R34 – REACH: DDBT adapted EBPI for Primary Care

Principal Investigators

Patricia Areán, PhD, Professor, Psychiatry and Behavioral Sciences

Debra Kaysen, PhD, Professor, Psychiatry and Behavioral Sciences

Project Description

This study is a partnership between The University of Washington’s Department of Psychiatry and Behavioral Sciences, the Department of Communications, and the Bighorn Valley Health System in Eastern Montana.

While evidence-based psychosocial interventions (EBPIs) are important, their design is cumbersome, complex, overwhelming, inflexible, and minimizes factors that are crucial for quality delivery of care. This study will work with six FQHCs across MT that were recently reorganized under Bighorn Valley Health Center’s umbrella to involve their Therapists and Care Managers in the redesign of an intervention to address their unique patient population and to take advantage of their task-sharing model.

Setting	Six Federally Qualified Health Centers (FQHCs) across Montana under Bighorn Valley Health Center’s umbrella
Population	Therapists, Care Managers, and patients at FQHCs in Eastern Montana

Intervention and/or Implementation Strategy Designed or Redesigned

Intervention	Modified Problem-Solving Therapy (PST) adapted for primary care settings and unique patient populations
Implementation Strategy	Qualitative interviews with clinicians trained in PST, modification of PST and supporting tools based on feedback, and randomized controlled trial comparing modified PST training to traditional PST approaches

Impact

Redesigned evidence-based psychosocial intervention that addresses the cumbersome, complex, and inflexible nature of current EBPIs while maximizing factors crucial for quality delivery of care in primary care settings with task-sharing models