Examining the Effectiveness of Integrated Behavioral and Primary Healthcare Treatment-A Brief Summary
Using subscales of the Adult Needs and Strengths Assessment (ANSA) and an author created Crisis Event measure, holistic client functioning was assessed for persons diagnosed with comorbid serious mental illness (SMI) and primary healthcare diseases. An ex post facto, quasi-experimental, pre- and post-test design was selected to compare the effectiveness of an integrated behavioral and primary healthcare (IBPH) treatment approach to a treatment-as-usual (TAU) approach, across a 12-month treatment period.
Study participants consisted of 196 persons diagnosed with SMI and primary or non-primary healthcare diseases who lived in rural communities located in the southern region of the United States. Using a profile analysis, mean difference scores obtained from four subscales of the (ANSA; i.e., risk behaviors, behavioral health needs, life domain functioning, strengths) and a Crisis Event Measure were analyzed across three null hypotheses (i.e., level, parallelism, flatness).
A statistically significant difference was observed across all null hypotheses, each indicating a moderate, approaching large degree of practical significance. Persons receiving primary healthcare services in coordination with mental health treatment experienced on average a 24-times greater improvement in their holistic client functioning across a 12-month treatment period. Holistic client functioning for persons in the TAU condition appeared stable throughout the 12-month treatment period.
Findings from this study offer promising insight into the effectiveness of an IBPH treatment approach for person diagnosed with comorbid SMI and primary healthcare diseases. To read more about this study, see Schmit, Watson, and Fernandez’s (2018) article titled, “Examining the Effectiveness of Integrated Behavioral and Primary Healthcare Treatment” found in the Journal of Counseling & Development