Community Care Publications

Community Care Publication Abstracts 2021

Community Care Publication Abstracts 2020

Implementing a Learning Collaborative for Population-based Physical and Behavioral Health Integration

Behavioral health home models are increasingly being utilized to provide physical-behavioral health integration for individuals with mental illness. The Behavioral Health Home Plus model (BHHP) is a phased approach designed to instill a culture of wellness, provide wellness coaching, and offer care coordination for individuals with serious mental illness. The present study utilized a 12-month Learning Collaborative to implement scaling of BHHP in two cohorts totaling 24 community mental health provider organizations in Pennsylvania to include population-wide screening and intervention for tobacco use and hypertension. Providers reported increases in screening rates and wellness goals related to tobacco use and hypertension, as well as reductions in tobacco use and blood pressure readings among participating individuals. Evidence presented indicates that a Learning Collaborative of community mental health providers is a feasible quality improvement approach to scale integration of physical and behavioral health care for individuals with serious mental illness.

Hybrid Implementation Effectiveness Trial: Home-based Intensive Family Coaching to Improve Outcomes for Medicaid-enrolled Preschoolers 

Despite the prevalence and persistence of behavioral disorders among young children and availability of evidence-based treatments, several barriers prevent families from accessing effective treatments in their communities. This study, which included a hybrid research model, explored the implementation of Intensive Family Coaching (IFC), an adaptation of one evidence-based practice, Parent-Child Interaction Therapy (PCIT). IFC was designed to improve access and reduce attrition by providing services in home and community settings through wraparound services. The findings suggest that although families who engaged in IFC saw significant reduction in child problem behavior, family attrition and staff turnover presented barriers to ongoing implementation.

Ethical and Clinical Considerations During the Coronavirus Era

The practice of child and adolescent psychiatry is evolving during an unprecedented global health catastrophe, the coronavirus disease 2019 (COVID-19) pandemic. As child and adolescent psychiatrists grapple with COVID-19’s enormous medical, educational, social, and economic toll, a mental health crisis is co-occurring. Pre-existing disparities are recognized as contributors to the disproportionate impact of the COVID-19 pandemic on racial and ethnic minorities. The magnitude of COVID-19’s effects on child and family mental health has yet to be fully revealed. child and adolescent psychiatrists are in a unique position to address this mental health crisis. Child and adolescent psychiatrists must stay up-to-date regarding federal, state, local, and institutional mandates, regulations, and policies informed by the Centers for Disease Control and Prevention and other public health institutions, while also navigating the ethical dilemmas unique to child and adolescent psychiatry during the coronavirus era.

The Core 4 Clinical Model: Strengthening the Rural Behavioral Health Workforce through a Focus on Foundational Clinical Skills

Community Care, in collaboration with families, providers, and county partners, developed the Core 4 Clinical Model for use in services for children. The model establishes four key competencies (the “Core 4”) that can be applied across diverse populations, settings, and providers: therapeutic alliance, clinical formulation, offering, and feedback informed implementation. In this paper, you will learn about the components of the Core 4 Clinical Model and its history.

Mixed Method Study of Workforce Turnover and Evidence-based Treatment Implementation in Community Behavioral Health Care Settings

Community behavioral health providers commonly experience high levels of staff turnover. High staff turnover has a negative impact on service delivery, including disruption to the individual’s relationship with their service provider and financial costs to the agency to replace and train staff. This study is designed to better understand what factors influence staff turnover.

Care Management Intervention to Decrease Psychiatric and Substance Use Disorder Readmissions in Medicaid-Enrolled Adults

Individuals who are newly discharged from behavioral health inpatient admissions are at risk for readmission. Frequent inpatient admissions can adversely impact these individuals’ quality of life. Community Care adopted a successful Care Management strategy for reducing mental health hospital readmissions; this strategy was then applied to readmissions related to substance use disorders. This paper describes the positive impact of the Care Management intervention.