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Evaluation ViewAttendees 4

Dissemination & Implementation Science
Symposia

Symposium 66 - Increasing access to care: Implementing evidence-based mental health interventions through community partnerships and non-specialist providers

Saturday, November 16, 2024
8:30 AM – 10:00 AM EST
Location: Congress B, Fourth Floor, Loews
CE: 1.5

Keywords: Implementation, CBT, Telehealth/m-health
Level of Familiarity: Basic to moderate
Recommended Readings: Bernstein, E. E., Weingarden, H., Wolfe, E. C., Hall, M. D., Snorrason, I., & Wilhelm, S. (2022). Human Support in App-Based Cognitive Behavioral Therapies for Emotional Disorders: Scoping Review. Journal of medical Internet research, 24(4), e33307. https://doi.org/10.2196/33307,   Harty, S., Enrique, A., Akkol-Solakoglu, S. et al. Implementing digital mental health interventions at scale: one-year evaluation of a national digital CBT service in Ireland. Int J Ment Health Syst 17, 29 (2023). https://doi.org/10.1186/s13033-023-00592-9,   Werntz, A., Silverman, A. L., Behan, H., Patel, S. K., Beltzer, M., Boukhechba, M. O., Barnes, L., & Teachman, B. A. (2022). Lessons Learned: Providing Supportive Accountability in an Online Anxiety Intervention. Behavior therapy, 53(3), 492–507. https://doi.org/10.1016/j.beth.2021.12.002,   ,  

Despite the immense need for mental health services, a significant shortage of licensed providers persists in the United States and around the world. Further, in-person psychotherapy is often prohibitively expensive and delayed due to long waiting lists, exacerbating health disparities. To expand equitable access to services, it is critical to explore alternative delivery pathways. This involves expanding our conceptions of where mental healthcare can be delivered (e.g., through digital platforms, diverse healthcare settings, and community spaces) and who can deliver care (e.g., trained community members, paraprofessionals, non-specialist providers). To make these implementation pathways optimally effective, qualitative and quantitative approaches are needed to understand the perspectives of affected parties on feasibility, acceptability, and barriers/facilitators to engagement, and also to test the effectiveness of such innovative solutions in real-world settings.
This symposium will synthesize cutting-edge research on non-specialist and community mental health care implementation of mental health interventions for individuals with elevated mood or anxiety symptoms. The first talk will qualitatively evaluate the feasibility and accessibility of collaborating with non-profits in a dense U.S. urban region to deliver a digital, self-paced social skills intervention to youth with minoritized identities. The second talk will qualitatively examine the perspectives of anxious youth and their mentors on the feasibility and acceptability of integrating an app-based cognitive bias modification program for anxious youth into mentoring programs located primarily in rural America. The third talk will quantitatively test the effectiveness of a web-based cognitive bias modification program for anxiety and of supplemental support from non-specialist, college and graduate student telecoaches in a large, international sample of anxious community adults. The fourth talk will explore the mediating role of help-seeking in an intervention delivered by college instructors on mental health and well-being outcomes in minoritized and first-generation U.S. university students. Finally, the fifth talk will qualitatively evaluate primary care doctors’ experiences of addressing patient mental health needs using Precision Behavioral Health, a care model that matches patients to an evidence-based ecosystem of digital interventions. In line with this year’s conference theme our discussant will synthesize the implications of these talks for advancing innovative models of delivering interventions in the community, particularly for increasing access to care among underserved populations.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Increase knowledge about how both qualitative and quantitative methods contribute to a comprehensive model of implementation science.
  2. Illustrate the impact of non-traditional care delivery on diverse stakeholders (e.g., patients, community partners, paraprofessionals).
  3. Advance awareness of the practical implications of increasing access to care through the proposed pathways.
  4. Communicate the perspectives of underserved communities on how best to improve care delivery to mitigate unmet need.
  5. Educate attending clinicians and researchers on the benefits and drawbacks of non-traditional care delivery methods.

Presentations:

  • 8:30 AM – 10:00 AM EST
    (SYM 66) The Mediating Role of Help-seeking Intention in a Non-clinical Intervention for Minoritized and First-generation College Students

    Speaker: Anika Dalvie, B.A. (they/them/theirs) – Suffolk University, Department of Psychology

    Co-author: McKenna F. Parnes, Ph.D. (she/her/hers) – University of Washington School of Medicine

    Co-author: Rebecca Brown, M.S (she/her/hers) – Suffolk University, Department of Psychology

    Co-author: Megan Carreiro, M.S – Suffolk University, Department of Psychology

  • 8:30 AM – 10:00 AM EST
    (SYM 66) Feasibility and Acceptability of Implementing a Mentor-guided, App-based Cognitive-bias Modification for Interpretation (CBM-I) Intervention for Anxious Youth

    Speaker: Emma C. Wolfe, B.A. (she/her/hers) – University of Virginia

    Co-author: Alexandra Werntz, Ph.D. – University of Massachusetts Boston

    Co-author: Audrey Michel, B.A. (she/her/hers) – University of Virginia

    Co-author: Yiyang Zhang, B.A. (she/her/hers) – University of Virginia

    Co-author: Bethany Teachman, Ph.D. – University of Virginia

  • 8:30 AM – 10:00 AM EST
    (SYM 66) Web-based Interpretation Bias Training to Reduce Anxiety: A Sequential, Multiple-assignment Randomized Trial

    Speaker: Jeremy W. Eberle, M.A. (he/him/his) – University of Virginia

    Co-author: Katharine E. Daniel, M.A. (she/her/hers) – Massachusetts General Hospital / Harvard Medical School

    Co-author: Sonia Baee, PhD (she/her/hers) – University of Virginia

    Co-author: Alexandra L. Silverman, M.A. (she/her/hers) – University of Virginia

    Co-author: Elijah Lewis, B.S. (he/him/his) – University of Virginia

    Co-author: Anna Baglione, M.S. – University of Virginia

    Co-author: Alexandra Werntz, Ph.D. – University of Massachusetts Boston

    Co-author: Noah French, BA (he/they) – University of Virginia

    Co-author: Julie Ji, PhD (she/her/hers) – University of Western Australia

    Co-author: Nicola Hohensee, M.S. – University of Münster

    Co-author: Xin Tong, PhD (she/her/hers) – University of Virginia

    Co-author: Jacalyn Huband, PhD (she/her/hers) – University of Virginia

    Co-author: Mehdi Boukhechba, Ph.D. – Johnson & Johnson

    Co-author: Daniel Funk, BS (he/him/his) – Sartography

    Co-author: Laura Barnes, PhD – University of Virginia

    Co-author: Bethany Teachman, Ph.D. – University of Virginia

  • 8:30 AM – 10:00 AM EST
    (SYM 66) Implementation and Impact of an Online Social Skills Curriculum Among Low-income, BIPOC High School Students in Community-based Organizations

    Speaker: Cristina L. Nardini, M.A. (she/her/hers) – Fordham University

    Co-author: Katie Bartolotta, M.S. Ed. (she/her/hers) – Fordham University

    Co-author: Elizabeth Raposa, Ph.D. – Fordham University

  • 8:30 AM – 10:00 AM EST
    (SYM 66) Evaluating the Scaling of a Digital Mental Health Interventions Ecosystem to Primary Care: A Qualitative Study

    Speaker: Keke Schuler, Ph.D. – Reliant Medical Group

    Co-author: Keke Schuler, Ph.D. – Reliant Medical Group

    Co-author: Heather O’Dea, BA – Reliant Medical Group

    Co-author: Pratha Sah, PhD – Reliant Medical Group

    Co-author: Brittany Jaso, PhD – Reliant Medical Group

    Co-author: Mariesa Pennine, BA – Reliant Medical Group

    Co-author: Laura Orth, LICSW – Reliant Medical Group

    Co-author: Lily Murillo, BA – Reliant Medical Group

    Co-author: Georgia Hoyler, BS – United Health Group

    Co-author: J. Ben Barnes, PhD – Reliant Medical Group

    Co-author: Mara Eyllon, PhD (she/her/hers) – Reliant Medical Group

    Co-author: Kankana Sengupta, PhD – Reliant Medical Group

    Co-author: Samuel Nordberg, PhD (she/her/hers) – Reliant Medical Group

    Co-author: Soo Jeong Youn, PhD – Reliant Medical Group