Integrated Behavioral Health: A Curriculum for Residents in Rural and Community Psychiatry
Introduction Mental health and substance use disorders are common in the United States; however, only a portion of adults with these conditions receive treatment. Recent recommendations include using integrated behavioral health (IBH) models to increase patient access to care. Despite IBH's eff...
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Association of American Medical Colleges
2024-12-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11468 |
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| author | Poonè Haghani Tehrani Kelsey J. Sala-Hamrick Sushilla Knottenbelt John P. Sánchez Julie G. Salvador |
| author_facet | Poonè Haghani Tehrani Kelsey J. Sala-Hamrick Sushilla Knottenbelt John P. Sánchez Julie G. Salvador |
| author_sort | Poonè Haghani Tehrani |
| collection | DOAJ |
| description | Introduction Mental health and substance use disorders are common in the United States; however, only a portion of adults with these conditions receive treatment. Recent recommendations include using integrated behavioral health (IBH) models to increase patient access to care. Despite IBH's effectiveness, few psychiatry residents are trained in it. Considering the scarcity of evaluated curricula on IBH, we created a curriculum to teach different IBH models to psychiatry residents. Methods The curriculum was developed using the constructivism theoretical framework and aligned with the principles of competency-based medical education. The learning activities allowed learners to apply knowledge relevant to IBH models to critically appraise a clinical scenario while practicing different components of IBH, such as electronic consults. More specifically, the curriculum assignment prompted residents to examine a clinical practice, identify the model, make recommendations for changes, and discuss the advantages and barriers of the proposed changes. We employed Kirkpatrick model levels 1 and 2b to evaluate the curriculum. Results Thirty-three residents participated in this curriculum. Eleven residents completed the assignment, which was qualitatively coded to evaluate their learning. Results indicated that the participants were able to compare different IBH models and critically appraise clinical practice using knowledge of those models. Twenty-two additional residents completed an anonymous retrospective pre- and postrotation survey on their perceived level of proficiency. Survey results showed improved perceived level of proficiency at rotation completion. Discussion The developed curriculum was successful in teaching residents to acquire and apply knowledge relevant to IBH. |
| format | Article |
| id | doaj-art-2c9ca60be7f04574bbab8bb16a4e85f5 |
| institution | DOAJ |
| issn | 2374-8265 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj-art-2c9ca60be7f04574bbab8bb16a4e85f52025-08-20T02:52:15ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652024-12-012010.15766/mep_2374-8265.11468Integrated Behavioral Health: A Curriculum for Residents in Rural and Community PsychiatryPoonè Haghani Tehrani0Kelsey J. Sala-Hamrick1Sushilla Knottenbelt2John P. Sánchez3Julie G. Salvador4Associate Professor, Department of Psychiatry and Behavioral Sciences, University of New Mexico Health Sciences CenterClinical Psychologist, Department of Psychiatry and Behavioral Sciences, University of New Mexico Health Sciences CenterSenior Lecturer III, Department of Chemistry and Chemical Biology, University of New MexicoDean, Universidad Central Del Caribe School of MedicineAssociate Professor, Department of Psychiatry and Behavioral Sciences, University of New Mexico Health Sciences CenterIntroduction Mental health and substance use disorders are common in the United States; however, only a portion of adults with these conditions receive treatment. Recent recommendations include using integrated behavioral health (IBH) models to increase patient access to care. Despite IBH's effectiveness, few psychiatry residents are trained in it. Considering the scarcity of evaluated curricula on IBH, we created a curriculum to teach different IBH models to psychiatry residents. Methods The curriculum was developed using the constructivism theoretical framework and aligned with the principles of competency-based medical education. The learning activities allowed learners to apply knowledge relevant to IBH models to critically appraise a clinical scenario while practicing different components of IBH, such as electronic consults. More specifically, the curriculum assignment prompted residents to examine a clinical practice, identify the model, make recommendations for changes, and discuss the advantages and barriers of the proposed changes. We employed Kirkpatrick model levels 1 and 2b to evaluate the curriculum. Results Thirty-three residents participated in this curriculum. Eleven residents completed the assignment, which was qualitatively coded to evaluate their learning. Results indicated that the participants were able to compare different IBH models and critically appraise clinical practice using knowledge of those models. Twenty-two additional residents completed an anonymous retrospective pre- and postrotation survey on their perceived level of proficiency. Survey results showed improved perceived level of proficiency at rotation completion. Discussion The developed curriculum was successful in teaching residents to acquire and apply knowledge relevant to IBH.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11468Integrated PsychiatryPrimary Care IntegrationTeaching CurriculumResident TrainingRural Behavioral HealthUnderserved Populations |
| spellingShingle | Poonè Haghani Tehrani Kelsey J. Sala-Hamrick Sushilla Knottenbelt John P. Sánchez Julie G. Salvador Integrated Behavioral Health: A Curriculum for Residents in Rural and Community Psychiatry MedEdPORTAL Integrated Psychiatry Primary Care Integration Teaching Curriculum Resident Training Rural Behavioral Health Underserved Populations |
| title | Integrated Behavioral Health: A Curriculum for Residents in Rural and Community Psychiatry |
| title_full | Integrated Behavioral Health: A Curriculum for Residents in Rural and Community Psychiatry |
| title_fullStr | Integrated Behavioral Health: A Curriculum for Residents in Rural and Community Psychiatry |
| title_full_unstemmed | Integrated Behavioral Health: A Curriculum for Residents in Rural and Community Psychiatry |
| title_short | Integrated Behavioral Health: A Curriculum for Residents in Rural and Community Psychiatry |
| title_sort | integrated behavioral health a curriculum for residents in rural and community psychiatry |
| topic | Integrated Psychiatry Primary Care Integration Teaching Curriculum Resident Training Rural Behavioral Health Underserved Populations |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11468 |
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