Implementation of a Brief Treatment Counseling Toolkit in Federally Qualified Healthcare Centers: Patient and Clinician Utilization and Satisfaction

Adam C. Brooks, Jaclyn E. Chambers, Jennifer Lauby, Elizabeth Byrne, Carolyn M. Carpenedo, Lois A. Benishek, Rachel Medvin, David S. Metzger, Kimberly Kirby

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: The need to integrate behavioral health care within medical settings is widely recognized, and integrative care approaches are associated with improved outcomes for a range of disorders. As substance use treatment integration efforts expand within primary care settings, training behavioral health providers in evidence-based brief treatment models that are cost-effective and easily fit within the medical flow is essential. Methods: Guided by principles drawn from Diffusion of Innovations theory (Rogers, 2003) and the Consolidated Framework of Implementation Research (Damschroder et al., 2009), we adapted elements of Motivational Enhancement Therapy, cognitive-behavioral therapy, and 12-step facilitation into a brief counseling toolkit. The toolkit is a menu driven assortment of 35 separate structured clinical interventions that each include client takeaway resources to reinforce brief clinical contacts. We then implemented this toolkit in the context of a randomized clinical trial in three Federally Qualified Healthcare Centers. Behavioral Health Consultants (BHCs) used a pre-screening model wherein 10,935 patients received a brief initial screener, and 2011 received more in-depth substance use screening. Six hundred patients were assigned to either a single session brief intervention or an expanded brief treatment encompassing up to five additional sessions. We conducted structured interviews with patients, medical providers, and BHCs to obtain feedback on toolkit implementation. Results: On average, patients assigned to brief treatment attended 3.29 sessions. Fifty eight percent of patients reported using most or all of the educational materials provided to them. Patients assigned to brief treatment reported that the BHC sessions were somewhat more helpful than did patients assigned to a single session brief intervention (p= .072). BHCs generally reported that the addition of the toolkit was helpful to their work in delivering screening and brief treatment. Discussion: This work is significant because it provides support to clinicians in delivering evidence-based brief interventions and has been formatted into presentation styles that can be presented flexibly depending on patient need.

Original languageEnglish (US)
Pages (from-to)70-80
Number of pages11
JournalJournal of Substance Abuse Treatment
Volume60
DOIs
StatePublished - Jan 1 2016

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Counseling
Delivery of Health Care
Consultants
Health
Therapeutics
Diffusion of Innovation
Cognitive Therapy
Health Care Costs
Primary Health Care
Randomized Controlled Trials
Interviews
Research

All Science Journal Classification (ASJC) codes

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Brooks, Adam C. ; Chambers, Jaclyn E. ; Lauby, Jennifer ; Byrne, Elizabeth ; Carpenedo, Carolyn M. ; Benishek, Lois A. ; Medvin, Rachel ; Metzger, David S. ; Kirby, Kimberly. / Implementation of a Brief Treatment Counseling Toolkit in Federally Qualified Healthcare Centers : Patient and Clinician Utilization and Satisfaction. In: Journal of Substance Abuse Treatment. 2016 ; Vol. 60. pp. 70-80.
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Implementation of a Brief Treatment Counseling Toolkit in Federally Qualified Healthcare Centers : Patient and Clinician Utilization and Satisfaction. / Brooks, Adam C.; Chambers, Jaclyn E.; Lauby, Jennifer; Byrne, Elizabeth; Carpenedo, Carolyn M.; Benishek, Lois A.; Medvin, Rachel; Metzger, David S.; Kirby, Kimberly.

In: Journal of Substance Abuse Treatment, Vol. 60, 01.01.2016, p. 70-80.

Research output: Contribution to journalArticle

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