Colistra, Angela, LPC, PhD, MS

Kerr, Lauren E

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Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network LVHN Scholarly Works Research Scholars Poster Presentation Bridging the Gaps in Family Medicine: A Quality Improvement Project for Resident Behavioral Health Training Lauren E. Kerr Angela Colistra LPC, PhD, MS Follow this and additional works at: https://scholarlyworks.lvhn.org/research-scholars-posters  Part of the Family Medicine Commons This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by an authorized administrator. For more information, please contact LibraryServices@lvhn.org. Lehigh Valley Health Network, Allentown, Pennsylvania• An estimated 43-60% of patients with behavioral health (BH) conditions are treated in primary care settings while 30-80% of all primary care visits are driven in part by BH issues¹• The integration of BH services in family medicine is associated with improved patient outcomes and lower health care costs1,3• Physicians who experience more difficult patient encounters report a lack of training and negative attitudes towards the psychosocial aspects of medicine2REFERENCES1. Blasi, P. R., Cromp, D., Mcdonald, S., Hsu, C., Coleman, K., Flinter, M., & Wagner, E. H. (2018). Approaches to behavioral health integration at high performing primary care practices. The Journal of the American Board of Family Medicine, 31(5), 691-701. doi:10.3122/jabfm.2018.05.1704682. 3. Goldsmith, E. S., & Krebs, E. E. (2017). Roles of Physicians and Health Care Systems in "Difficult" Clinical Encounters. AMA journal of ethics, 19(4), 381–390. https://doi.org/10.1001/journalofethics.2017.19.4.pfor1-17043. Rajesh, R., Tampi, R., & Balachandran, S. (2019). The case for behavioral health integration into primary care. The Journal of family practice, 68(5), 278–284.ConceptualizationDevelopmentImplementationMethodsPrimary ResultsConclusionsBridging the Gaps in Family Medicine: A Quality Improvement Project for Resident Behavioral Health TrainingLauren E. Kerr & Angela L. Colistra, PhDDepartment of Family MedicineObjectives• Conducted a brief literature review• Observed in two remote fam. med. resident learning labs • Surveys designed online in REDCap • Presented to LVHN’s Behavioral Health/Addiction Integration Team  for feedback• Surveys distributed to fam. med. residents and faculty physicians via email• Responses analyzed qualitatively• Evaluate resident and faculty attitudes towards the provision of BH services in family medicine• Identify possible gaps in resident BH training, with input from fam. med. residents and faculty physicians• Pilot materials for continued evaluation of BH training and educational services in LVHN’s family medicine residency programQuestion/Statement of BeliefAvg. Resident ResponseAvg. Faculty ResponseHow important is that primary care practitioners are able to provide behavioral health services to patients themselves?3.46 4.0 How would you rate your current ability to provide behavioral health services to patients?1.84 2.83How much do you agree: "Behavioral health treatment is inclusive of treatment for addiction and substance use disorders."3.46 3.57How much do you agree: "Counselling for common mental health issues can be done effectively during regular office visits."2.84 2.33How much do you agree : "My medical training provided me with a basic knowledge of what is important when counseling patients."2.30 2.33How much do you agree: "When I engage in counselling, I often provide direct mental health advice to my patients."2.53 2.83Figure 1. Summary of resident and faculty beliefs towards BH care in family medicine. All responses rated on 5-point Likert scales, values of 0-4. 00.511.522.533.54Resident ResponsesAvg. Level of ExposureAvg. Frequency of Use00.511.522.533.54Faculty ResponsesAvg. Level of ExposureAvg. Frequency of UseFigures 2 & 3. Mean resident and faculty ratings of a.) their level of exposure to BH techniques during training and b.) their usage of BH techniques in clinical practice.Additional ResultsTime73.7%Training31.6%Resources26.3% Pt. Access10.5%0%10%20%30%40%50%60%70%80%90%100%% of Resident Responses% of Faculty ResponsesFigure 5. Perceived barriers to behavioral health care in family medicine. Responses consolidated from all survey respondents. Figure 4. Percentage of resident and faculty respondents that wish for more training in the following services. * = over 75% of residents wish for more training in this service.Background***• Resident and faculty respondents hold similar beliefs towards BH care, with the ability to provide BH services viewed as essential• Respondents’ level of exposure to BH services in training is generally consistent with their level of use in clinical practice – though the majority wish for more trainingRecommendations• Implement guided resident training sessions for BH  services; specifically addiction counselling, brief CBT, and crisis intervention • Continue to screen residents throughout training to gauge level of competence and comfortability providing these services to patients ©2020 Lehigh Valley Health NetworkResident Respondents: n = 13Faculty Respondents: n = 6

Bridging the Gaps in Family Medicine: A Quality Improvement Project for Resident Behavioral Health Training

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Bridging the Gaps in Family Medicine: A Quality Improvement Project for Resident Behavioral Health Training

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