Practice Based Research

Literature Review

Welcome to the Primary Care Behavioral Health Innovation Center’s Research Hub–a great resource for the latest research on the PCBH Model.  Scientific research is driving the future of Primary Behavioral Health efforts.

Resources listed are categorized according to their adherence to the principles outlined in the Quadruple Aim:

Published Reviews of the PCBH Model

Patient outcomes associated with primary care behavioral health services: A systematic review

Possemato, K., Johnson, E. M., Beehler, G. P., Shepardson, R. L., King, P., Vair, C. L., Funderburk, J. S., Maisto, S. A., & Wray, L. O. (2018). Patient outcomes associated with primary care behavioral health services: A systematic review. General hospital psychiatry, 53, 1–11. https://doi.org/10.1016/j.genhosppsych.2018.04.002

Primary Care Behavioral Health (PCBH) Model Research: Current State of the Science and a Call to Action

Hunter, C.L., Funderburk, J.S., Polaha, J. et al. (2018). Primary Care Behavioral Health (PCBH) Model Research: Current State of the Science and a Call to Action. Journal of Clinical Psychology in Medical Settings 25, 127–156. https://doi.org/10.1007/s10880-017-9512-0

Research papers listed meet certain eligibility requirements:

    • Only empirical, published, peer-reviewed works
    • BH services delivered in primary care
    • BH services were available to all patients (even if the study reported on just a subset)
    • Patients were typically seen for 30 min or less
    • The service explicitly involves at least two features of GATHER

OR

The study was included the Hunter et al. (2017) or the Possemato et al. (2018) published literature review of the PCBH model.

Patient Experience

Angantyr, K., Rimner, A., Norden, T. & Norlander, T. (2015). Primary Care Behavioral Health model: Perspectives of outcome, client satisfaction, and gender. Social Behavior and Personality, 43(2), 287-302. http://www.sbp-journal.com/index.php/sbp/article/view/4323

Ayalon L, Arean PA, Linkins K, Lynch M, Estes CL. (2007). Integration of mental health services into primary care overcomes ethnic disparities in access to mental health services between black and white elderly. American Journal of Geriatric Psychiatry, 15(10):906–12. http://dx.doi.org/10.1097/JGP.0b013e318135113e. http://dx.doi.org/10.1097/JGP.0b013e318135113e

Bohnert KM, Pfeiffer PN, Szymanski BR, McCarthy JF. (2013). Continuation of care following an initial primary care visit with a mental health diagnosis: differences by receipt of VHA primary care-mental health integration services. General Hospital Psychiatry, 35(1):66–70. http://dx.doi.org/10.1016/j.genhosppsych.2012.09.002. http://psycnet.apa.org/record/2013-02122-003

Bohnert KM, Sripada RK, Mach J, McCarthy JF. (2016). Same-day integrated mental health care and PTSD diagnosis and treatment among VHA primary care patients with positive PTSD screens. Psychiatric Services, 67(1):94–100. http://dx.doi.org/ 10.1176/appi.ps.201500035. http://pubmed.ncbi.nlm.nih.gov/26423103/

Brawer PA, Brugh AM, Martielli RP, et al. (2011). Enhancing entrance into PTSD treatment for post-deployment veterans through collaborative/integrative care. Translational Behavioral Medicine, 1(4):609–14. http://dx.doi.org/10.1007/s13142-011-0097-0. http://pubmed.ncbi.nlm.nih.gov/24073084/

Bridges, A. J., Andrews, A. R., Villalobos, B. T., Pastrana, F. A., Cavell, T. A., & Gomez, D. (2014). Does integrated behavioral health care reduce mental health disparities for Latinos? Initial findings. Journal of Latina/o Psychology, 2, 37-53. http://pubmed.ncbi.nlm.nih.gov/25309845/

Bryan, C. J., Corso, K. A., Corso, M. L., Kanzler, K. E., Ray-Sannerud, B., & Morrow, C. E. (2012). Therapeutic alliance and change in suicidal ideation during treatment in integrated primary care settings. Archives of Suicide Research, 16, 316-323. http://www.tandfonline.com/doi/abs/10.1080/13811118.2013.722055

Corso, K. A., Bryan, C. J., Corso, M. L., Kanzler, K. E., Houghton, D. C., Ray-Sannerud, B., & Morrow, C. E. (2012). Therapeutic alliance and treatment outcomes in the primary care behavioral health model. Families, Systems & Health, 30(2), 87-100. http://psycnet.apa.org/record/2012-15969-001

Davis D, Corrin-Pendry S, Savill M. (2008). A follow-up study of the long-term effects of counseling in a primary care counseling psychology service. Counselling and Psychotherapy Research, 8(2):80–4. http://www.tandfonline.com/doi/abs/10.1080/14733140802007863

Davis MJ, Moore KM, Meyers K, Mathews J, Zerth EO. (2016). Engagement in mental health treatment following primary care mental health integration contact. Psychological Services, 13(4):333–40. http://dx.doi.org/10.1037/ser0000089. http://psycnet.apa.org/record/2016-26323-001

Ede V, Okafor M, Kinuthia R, et al. (2015). An examination of perceptions in integrated care practice. Community Mental Health Journal, 51(8):949–61. http://dx.doi.org/10.1007/s10597-015-9837-9. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771375/

Funderburk, J. S., Fielder, R. L., DeMartini, K. S., & Flynn, C. A. (2012). Integrating behavioral health services into a university health centers: Patient and provider satisfaction. Families, Systems & Health, 30, 130-140. http://psycnet.apa.org/doiLanding?doi=10.1037%2Fa0028378

Funderburk, J. S., Sugarman, D. E., Maisto, S. A., Ouimette, P., Schohn, M., Lantinga, L., … Strutynski, K. (2010). The description and evaluation of the implementation of an integrated healthcare model. Families, Systems & Health, 28, 146-160. http://psycnet.apa.org/record/2010-15711-007

Horevitz E, Organista KC, Arean PA. (2015). Depression treatment uptake in integrated primary care: how a “warm handoff” and other factors affect decision making by Latinos. Psychiatric Services, 66(8):824–30. http://dx.doi.org/10.1176/appi.ps.201400085. http://ps.psychiatryonline.org/doi/10.1176/appi.ps.201400085

Kessler, R. (2012). Mental health care treatment initiation when mental health services are incorporated into primary care practice. Journal of the American Board of Family Medicine, 25, 255–259. http//www.jabfm.org/content/25/2/255.full

Krahn DD, Bartels SJ, Coakley E, et al. (2006). PRISM-E: comparison of integrated care and enhanced specialty referral models in depression outcomes. Psychiatric Services, 57(7):946–53. http://dx.doi.org/10.1176/ps.2006.57.7.946. http://ps.psychiatryonline.org/doi/full/10.1176/ps.2006.57.7.946

Landis SE, Barrett M, Galvin SL. (2013). Effects of different models of integrated collaborative care in a family medicine residency program. Fam Syst Health, 31(3):264–73. http://dx.doi.org/10.1037/a0033410. http://psycnet.apa.org/doiLanding?doi=10.1037%2Fa0033410

Pfeiffer PN, Szymanski BR, Zivin K, Post EP, Valenstein M, McCarthy JF. (2011). Are primary care mental health services associated with differences in specialty mental health clinic use? Psychiatric Services, 62(4):422–5. http://dx.doi.org/10. 1176/ps.62.4.pss6204_0422. http://ps.psychiatryonline.org/doi/full/10.1176/ps.62.4.pss6204_0422

Pomerantz A, Cole BH, Watts BV, Weeks WB. (2008). Improving efficiency and access to mental health care: combining integrated care and advanced access. General Hospital Psychiatry, 30(6):546–51. http://dx.doi.org/10.1016/j. genhosppsych.2008.09.004. http://pubmed.ncbi.nlm.nih.gov/19061681/

Runyan, C., Fonseca, V.P., Meyer, J.G., Oordt, M.S., & Talcott, G.W. (2003). A novel approach for mental health disease management: The Air Force Medical Service’s interdisciplinary model. Disease Management, 6(3), 179-187. http://pubmed.ncbi.nlm.nih.gov/14570386/

Szymanski BR, Bohnert KM, Zivin K, McCarthy JF. (2012). Integrated care: treatment initiation following positive depression screens. Journal of General Internal Medicine, 28(3):346–52. http://dx.doi.org/10.1007/s11606-012-2218-y. http://pubmed.ncbi.nlm.nih.gov/32495097/

Tsan JY, Zeber JE, Stock EM, Sun F, Copeland LA. (2012). Primary care-mental health integration and treatment retention among Iraq and Afghanistan war veterans. Psychological Services, 9(4):336–48. http://dx.doi.org/10.1037/a0028308. https://psycnet.apa.org/record/2012-10754-001. http://psycnet.apa.org/record/2012-10754-001

Watts BV, Shiner B, Pomerantz A, Stender P, Weeks WB. (2007). Outcomes of a quality improvement project integrating mental health into primary care. Quality and Safety in Health Care, 16(5):378–81. http://dx.doi.org/10.1136/qshc.2007.022418. http://pubmed.ncbi.nlm.nih.gov/17913780/

Villalobos BT, Bridges AJ, Anastasia EA, Ojeda CA, Rodriguez JH, Gomez D. (2016). Effects of language concordance and interpreter use on therapeutic alliance in Spanish speaking integrated behavioral health care patients. Psychological Services, 13(1):49–59. http://dx.doi.org/10.1037/ser0000051. http://pubmed.ncbi.nlm.nih.gov/26349073/

Population Health (Patient Outcomes)

Angantyr, K., Rimner, A., Norden, T. & Norlander, T. (2015). Primary Care Behavioral Health model: Perspectives of outcome, client satisfaction, and gender. Social Behavior and Personality, 43(2), 287-302. http://www.sbp-journal.com/index.php/sbp/article/view/4323

Bartels SJ, Coakley EH, Zubritsky C, et al. (2004). Improving access to geriatric mental health services: a randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. American Journal of Psychiatry, 161(8):1455–62. http://dx.doi.org/10.1176/appi. ajp.161.8.1455. http://pubmed.ncbi.nlm.nih.gov/15285973/

Begley CE, Hickey JS, Ostermeyer B, et al. (2008). Integrating behavioral health and primary care: the Harris County community behavioral health program. Psychiatry Services, 59(4):356–8. http://dx.doi.org/10.1176/ps.2008.59.4.356. http://psycnet.apa.org/record/2008-17448-017

Brawer, P.A., Martielli, R., Pye, P.L., Manwaring, J. & Tierney, A. (2010). St. Louis Initiative for Integrated Care Excellence (SLICE): Integrated-Collaborative care on a large scale model. Families, Systems & Health, 28(2), 175-187. http://pubmed.ncbi.nlm.nih.gov/20695674/

Bridges, A. J., Andrews, A. R., Villalobos, B. T., Pastrana, F. A., Cavell, T. A., & Gomez, D. (2014). Does integrated behavioral health care reduce mental health disparities for Latinos? Initial findings. Journal of Latina/o Psychology, 2, 37-53. http://pubmed.ncbi.nlm.nih.gov/25309845/

Bridges, A. J., Gregus, S. J., Hernandez Rodriques, J., Andrews, A. R., Billalobos, B. T., Pastrana, F. A., & Cavell, T. A. (2015). Diagnoses, intervention strategies, and rates of functional improvement in integrated behavioral health care patients. Journal of Consulting and Clinical Psychology, 83, 590-601. http://pubmed.ncbi.nlm.nih.gov/25774786/

Bryan CJ, Corso KA, Rudd MD, & Cordero L. (2008). Improving identification of suicidal patients in primary care through routine screening. Primary Care and Community Psychiatry, 13(4), 143-147. http://psycnet.apa.org/record/2009-00551-001

Bryan, C. J., Corso, K. A., Kanzler, K. E., Corso, M. L., Morrow, C. E., & Ray-Sannerud, B. (2012). Severity of mental health impairment and trajectories of improvement in and integrated  primary care clinic. Journal of Clinical and Consulting Psychology, 80, 396–403. http://pubmed.ncbi.nlm.nih.gov/22428939/

Bryan, C. J., Morrow, C., & Appolonio, K. K. (2009). Impact of behavioral health consultant interventions on patient symptoms and functioning in an integrated family medicine clinic. Journal of Clinical Psychology, 65(3), 281-293. http://psycnet.apa.org/record/2009-02316-005

Cigrang, J. A., Dobmeyer, A. C., Becknell, M. E., Roa-Navarrete, R. A, & Yerian S. R. (2006). Evaluation of a collaborative mental health program in primary care: Effects on patient distress and health care utilization. Primary Care and Community Psychiatry, 11, P1-P7. http://www.researchgate.net/profile/Jeff-Cigrang/publication/233665740_Evaluation_of_a_collaborative_mental_health_program_in_primary_care_Effects_on_patient_distress_and_health_care_utilization/links/54ec87780cf27fbfd770f2aa/Evaluation-of-a-collaborative-mental-health-program-in-primary-care-Effects-on-patient-distress-and-health-care-utilization.pdf

Cigrang, J. A., Rauch, S. A. M., Mintz, J., Brundige, A., Avila, L. L., Bryan, C. J., . . . & Peterson, A. L. (2015). Treatment of active duty military with PTSD in primary care: a follow-up report. Journal of Anxiety Disorders, 36, 110-114. http://www.sciencedirect.com/science/article/abs/pii/S0887618515300268

Cigrang, J.A., Mintz, J.M., Najera, E., Young-McCaughan, S.Y, Roache, J.D., Goodie, J.L., Peterson, A.L., Rauch, S.A., Mitchell, J.A., Litz, B.T., Hembree, E.A. & Sonnek, S.M. (2017). Moving effective treatment for posttraumatic stress disorder to primary care: A randomized controlled trial with active duty military. Families, Systems & Health, 35(4), 450-62. http://psycnet.apa.org/record/2017-56601-005

Cigrang, J.A., Rauch, S.A., Avila, L.L., Bryan, C.J., Goodie, J.L., Hryshko-Mullen, A., Peterson, A.L., & STRONG STAR Consortium (2011). Treatment of Active-Duty Military with PTSD in Primary Care: Early Findings. Psychological Services, 8 (2), 104-113. http://psycnet.apa.org/record/2011-07317-001

Corso, K. A., Bryan, C. J., Morrow, C. E., Appolonio, K. K., Dodendorf, D. M., & Baker, M. T. (2009). Managing posttraumatic stress disorder symptoms in active-duty military personnel in primary care settings. Journal of Mental Health Counseling, 31(2), 119-136. http://meridian.allenpress.com/jmhc/article-abstract/31/2/119/83369/Managing-Posttraumatic-Stress-Disorder-Symptoms-in

Davis D, Corrin-Pendry S, Savill M. (2008). A follow-up study of the long-term effects of counseling in a primary care counseling psychology service. Counseling and Psychotherapy Research, 8(2):80–4. http://www.tandfonline.com/doi/abs/10.1080/14733140802007863

Davis MJ, Moore KM, Meyers K, Mathews J, Zerth EO. (2016). Engagement in mental health treatment following primary care mental health integration contact. Psychology Services, 13(4):333–40. http://dx.doi.org/10.1037/ser0000089. http://psycnet.apa.org/record/2016-26323-001

Felker, B. L., Barnes, R. F., Greenberg, D. M., Chaney, E. F., Shores, M. M., Gillespie-Gateley, L., … Morton, C. E. (2004). Preliminary outcomes from an integrated mental health primary care team. Psychiatric Services, 55, 442-444. http://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.55.4.442

Funderburk, J. S., Dobmeyer, A. C., Hunter, C. L., & Walsh, C. O. (2013). Provider practices in the primary care behavioral health (PCBH) model: An initial examination in the Veterans Health Administration and United States Air Force. Families, Systems & Health, 31, 341–353. http://psycnet.apa.org/record/2013-45183-003

Gomez, D., Bridges, A. J., Andrews, A. R., Cavell, T. A., Pastrana, F. A., Gregus, S. J., Ojeda, C. A. (2014). Delivering parent management training in an integrated primary care setting: Description and preliminary outcome data. Cognitive and Behavioral Practice, 21, 296-309. http://www.sciencedirect.com/science/article/abs/pii/S1077722914000455

Goodie, J., Isler, W., Hunter, C., & Peterson, A. (2009). Using behavioral health consultants to treat insomnia in primary care: A clinical case series. Journal of Clinical Psychology, 65, 294-304. http://onlinelibrary.wiley.com/doi/abs/10.1002/jclp.20548

Katon, W., Robinson, P., Von Korff, M., Lin, E., Bush, T., Ludman, E.,… Walker, E. (1996). A multifaceted intervention to improve treatment of depression in primary care. Archives of General Psychiatry, 53, 924–932. http://jamanetwork.com/journals/jamapsychiatry/article-abstract/497660

Kolbasovsky A, Reich L, Romano I, Jaramillo B. (2005). Integrating behvaioral health into primary care settings: a pilot project. Professional Psychology: Research and Practice, 36(2):130–5. http://dx.doi.org/10.1037/0735-7028.36.2.130. http://psycnet.apa.org/record/2005-03020-002

Krahn DD, Bartels SJ, Coakley E, et al. (2006). PRISM-E: comparison of integrated care and enhanced specialty referral models in depression outcomes. Psychiatric Services, 57(7):946–53. http://dx.doi.org/10.1176/ps.2006.57.7.946. http://pubmed.ncbi.nlm.nih.gov/16816278/

Landis SE, Barrett M, Galvin SL. (2013). Effects of different models of integrated collaborative care in a family medicine residency program. Families, Systems & Health, 31(3):264–73. http://dx.doi.org/10.1037/a0033410. http://pubmed.ncbi.nlm.nih.gov/24059274/

Lanoye, A., Stewart, K. E., Rybarczyk, B. D., Auerbach, S. M., Sadock, E., Aggarwal, A., … Austin, K. (2016). The impact of integrated psychological services in a safety net primary care clinic on medical utilization. Journal of Clinical Psychology. doi:10.1002/ jclp.22367. http://psycnet.apa.org/record/2016-39216-001

McFeature, B. (2012). Primary care behavioral health consultation reduces depression levels among mood-disordered patients. Journal of Health Disparities Research and Practice, 5, 36-44. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.685.8655&rep=rep1&type=pdf

Pomerantz A, Cole BH, Watts BV, Weeks WB. (2008). Improving efficiency and access to mental health care: combining integrated care and advanced access. General Hospital Psychiatry, 30(6):546–51. http://dx.doi.org/10.1016/j. genhosppsych.2008.09.004. http://www.sciencedirect.com/science/article/abs/pii/S0163834308001655?via%3Dihub

Ray-Sannerud, B. N., Dolan, D. C., Morrow, C. E., Corso, K. A., Kanzler, K. E., Corso, M. L., & Bryan, C. J. (2012). Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic. Families, Systems & Health, 30(1), 60-71. http://pubmed.ncbi.nlm.nih.gov/22288398/

Sadock, E., Auerbach, S. M., Rybarczyk, B., & Aggarwal, A. (2014). Evaluation of integrated psychological services in a university-based primary care clinic.  Journal of Clinical Psychology in Medical Settings, 21, 19-32. http://psycnet.apa.org/record/2013-38249-001

Serrano, N. & Monden, K. (2011). The effect of behavioral health consultation on the care of depression by primary care clinicians. Wisconsin Medical Journal, 110 (3), 113-118. http://pubmed.ncbi.nlm.nih.gov/21748995/

Reducing Costs

Begley CE, Hickey JS, Ostermeyer B, et al. (2008). Integrating behavioral health and primary care: the Harris County community behavioral health program. Psychiatric Services, 59(4):356–8. http://dx.doi.org/10.1176/ps.2008.59.4.356. http://pubmed.ncbi.nlm.nih.gov/18378830/

Brawer, P.A., Martielli, R., Pye, P.L., Manwaring, J. & Tierney, A. (2010). St. Louis Initiative for Integrated Care Excellence (SLICE): Integrated-Collaborative care on a large scale model. Families, Systems & Health, 28(2), 175-187. http://pubmed.ncbi.nlm.nih.gov/20695674/

Felker, B. L., Barnes, R. F., Greenberg, D. M., Chaney, E. F., Shores, M. M., Gillespie-Gateley, L., … Morton, C. E. (2004). Preliminary outcomes from an integrated mental health primary care team. Psychiatric Services, 55, 442-444. http://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.55.4.442

Gouge, N., Polaha, J., Rogers, R., & Harden, A. (in press). Integrating behavioral health into pediatric primary care: Implications for provider time and cost. Southern Medical Journal, ##, pp-pp. http://europepmc.org/article/med/27911972

Landoll, R.R., Nielsen, M.K., Waggoner, K.K. & Najera, E. (in press). Innovations in primary care behavioral health: A pilot study across the U.S. Air Force. Translational Behavioral Medicine. http://academic.oup.com/tbm/article/9/2/266/4992907?login=true

Lanoye, A., Stewart, K. E., Rybarczyk, B. D., Auerbach, S. M., Sadock, E., Aggarwal, A., Waller, R., Wolver, S. and Austin, K. (2016). The Impact of Integrated Psychological Services in a Safety Net Primary Care Clinic on Medical Utilization. Journal of Clinical Psychology. doi:10.1002/jclp.22367. http://onlinelibrary.wiley.com/doi/abs/10.1002/jclp.22367

Serrano, N. & Monden, K. (2011). The effect of behavioral health consultation on the care of depression by primary care clinicians. Wisconsin Medical Journal, 110 (3), 113-118. http://europepmc.org/article/med/21748995

Care Team Well-being (Provider Experience)

Cigrang, J. A., Dobmeyer, A. C., Becknell, M. E., Roa-Navarrete, R. A, & Yerian S. R. (2006). Evaluation of a collaborative mental health program in primary care: Effects on patient distress and health care utilization. Primary Care and Community Psychiatry, 11, P1-P7. http://www.researchgate.net/profile/Jeff-Cigrang/publication/233665740_Evaluation_of_a_collaborative_mental_health_program_in_primary_care_Effects_on_patient_distress_and_health_care_utilization/links/54ec87780cf27fbfd770f2aa/Evaluation-of-a-collaborative-mental-health-program-in-primary-care-Effects-on-patient-distress-and-health-care-utilization.pdf

Funderburk, J. S., Fielder, R. L., DeMartini, K. S., & Flynn, C. A. (2012). Integrating behavioral health services into a university health centers: Patient and provider satisfaction. Families, Systems & Health, 30, 130-140. http://psycnet.apa.org/doiLanding?doi=10.1037%2Fa0028378

Funderburk, J. S., Sugarman, D. E., Maisto, S. A., Ouimette, P., Schohn, M., Lantinga, L., … Strutynski, K. (2010). The description and evaluation of the implementation of an integrated healthcare model. Families, Systems & Health, 28, 146-160. http://psycnet.apa.org/record/2010-15711-007

Gouge, N., Polaha, J., Rogers, R., & Harden, A. (in press). Integrating behavioral health into pediatric primary care: Implications for provider time and cost. Southern Medical Journal, ##, pp-pp. http://europepmc.org/article/med/27911972

Hill, J. (2015). Behavioral health integration: Transforming patient care, medical resident education, and physician effectiveness. The International Journal of Psychiatry in Medicine, 50, 36-49. http://journals.sagepub.com/doi/abs/10.1177/0091217415592357

McFeature, B. (2012). Primary care behavioral health consultation reduces depression levels among mood-disordered patients. Journal of Health Disparities Research and Practice, 5, 36-44. http://digitalscholarship.unlv.edu/cgi/viewcontent.cgi?article=1053&context=jhdrp

Serrano, N. & Monden, K. (2011). The effect of behavioral health consultation on the care of depression by primary care clinicians. Wisconsin Medical Journal, 110 (3), 113-118. http://europepmc.org/article/med/21748995

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Raoul RolfesPractice Based Research