Purpose
Despite more than 30 years of evidence supporting the effectiveness of integrated behavioral health primary care delivery models, most physicians, physician assistants, nurse practitioners and other healthcare team members working in primary care settings have not been formally trained in integrated behavioral health models of care. The training program described in this presentation addresses this gap.
Methods
A longitudinal 5-year project was conducted between a medical school, a dental school and 7 Community Health Centers (CHC) partners located in 6 different states across the USA. The unifying feature of this program was a virtual community of practice network through which clinicians across the nation could learn together, share their concerns, best practices, struggles and successes. This presentation will provide a summary of the training strategies, program structure and outcomes of this 5-year virtual training program dedicated to improving integrated behavioral health skills in primary care healthcare teams.
Results
More than 50 physicians and other clinicians have successfully completed a one-year training program and are now poised to precept medical, dental and other health professions students in best practices of integrated behavioral health in primary care settings. While the training program was initially designed for physicians, in the first year of the project a interdisciplinary approach was adopted and by the end of the project more than 10 clinical/health professional disciplines participated. This diversity in clinical expertise fortified the training experience for all. Sixteen quality improvement (QI) projects were completed and 4 additional projects have extended their work for an additional year to expand their reach in the community through even more ambitious QI project goals.
Conclusion
The virtual community of practice network served as powerful forum to foster longitudinal learning in the areas in integrated behavioral health and quality improvement in community health centers located in medically underserved communities across the nation. The required local quality improvement project was an essential component to apply knowledge to achieve tangible outcomes during the year-long training program for clinicians. Interprofessional training begets interprofessional practice. The inclusion of multiple clinical disciplines enhanced the learning experience for all participants.
This training program is an exemplar of an innovative, practical model that can be adapted to train the current and future healthcare workforce to provide team-based, patient-centered integrated behavioral health in primary care settings worldwide. Furthermore, the development of future similar virtual networks is a promising strategy to improve healthcare workforce capacity in a clearly defined topic area.