scispace - formally typeset
Search or ask a question
Journal Article•DOI•

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

Elizabeth Horevitz1, Peter Manoleas1•
University of California, Berkeley1
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
More filters
Journal Article•DOI•
Moving Toward Integrated Health: An Opportunity for Social Work

[...]

Victoria Stanhope1, Lynn Videka1, Helle Thorning2, Mary McKay1•
New York University1, Mental Health Services2
18 May 2015-Social Work in Health Care
TL;DR: This paper defines integrated health and how the PPACA promotes integrated health care through system redesign and payment reform and considers how social workers can prepare for health care reform.
Abstract: With the passage of the Patient Protection and Affordable Care Act (PPACA) and ongoing health care reform efforts, this is a critical time for the social work profession. The approaches and values embedded in health care reform are congruent with social work. One strategy is to improve care for people with co-morbid and chronic illnesses by integrating primary care and behavioral health services. This paper defines integrated health and how the PPACA promotes integrated health care through system redesign and payment reform. We consider how social workers can prepare for health care reform and discuss the implications of these changes for the future of the profession.

102 citations

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

  • ...In an early study of competencies and training needs of social workers in integrated health care, Horevitz and Manoleas (2013) identified 19 competencies....

    [...]

Journal Article•DOI•
Integrated Primary Care and Social Work: A Systematic Review

[...]

Mark W. Fraser1, Brianna M. Lombardi1, Shiyou Wu, Lisa de Saxe Zerden1, Erica L. Richman1, Erin P. Fraher1 •
University of North Carolina at Chapel Hill1
26 Apr 2018-Journal of The Society for Social Work and Research
TL;DR: The findings suggest that, compared to routine services, integrated primary care provided by interprofessional teams that include social workers significantly improves the behavioral health and care of patients.
Abstract: Objective: Behavioral and physical health services are increasingly being integrated, with care provided by interprofessional teams of physicians, nurses, social workers, and other professi...

57 citations

Cites background or methods or result from "Professional competencies and train..."

  • ...Social workers fulfill many roles across fields of health (Horevitz & Manoleas, 2013; Muskat, Craig, & Mathai, 2017; Stanhope et al., 2015)....

    [...]

  • ...Consistent with prior reports (e.g., Horevitz & Manoleas, 2013; Steketee, Ross, & Wachman, 2017; Wells, Kristman-Valente, Peavy, & Jackson, 2013; Wodarski, 2014), three social work functions or specializations were identified: behavioral health intervention, care management, and community…...

    [...]

  • ...The scope of social work practice was coded using task-analysis items adapted from Horevitz and Manoleas (2013)....

    [...]

  • ...However, based on pilot testing and a prior report from Horevitz and Manoleas (2013), our list appears to have content validity for much of social work practice in integrated care....

    [...]

Journal Article•DOI•
A pilot feasibility study of virtual patient simulation to enhance social work students' brief mental health assessment skills

[...]

Micki Washburn1, Patrick S. Bordnick2, Albert Rizzo3•
University of Houston1, Tulane University2, University of Southern California3
23 Aug 2016-Social Work in Health Care
TL;DR: Preliminary feasibility and acceptability data on the use of virtual patient (VP) simulations to develop brief assessment skills within an interdisciplinary care setting are presented and preliminary evidence for an association between engagement in VP practice simulations and improvements in diagnostic accuracy and clinical interviewing skills is offered.
Abstract: This study presents preliminary feasibility and acceptability data on the use of virtual patient (VP) simulations to develop brief assessment skills within an interdisciplinary care setting. Results support the acceptability of technology-enhanced simulations and offer preliminary evidence for an association between engagement in VP practice simulations and improvements in diagnostic accuracy and clinical interviewing skills. Recommendations and next steps for research on technology-enhanced simulations within social work are discussed.

44 citations

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

  • ...…training; virtual patients; virtual worlds With the implementation of the Patient Protection and Affordable Care Act (2010), there has been a growing demand for social workers who are well prepared to work in fast-paced, integrated care settings (Horevitz & Manoleas, 2013; Lundgren & Krull, 2014)....

    [...]

  • ...Social workers within these teams, often situated in primary care settings, are being called on more and more frequently to conduct brief behavioral health assessments (Sampson, Parrish, & Washburn, 2016; Horevitz & Manoleas, 2013)....

    [...]

Journal Article•DOI•
Social work: Integral to interprofessional education and integrated practice

[...]

Lisa de Saxe Zerden1, Brianna M. Lombardi1, Mark W. Fraser1, Anne Jones1, Yazmin Garcia Rico1 •
University of North Carolina at Chapel Hill1
01 Mar 2018-Journal of Interprofessional Education and Practice
TL;DR: A case vignette is included to demonstrate how interprofessional teams can use the skills of social workers to offer brief, evidence-supported interventions and inform team-based care.
Abstract: Although the debate on US health care reform is ongoing, existing policy has expanded access to preventative and treatment services through new models of integrated care. This has resulted in the creation of interprofessional healthcare teams comprised in part of social workers who undertake brief behavioral health intervention, care management, and service referral. To promote patient care and population health, integrating social workers onto interprofessional teams requires educating all members of the healthcare team on the roles and functions of social workers. A case vignette is included to demonstrate how interprofessional teams can use the skills of social workers to offer brief, evidence-supported interventions and inform team-based care. Suggestions are offered for moving forward to increase the participation of social work in IPE and practice settings.

34 citations

Journal Article•DOI•
Virtual patient simulations for brief assessment of mental health disorders in integrated care settings

[...]

Micki Washburn1, Danielle E. Parrish1, Patrick S. Bordnick2•
University of Houston1, Tulane University2
01 Jan 2020-Social Work in Mental Health
TL;DR: It is indicated that virtual patient simulations have sufficient levels of usability and acceptability as a tool for developing brief clinical interviewing skills, and that participants found this method of instruction to be a valuable adjunct to traditional classroom or field based training.
Abstract: This mixed-methods pilot investigation evaluated the use of virtual patient simulations for increasing self-efficacy and diagnostic accuracy for common behavioral health concerns within an integrat...

33 citations

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

  • ...These simulations would be particularly helpful for training students from different disciplines to work as part of integrated care teams (Horevitz & Manoleas, 2013)....

    [...]

  • ...…classroom training alone may not build the requisite self-efficacy needed for future mental health professionals to efficiently work within fast-paced emergency and primary care settings (Holden, Meenaghan, Anastas & Metery, 2002; Horevitz & Manoleas, 2013; Pinquart, Juang, & Silbereisen, 2003)....

    [...]

  • ...…implemented, more counselors, psychologists, and in particular social workers,will be working as part of integrated primary care teams in an attempt to address physical and behavioral health concerns concurrently (Dudding, Hulton, & Stewart, 2016; Horevitz & Manoleas, 2013; Lundgren & Krull, 2014)....

    [...]

  • ...However, the extant literature focusing on “best practices” for teaching brief mental health assessment skills within community-based integrative care settings is currently lacking (Horevitz & Manoleas, 2013)....

    [...]

References
More filters
Journal Article•DOI•
The White River model of colocated collaborative care: A platform for mental and behavioral health care in the medical home.

[...]

Andrew S. Pomerantz1, Brian Shiner1, Bradley V. Watts, Mark J. Detzer1, Catherine J. Kutter1, Barbara Street1, Debra Scott1 •
Veterans Health Administration1
01 Jun 2010-Families, Systems, & Health
TL;DR: A program of "Colocated Collaborative Care," implemented in 2004 that has been sustained and grown over the 6 years since inception is described.
Abstract: In the past two decades a great deal of research has demonstrated improved quality of care when mental health care is integrated into primary care. To date, most of the literature has addressed care management for specific mental illnesses. Such programs can be difficult to implement and sustain. We describe a program of "Colocated Collaborative Care," implemented in 2004 that has been sustained and grown over the 6 years since inception. The Primary Mental Health Care clinic at the White River Junction (Vermont) Veterans Affairs Medical Center offers a full spectrum of mental health care that allows 75% of referred patients to receive all of their care within the primary care clinic, thus conserving scarce specialty services for the most complex patients. The clinic is staffed by a therapist and a psychiatrist (or advanced practice nurse) and complemented by care management and health psychology. It makes use of technology to streamline assessment and track outcomes. The clinic provides a mix of care management, specialty expertise and chronic disease management. Originally developed in a capitated health care system, adherence to general principles that guided its development may be useful in any system of care.

74 citations

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

  • ...In a majority of settings, patient visits with the behavioral health specialist typically last approximately 30 minutes with an average of 1–10 visits (Blount, 1998; Collins & Fund, 2010; Pomerantz et al., 2010)....

    [...]

  • ...This approach often involves routine screenings for common behavioral health problems such depression, anxiety, insomnia, and substance use, as well as the use of outcome metrics such to track response to treatment overtime, most often in large-scale databases (Blount & Miller, 2009; Collins & Fund, 2010; Hine, Howell, & Yonkers, 2008; Mauer, 2009; Pomerantz et al., 2010)....

    [...]

  • ...…problems such depression, anxiety, insomnia, and substance use, as well as the use of outcome metrics such to track response to treatment overtime, most often in large-scale databases (Blount & Miller, 2009; Collins & Fund, 2010; Hine, Howell, & Yonkers, 2008; Mauer, 2009; Pomerantz et al., 2010)....

    [...]

Journal Article•DOI•
The challenge of integrated care for mental health: leaving the 50 minute hour and other sacred things.

[...]

Andrew S. Pomerantz1, Andrew S. Pomerantz2, John A. Corson2, John A. Corson1, Mark J. Detzer1, Mark J. Detzer2 •
Veterans Health Administration1, Dartmouth College2
31 Jan 2009-Journal of Clinical Psychology in Medical Settings
TL;DR: Increasing exposure and training in integrated care models, while maintaining the necessary training in traditional mental health care is a challenge for training at all levels, yet the challenge clearly opens new opportunities for psychology and psychiatry.
Abstract: A growing body of research has demonstrated the effectiveness of integrating mental/behavioral healthcare with primary care in improving health outcomes. Despite this rich literature, such demonstration programs have proven difficult to maintain once research funding ends. Much of the discussion regarding maintenance of integrated care has been focused on lack of reimbursement. However, provider factors may be just as important, because integrated care systems require providers to adopt a very different role and operate very differently from traditional mental health practice. There is also great variability in definition and operationalization of integrated care. Provider concerns tend to focus on several factors, including a perceived loss of autonomy, discomfort with the hierarchical nature of medical care and primary care settings, and enduring beliefs about what constitutes “good” treatment. Providers may view integrated care models as delivering substandard care and passively or actively resist them. Dissemination of available data regarding effectiveness of these models is essential (e.g. timeliness of treatment, client satisfaction). Increasing exposure and training in these models, while maintaining the necessary training in traditional mental health care is a challenge for training at all levels, yet the challenge clearly opens new opportunities for psychology and psychiatry.

61 citations

Book•
Handbook of primary care psychology

[...]

Leonard J. Haas
01 Jan 2004
TL;DR: The handbook covers the prevalent psychological conditions in the primary-care setting--depression, anxiety, somatization, eating disorders, and alcoholism; illnesses in which psychological disorders play a major role, such as heart disease, diabetes, cancer, pain management, headache, asthma, low back pain, sleep disorders, among others.
Abstract: The handbook covers the prevalent psychological conditions in the primary-care setting--depression, anxiety, somatization, eating disorders, and alcoholism; illnesses in which psychological disorders play a major role, such as heart disease, diabetes, cancer, pain management, headache, asthma, low back pain, sleep disorders, among others; and issues of concern to psychologists treating children (ADHD, disciplinary problems, etc.), treating women (abuse, infertility, menopause, sexual dysfunction), treating men (workaholism, alcoholism, sexual dysfunction), and treating the older patient (death and dying, cognitive impairment, late life depression).

56 citations

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

  • ...Models of IBH In practice, IBH programs take on numerous forms, ranging from fully integrated collaborative care to co-location with minimal collaboration between providers (Haas, 2004; Kessler & Stafford, 2008; Schaefer & Davis, 2004)....

    [...]

  • ...In practice, IBH programs take on numerous forms, ranging from fully integrated collaborative care to co-location with minimal collaboration between providers (Haas, 2004; Kessler & Stafford, 2008; Schaefer & Davis, 2004)....

    [...]

Journal Article•DOI•
Integrated specialty mental health care among older minorities improves access but not outcomes: results of the PRISMe study.

[...]

Patricia A. Areán1, Liat Ayalon2, Chengshi Jin1, Charles E. McCulloch1, Karen W. Linkins, Hongtu Chen3, Betsy McDonnell-Herr, Sue E. Levkoff3, Carroll L. Estes1 •
University of California, San Francisco1, Bar-Ilan University2, Brigham and Women's Hospital3
01 Oct 2008-International Journal of Geriatric Psychiatry
TL;DR: This secondary data analysis of Primary Care Research in Substance Abuse and Mental Health for the Elderly study hypothesized that older minorities who receive mental health services integrated in primary care settings would have greater service use and better mental health outcomes than older minorities referred to community services.
Abstract: Objective In this secondary data analysis of Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRIMSe) study, we hypothesized that older minorities who receive mental health services integrated in primary care settings would have greater service use and better mental health outcomes than older minorities referred to community services Method We identified 2,022 (48% minorities) primary care patients 65 years and older, who met study inclusion criteria and had either alcohol misuse, depression, and/or anxiety They were randomized to receive treatment for these disorders in the primary care clinic or to a brokerage case management model that linked patients to community-based services Service use and clinical outcomes were collected at baseline, three months and six months post randomization on all participants Results Access to and participation in mental health /substance abuse services was greater in the integrated model than in referral; there were no treatment by ethnicity effects There were no treatment effects for any of the clinical outcomes; Whites and older minorities in both integrated and referral groups failed to show clinically significant improvement in symptoms and physical functioning at 6 months Conclusions While providing services in primary care results in better access to and use of these services, accessing these services is not enough for assuring adequate clinical outcomes Copyright © 2008 John Wiley & Sons, Ltd

51 citations

Journal Article•DOI•
Case management and the chronic care model: a multidisciplinary role.

[...]

Judith Schaefer1, Connie Davis•
Group Health Cooperative1
01 Mar 2004-Lippincott's Case Management
TL;DR: This article considers case management through the experience of three systems that have implemented the Chronic Care Model, and a movement toward condition neutral case management, focused on care that is more wholly patient centric is also examined.
Abstract: The core functions of case management, assessment, planning, linking, monitoring, advocacy, and outreach assume a new perspective in the context of systems that have adopted the Chronic Care Model. This article considers case management through the experience of three systems that have implemented the Chronic Care Model. A movement toward condition neutral case management, focused on care that is more wholly patient centric, is also examined.

43 citations

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

  • ...Models of IBH In practice, IBH programs take on numerous forms, ranging from fully integrated collaborative care to co-location with minimal collaboration between providers (Haas, 2004; Kessler & Stafford, 2008; Schaefer & Davis, 2004)....

    [...]

Related Papers (5)
Moving Toward Integrated Health: An Opportunity for Social Work

[...]

18 May 2015-Social Work in Health Care
Victoria Stanhope, Lynn Videka, Helle Thorning, Mary McKay 
Social Work and Implementation of the Affordable Care Act

[...]

01 May 2013-Health & Social Work
Christina M. Andrews, Julie S. Darnell, Timothy D. McBride, Sarah Gehlert 
Integrating social workers into primary care: physician and nurse perceptions of roles, benefits, and challenges.

[...]

29 Jul 2009-Social Work in Health Care
Bronwyn Keefe, Scott Miyake Geron, Susan Enguidanos
The Triple Aim: Care, Health, And Cost

[...]

01 May 2008-Health Affairs
Donald M. Berwick, Thomas W. Nolan, John Whittington
Social Work and Interprofessional Education in Health Care: A Call for Continued Leadership

[...]

19 Jan 2016-Journal of Social Work Education
Barbara L. Jones, Farya Phillips
Trending Questions (1)
How do I become a behavioral health analyst?

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.

See answers from 10 other papers