Symposia
Primary Care / Integrated Care
Soo Jeong Youn, PhD
Senior Implementation Scientist
Reliant Medical Group
Worcester, Massachusetts, United States
Keke Schuler, Ph.D.
Qualitative Researcher
Reliant Medical Group
Worcester, Massachusetts, United States
Pratha Sah, PhD
Data Scientist
Reliant Medical Group
Worcester, Massachusetts, United States
Brittany Jaso, PhD
Research Manager
Reliant Medical Group
Worcester, Massachusetts, United States
Mariesa Pennine, BA
Research Assistant
Reliant Medical Group
Worcester, Massachusetts, United States
Mara Eyllon, PhD (she/her/hers)
Assistant director of pRN
Reliant Medical Group
Worcester, Massachusetts, United States
Kankana Sengupta, PhD
Data Scientist
Reliant Medical Group
Worcester, Massachusetts, United States
J. Ben Barnes, PhD
Medical Director
Reliant Medical Group
Worcester, Massachusetts, United States
Georgia Hoyler, BS
Senior Director, Office of Strategy & Innovation
United Health Group
Minneapolis, Minnesota, United States
Samuel Nordberg, PhD (she/her/hers)
Chief of Behavioral Health
Reliant Medical Group
Worcester, Massachusetts, United States
Introduction. There is an established supply/demand problem in behavioral health needs. A proposed solution is to have primary care providers address patients’ behavioral health challenges directly. The current study evaluates the scaling out implementation process and effectiveness of Precision Behavioral Health (PBH), a pilot program that leverages primary care providers to refer patients directly into an ecosystem of digital interventions.
Methods. Providers were trained and given access to the PBH program on a rolling basis starting October 2023. Data for analyses were collected from the electronic health record platform until February 2024. Data included whether patients were flagged as eligible for the PBH program based on inclusion/exclusion criteria, whether and which providers offered PBH to patients, whether patient agreed, declined, or considering, and patient symptomatology was assessed using a multidimensional measure.
Results. 26 providers were trained and onboarded to PBH. 3805 patients were seen by the providers in the timeframe as part of routine care for their yearly wellness visits or new patient visits, and 2367 (62%) patients completed measures as part of care. Results showed high provider adoption, with 100% of providers referring at least 1 patient. Patient reach rate was high, with 29% (N=695) of patients with baseline measures identified as eligible for PBH. Providers offered 72% (N=502) of their patients PBH, and patient acceptance rate was high at 35% (N=187). Effectiveness results showed that 66% of patients showed clinical improvement rates at 6 weeks.
Conclusions. Primary Care providers are willing and able to successfully refer patients
to behavioral health digital interventions with minimal training time for onboarding. Patients demonstrate high level of acceptance rates, and comparable rates of improvement to those that are referred by behavioral health licensed providers. The
results have the potential to impact public health, by increasing behavioral health access for patients without adding burden to providers, providing healthcare organizations an alternative pathway to address increasing needs without having to increase personnel or introduce major organizational changes.