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Evaluation ViewAttendees 6

Mini Workshop

Primary Care / Integrated Care

Improving Community Access to CBT: Delivery of Evidence-Based Treatments in Medical Settings

Mini Workshop 10 - Improving Community Access to CBT: Delivery of Evidence-based Treatments in Medical Settings

Friday, November 15, 2024
2:30 PM – 4:00 PM EST
Location: Grand Ballroom C, Level 5, Downtown Marriott
Earn 1.5 Credit
Keywords: CBT, Primary Care,
Level of Familiarity: All
Recommended Readings: Kyanko, K. A., A. Curry, L., E. Keene, D., Sutherland, R., Naik, K., & Busch, S. H. (2022). Does primary care fill the gap in access to specialty mental health care? A mixed methods study. Journal of General Internal Medicine : JGIM, 37(7), 1641-1647. https://doi.org/10.1007/s11606-021-07260-z,   Bogucki, O. E., Craner, J. R., Berg, S. L., Miller, S. J., Wolsey, M. K., Smyth, K. T., Sedivy, S. J., Mack, J. D., Johnson, M. W., Burke, L. M., Williams, M. W., Katzelnick, D. J., & Sawchuk, C. N. (2021). Cognitive behavioral therapy for depressive disorders: Outcomes from a multi-state, multi-site primary care practice. Journal of Affective Disorders, 294, 745-752. https://doi.org/10.1016/j.jad.2021.07.061,   DiTomasso, R. A., Glassman, S., Shook, C. B., Zacharcenko, A., & Lent, M. R. (2021). Cognitive behavioral therapy in primary care. In A. Wenzel (Ed.), Handbook of cognitive behavioral therapy: Applications (pp. 549–587). American Psychological Association. https://doi.org/10.1037/0000219-017,   ,  

    Presenter(s)

  • Sofia M. Chernoff, Psy.D., MSEd

    Assistant Director of CBT Programs
    Beck Institute for Cognitive Behavior Therapy
    Bala Cynwyd, Pennsylvania, United States

  • Morgan Hagner, PsyD

    Postdoctoral Fellow
    Beck Institute for Cognitive Behavior Therapy
    York, Pennsylvania, United States

Evidence-based treatments, such as cognitive behavior therapy (CBT), have been demonstrated to be effective in treatment of a wide range of mental health and health concerns. Unfortunately, access to these treatments remains limited for individuals both in the United States and across the globe. Barriers to outpatient behavioral health treatment include cost, availability of services, and stigma, among many others. Consequently, delivery of CBT in non-traditional settings needs to be considered as a viable option for increasing community access to evidence-based interventions for mental health concerns. This mini-workshop will review practical strategies for increasing community access to CBT through collaboration with medical professionals.

In this interactive workshop, participants will learn specific ways to tailor (or adapt) CBT when providing treatment in medical settings through integration or co-location models. Mini-workshop participants will also learn to help medical providers incorporate CBT into their work, with focus on patient communications, decreasing stigma, and integration of basic CBT skills into patient care. Lastly, the presenters will discuss strategies for establishing ongoing collaborative care relationships between CBT therapists and medical providers, addressing both ethical considerations and practical challenges. Teaching methods in this presentation include didactics, demonstrations, and discussions, which will provide a platform for participants to share experiences, pose questions, and participate in role-play practice.

Outline:
1. Introductions
2. The case for CBT in non-traditional settings
a. Data on mental health trends and barriers to accessing outpatient behavioral health treatment
b. Role of behavioral health in non-traditional settings
c. Review of literature on CBT delivery in medical settings and co-location models
3. Adaptations to CBT in Medical Settings
a. Delivery of CBT treatment in brief format
b. Treatment goals and expectations
c. Therapeutic relationship, values and aspirations
d. CBT interventions for common presenting problems
e. Special issues
f. Case examples
4. Collaboration Between Mental Health and Health Providers
a. Importance of interdisciplinary collaboration for patients’ benefit
b. Models of behavioral health integration and co-location
c. Introducing medical providers to CBT basics
d. Communication, ethics, and sustainability
5. Conclusion and Next Steps for Learning and Practice

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Discuss the benefits of CBT delivery in medical settings and ongoing collaboration between mental health and health providers in the community.
  2. Make adaptations for delivery of CBT in medical settings, while honoring the principles of humanitarianism, evidence-based practice, and structure.
  3. Discuss elements of psychoeducation about CBT for medical providers.
  4. Utilize strategies to establish and maintain ethical and effective collaboration with medical providers in the community.
  5. Long-term Goal: Increase access to CBT and evidence-based mental health treatment through effective collaboration with medical professionals