or neurology, and education and practice recommendations for the social work profession are provided.
Abstract: Healthcare reform, including the focus on chronic illness, the growing role of neuroscience, the emphasis on collaborative interprofessional care, and more recently, on integrated medical and behavioral healthcare, have important implications for social work education and practice. Parkinson's disease, a chronic neurodegenerative illness exemplifying these trends, is an area in which social workers are increasingly involved. This paper provides (1) an overview of Parkinson's disease and its complexity, (2) a summary of role and functions identified in a survey of health social workers working with Parkinson's disease and/or neurology, and (3) education and practice recommendations for the social work profession.

7 citations


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

  • ...These are essential components in the successful implementation of integrated care (Dubus & Howard, 2016; Horevitz & Manoleas, 2013; Monterio, Janis, Locke, Steinhorn, & Shanske, 2016; Dubus & Howard, 2016)....

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  • ...…Silver School of Social Work, New York University, 142 West End Avenue, New York, 10023, US © 2018 Taylor & Francis to treat behavioral health issues (Horevitz & Manoleas, 2013; Spitzer & Davidson, 2013; Stanhope, Videka, Thorning, & McKay, 2015) have played a less prominent or valued role in…...

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Journal ArticleDOI
TL;DR: The Social Worker Integrated Care Competency Scale (SWICCS), developed to complement the Integrated and Culturally Relevant Care field education curriculum, measures students’ self-perceptions of knowledge and skills associated with providing behavioral health care.
Abstract: Integrating physical and behavioral health services has the potential to reduce health disparities and service inequities among persons most at risk. However, clinical social workers in integrated health settings must possess relevant knowledge and skills to provide quality care to diverse populations. The Social Worker Integrated Care Competency Scale (SWICCS), developed to complement the Integrated and Culturally Relevant Care (ICRC) field education curriculum, measures students' self-perceptions of knowledge and skills associated with providing behavioral health care. Three student cohorts (n = 38) completed the SWICCS three times during an integrated care field practicum. Results indicated a statistically significant increase in student knowledge and skills at each time point, with a large effect size (r = -.87). The SWICCS demonstrated utility in measuring and tracking social work student acquisition of knowledge and skills required for practice in integrated care environments.

6 citations


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

  • ...Integrated behavioral health skills emphasize brief mental health screenings, ongoing impact evaluation, and a move to a “brief, outcome-driven, and team-based model of care” (Horevitz & Manoleas, 2013, p. 752)....

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Journal ArticleDOI
TL;DR: This study explored provider perspectives on collaboration in two Los Angeles County health-care initiatives based on the chronic care model: one focused on provider collaboration, the other on service access and organization-level collaboration in designated neighborhoods.
Abstract: Although interprofessional literature increasingly emphasizes collaboration in delivery of integrated health-care services, practitioners’ views on service implementation are less known. Th...

6 citations


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

  • ...The curriculum is in response to the recognition of overreliance of learning-on-the-job approaches to teaching integrated care (Horevitz & Manoleas, 2013)....

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  • ...In both initiatives, interprofessional communication, flexibility, and a commitment to work alongside other disciplines were salient to the roles of social workers (Horevitz & Manoleas, 2013)....

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  • ...Additional research is needed to further explore which skills are essential for social workers to work effectively on interprofessional teams and provide high-quality collaborative care services in various settings (Horevitz & Manoleas, 2013; Stanhope et al., 2015)....

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Journal ArticleDOI
TL;DR: In this article, the authors identified, described and synthetised previous studies on integrated competencies in health and social care and found that social workers added value when they worked with multi-professional teams, but there were challenges to integrating competencies and these were related to professional collaboration and fragmented leadership.
Abstract: Health and social care professionals' competencies have traditionally been separated because of the different aims of the two professions. These competencies need to be integrated, to make sure that seamless services are provided that meet the often complex needs of patients and clients in a coordinated and timely way. The aim of this integrative review was to identify, describe and synthetise previous studies on integrated competencies in health and social care. Electronic literature searches were carried out on the CINAHL, ProQuest, PsycInfo, PubMed, Scopus and SocIndex databases for peer-reviewed scientific papers that were published in English between 1 January 2007 and 31 December 2019. This identified 3,231 papers, after duplicates were removed, and 18 focused on the integration of social workers' competencies with health care. Other types of integration were not found. The value added by integrating social workers' competencies with health care focused on engaging working orientation, improving communication with family members, increasing understanding of service resources and mastering successful discharge procedures so that they met comprehensive, complex health and well-being needs. Social workers added value when they worked with multi-professional teams, but there were challenges to integrating competencies and these were related to professional collaboration and fragmented leadership. In future, more attention needs to be paid to diversifying and optimising the integration of professional health and social care competencies that meet clients' and patients' care and service needs. It is also vital to focus on developing the professional and leadership strategies that are needed to combine those competencies.

5 citations

Journal ArticleDOI
TL;DR: Both types of models of care for integrated behavioral health are discussed, a brief overview of assessment tools that social workers utilize in IBH settings are provided, and some family IBH interventions are illustrated through a case example.
Abstract: Integrated behavioral health (IBH) addresses the needs of children and their families with a comprehensive psychosocial approach that maximizes treatment adherence and minimizes duplication of serv...

5 citations


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

  • ...…knowledge and skill include knowledge about chronic illness, psychotropic medication, and sexuality, as well as skills in relaxation/mindfulness techniques, psychoeducation, and advocacy with interprofessional staff regarding behavioral/mental health and medical needs (Horevitz & Manoleas, 2013)....

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  • ...It employs a combination of education, prevention, and intervention services to youth and their families in a wide range of health, school, and community-based agency settings (Horevitz & Manoleas, 2013)....

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  • ...In addition, it is essential to have training in family systems to develop effective engagement, assessment, and intervention skills with parents, caretakers, and other family members (Horevitz & Manoleas, 2013)....

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References
More filters
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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What is acute behavioral health?

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.