Abstract
The present project utilized a Learning Collaborative (LC) to disseminate the Behavioral Health Home Plus (BHHP) physical-behavioral health integration model to providers serving two behavioral health populations at risk for adverse health conditions: youth psychiatric residential treatment facilities (five sites) and adult opioid treatment providers (seven sites). Following the positive results of a randomized controlled trial utilizing an LC to implement two behavioral health home models in community mental health provider organizations serving adults with serious mental illness, Community Care Behavioral Health Organization facilitated integration of the models to scale health and wellness supports to additional behavioral health care delivery settings. This paper presents provider results focused on BHHP implementation training, LC implementation, physical health and wellness promotion within sites, and BHHP model sustainment plans. Provider self-reported data indicate that the LC approach is a successful tool for integrating and sustaining BHHP model components in routine care.
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Acknowledgements
The authors wish to acknowledge the work of Melissa Michael, RN of Community Care Behavioral Health, and our providers, individuals in service, and county mental health officials for their contributions to the development and implementation of Behavioral Health Home Plus. We acknowledge and thank the Member and Family Stakeholder Advisory Boards of Community Care Behavioral Health for their feedback throughout project design, implementation, analysis, and dissemination. We also wish to acknowledge Kevin Progar of UPMC Center for Social Impact for implementation and qualitative data collection assistance, and Irina Karpov, MS, and Shari Hutchison, MS, PMP, of Community Care Behavioral Health for workbook analytical assistance. This work was partially funded through a Patient-Centered Outcomes Research Institute (PCORI) Dissemination and Implementation Award (DI-2017C1-6373). The views and statement in this publication are solely the responsibility of the authors and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors or Methodology Committee. The participation of James Schuster (JS) in the implementation project occurred before JS’s appointment to the Board of Governors of the PCORI (R).
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AAM, JSB, LW, DL, TC, and PS: supported implementation of the intervention. KW, DB, and PS: conceived of the idea for the paper. KW and AAM: conceived the methodology and analytical approach. KW, TC, and PS: designed the qualitive interviews with feedback from the stakeholder groups acknowledged below. KW, and AM: conducted the interviews and qualitative analysis. AAM: performed quantitative analyses with assistance from a statistician acknowledged below. KW and AAM: wrote most of the manuscript with input on multiple drafts from all authors.
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All project activities were approved as quality improvement by the UPMC Quality Review Committee (#1582).
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Williams, K., Maise, A.A., Brar, J.S. et al. Scaling a Behavioral Health Home Delivery Model to Special Populations. Community Ment Health J 59, 552–563 (2023). https://doi.org/10.1007/s10597-022-01040-7
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DOI: https://doi.org/10.1007/s10597-022-01040-7