Abstract
The purpose of our study was to investigate the effects of training in integrated behavioral health in the primary care (IPC) setting and evidence-based practices (EBPs) on graduate level clinical mental health counseling students’ knowledge and skills for working with children and youth. This study utilized a mixed method design by recruiting a sample of 12 students from a Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited urban ethnically diverse university in the northeastern region of the United States. Quantitative analysis indicated a positive and increased change in knowledge and skills associated with IPC and EBP training to work with children, adolescents, and transitional youths. Thematic analysis of the reflection journals of training yielded the following three categories: increased awareness and knowledge, increased sense of competency, and personal feelings came up after training. The implications for training counselors, counselors educators, and students are discussed.
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References
Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74. https://doi.org/10.1023/b:mhsr.0000024351.12294.65.
Babor, T. F., McRee, B. G., Kassebaum, P. A., Grimaldi, P. L., Ahmed, K., & Bray, J. (2007). Screening, brief intervention, and referral to treatment (SBIRT): Toward a public health approach to the management of substance abuse. Substance Abuse, 28(3), 7–30. https://doi.org/10.1300/J465v28n03_03.
Barnett, M., Brookman-Frazee, L., Regan, J., Saifan, D., Stadnick, N., & Lau, A. (2017). How intervention and implementation characteristics relate to community therapists’ attitudes toward evidence-based practices: A mixed methods study. Administration and Policy in Mental Health, 44(6), 824–837. https://doi.org/10.1007/s10488-017-0795-0.
Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27(3), 759–769. https://doi.org/10.1377/hlthaff.27.3.759.
Boland, D. H., & Gergerich, E. M. (2018). Evolution of an interprofessional training: A five- year review of an interprofessional training involving family medicine residents, nurse practitioner students, pharmacy trainees, counseling psychology, and social work students in southern New Mexico. Health, Interprofessional Practice and Education, 3(3), eP1161. https://doi.org/10.7710/2159-1253.1161.
Boland, D. H., Scott, M. A., Kim, H., White, T., & Adams, E. (2016). Interprofessional immersion: Use of interprofessional education collaborative competencies in side-by-side training of family medicine, pharmacy, nursing, and counseling psychology trainees. Journal of Interprofessional Care, 30(6), 739–746. https://doi.org/10.1080/13561820.2016.1227963.
Boland, D. H., Juntunen, C. L., Kim, H. Y., Adams, E. M., & Navarro, R. L. (2019). Integrated behavioral health curriculum in counseling psychology training programs. The Counseling Psychologist, 47(7), 1012–1036. https://doi.org/10.1177/0011000019895293.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.
Brown, S., Baker, C., & Wilcox, P. (2012). Risking Connection trauma training: A pathway toward trauma-informed care in child congregate care settings. Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), 507–515. https://doi.org/10.1037/a0025269.
Clark, T. (2008). `We’re over-researched here!’: Exploring accounts of research fatigue within qualitative research engagements. Sociology, 42(5), 953–970. https://doi.org/10.1177/0038038508094573.
Corso, K. A. (2018). Review of integrated healthcare training series. Families, Systems & Health: The Journal of Collaborative Family Healthcare, 36(4), 541–542. https://doi.org/10.1037/fsh0000383.
Council for Accreditation of Counseling and Related Educational Programs. (2015). 2016 CACREP Standards. http://www.cacrep.org/wp-content/uploads/2017/08/2016-Standards-with-citations.pdf.
Creswell, J. W. (2014). Research design: Qualitative, quantitative and mixed methods approaches. (4th ed.). Sage Publications.
Creswell, J. W., & Plano Clark, V. L. (2011). Designing and conducting mixed methods research. (2nd ed.). Sage Publications.
D’Andrea, M., Daniels, J., & Heck, R. (1991). Evaluating the impact of multicultural counseling training. Journal of Counseling & Development, 70(1), 143–150. https://doi.org/10.1002/j.1556-6676.1991.tb01576.x.
DeBonis, J. A., Becker, M. A., Yoo, J., Capobianco, J., & Salerno, A. (2015). Advancing social work education: Lessons learned from piloting an integrated healthcare curriculum. Journal of Social Service Research, 41(5), 594–621. https://doi.org/10.1080/01488376.2015.1081859.
Dow, A. W., DiazGranados, D., Mazmanian, P. E., & Retchin, S. M. (2013). Applying organizational science to health care: a framework for collaborative practice. Academic Medicine: Journal of the Association of American Medical Colleges, 88(7), 952–957. https://doi.org/10.1097/ACM.0b013e31829523d1.
Drake, R. E., Goldman, H. H., Leff, H. S., Lehman, A. F., Dixon, L., Mueser, K. T., & Torrey, W. C. (2001). Implementing evidence-based practices in routine mental health service settings. Psychiatric Services, 52(2), 179–182. https://doi.org/10.1176/appi.ps.52.2.179.
Gibson, D. M., Dollarhide, C. T., & Moss, J. M. (2010). Professional identity development: A grounded theory of transformational tasks of new counselors. Counselor Education and Supervision, 50(1), 21–38. https://doi.org/10.1002/j.1556-6978.2010.tb00106.x.
Gonzalez-Voller, J., Crunk, A. E., Barden, S. M., Harris, S., & Belser, C. T. (2020). A preliminary longitudinal study of multicultural competence in counselor education. Journal of Counseling & Development, 98, 308–318. https://doi.org/10.1002/jcad.12325.
Gould, M. S., Cross, W., Pisani, A. R., Munfakh, J. L., & Kleinman, M. (2013). Impact of applied suicide intervention skills training on the national suicide prevention lifeline. Suicide & Life-Threatening Behavior, 43(6), 676–691. https://doi.org/10.1111/sltb.12049.
Hoge, M. A., Morris, J. A., Stuart, G. W., Huey, L. Y., Bergeson, S., Flaherty, M. T., Morgan, O., Peterson, J., Daniels, A. S., Paris, M., & Madenwald, K. (2009). A national action plan for workforce development in behavioral health. Psychiatric Services, 60(7), 883–887. https://doi.org/10.1176/ps.2009.60.7.883.
Hoge, M. A., Morris, J. A., Laraia, M., Pomerantz, A., & Farley, T. (2014). Core competencies for integrated behavioral health and primary care. SAMHSA-HRSA Center for Integrated Health Solutions. https://www.thenationalcouncil.org/wp-content/uploads/2020/01/Integration_Competencies_Final.pdf?daf=375ateTbd56.
Institute of Medicine. (2003). The core competencies needed for health care professionals. In A. C.Greiner and E. Knebel (Eds.), Health professions education: A bridge to quality (pp. 45–67). National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK221519/.
Interprofessional Education Collaborative. (2016). Core competencies for interprofessional collaborative practice: 2016 update. Primary Care Collaborative. https://www.ipecollaborative.org/resources.html.
Johnson, K. F., & Freeman, K. L. (2014). Integrating Interprofessional Education and Collaboration Competencies (IPEC) into Mental Health Counselor Education. Journal of Mental Health Counseling, 36(4), 328–344. https://doi.org/10.17744/mehc.36.4.g47567602327j510.
Kim, B. S. K., Cartwright, B. Y., Asay, P. A., & D’Andrea, M. J. (2003). A revision of the multicultural awareness, knowledge, and skills survey-counselor edition. Measurement and Evaluation in Counseling and Development, 36(3), 161–180. https://doi.org/10.1080/07481756.2003.11909740.
Malott, K. M. (2010). Multicultural counselor training in a single course: Review of research. Journal of Multicultural Counseling and Development, 38(1), 51–63. https://doi.org/10.1002/j.2161-1912.2010.tb00113.x.
McDaniel, S. H., Grus, C. L., Cubic, B. A., Hunter, C. L., Kearney, L. K., Schuman, C. C., Karel, M. J., Kessler, R. S., Larkin, K. T., McCutcheon, S., Miller, B. F., Nash, J., Qualls, S. H., Connolly, K. S., Stancin, T., Stanton, A. L., Sturm, L. A., & Johnson, S. B. (2014). Competencies for psychology practice in primary care. American Psychologist, 69(4), 409–429. https://doi.org/10.1037/a0036072.
McMillan, J. H., & Schumacher, S. (2010). Research in education: Evidence-based inquiry. (7th ed.). Pearson.
Milburn, N. G., Iribarren, F. J., Rice, E., Lightfoot, M., Solorio, R., Rotheram-Borus, M. J., Desmond, K., Lee, A., Alexander, K., Maresca, K., Eastmen, K., Arnold, E. M., & Duan, N. (2012). A family intervention to reduce sexual risk behavior, substance use, and delinquency among newly homeless youth. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 50(4), 358–364. https://doi.org/10.1016/j.jadohealth.2011.08.009.
Miller, W. R., & Rollnick, S. (2013). Applications of motivational interviewing. Motivational interviewing: Helping people change. (3rd ed.). Guilford Press.
Myers, J. E., & Sweeney, T. J. (2011). Wellness counseling: The evidence base for practice. Journal of Counseling & Development, 86, 482–493. https://doi.org/10.1002/j.1556-6678.2008.tb00536.x.
National Association of State Mental Health Program Directors. (2011). NASMHPD Policy Brief: Workforce and the Public Mental Health System. https://www.nasmhpd.org/sites/default/files/Workforce%20_Policy_Brief.pdf.
National Council for Behavioral Health (n.d). Center of Excellence for Integrated Health Solutions. SAMHSA-HRSA. https://www.thenationalcouncil.org/integrated-health-coe/
Neimeyer, R. A., & Bonnelle, K. (1997). The suicide intervention response inventory: A revision and validation. Death Studies, 21(1), 59–81. https://doi.org/10.1080/074811897202137.
Norrie, C., Hammond, J., D’Avery, L., Collington, V., & Fook, J. (2012). Doing it differently? A review of literature on teaching reflective practice across health and social care professions. Reflective Practice: International and Multidisciplinary Perspectives, 13(4), 565–578. https://doi.org/10.1080/14623943.2012.670628.
Nowell, L., Norris, J., White, D., & Moules, N. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1–13. https://doi.org/10.1177/1609406917733847.
Pallant, J. (2007). SPSS survival manual. (3rd ed.). McGraw Hill Open University Press.
Park, J., Hawkins, M., Hamlin, E., Hawkins, W., & Bamdas, J. A. (2014). Developing positive attitudes toward interprofessional collaboration among students in the health care professions. Educational Gerontology, 40(12), 894–908. https://doi.org/10.1080/03601277.2014.908619.
Patient Protection and Affordable Care Act, 42 U.S.C. § 18001 et seq. (2010).
Perneger, T. V. (1998). What’s wrong with Bonferroni adjustments. British Medical Journal (Clinical Research Ed.), 316(7139), 1236–1238. https://doi.org/10.1136/bmj.316.7139.1236.
Scheerder, G., Reynders, A., Andriessen, K., & Audenhove, C. V. (2010). Suicide intervention skills and related factors in community and health professionals. Suicide & Life-Threatening Behavior, 40(2), 115–124. https://doi.org/10.1521/suli.2010.40.2.115.
Shannonhouse, L. R., Elston, N., Lin, Y.-W.D., Mize, M. C., Rumsey, A., Rice, R., Wanna, R., & Porter, M. J. (2018). Suicide intervention training for counselor trainees: A quasi-experimental study on skill retention. Counselor Education and Supervision, 57(3), 194–210. https://doi.org/10.1002/ceas.12110.
Smith, T. B., Constantine, M. G., Dunn, T. W., Dinehart, J. M., & Montoya, J. A. (2006). Multicultural education in the mental health professions: A meta-analytic review. Journal of Counselling Psychology, 53, 132–145. https://doi.org/10.1037/0022-0167.53.1.132.
Tufford, L., & Newman, P. (2012). Bracketing in qualitative research. Qualitative Social Work, 11(1), 80–96. https://doi.org/10.1177/1473325010368316.
World Health Organization and World Organization of Family Doctors. (2008). Integrating mental health into primary care: A global perspective. WHO Library. https://www.who.int/mental_health/policy/Integratingmhintoprimarycare2008_lastversion.pdf.
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The project was supported by the Health Resources and Service Administration (HRSA) of the U.S. Department of Health and Human serivces under the Behavioral Health Workforce Education and Training (BHWET) for Paraprofessionals and Professionals : HRSA-16-193.
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Agaskar, V.R., Lin, YW.D. & Wambu, G.W. Outcomes of “Integrated Behavioral Health” Training: A Pilot Study. Int J Adv Counselling 43, 386–405 (2021). https://doi.org/10.1007/s10447-021-09435-z
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DOI: https://doi.org/10.1007/s10447-021-09435-z