Center for Integrated Care, Behavioral Research and Training Institute, Rutgers University Behavioral Health Care.
Center for Prevention Science, Rutgers University School of Social Work.
Fam Syst Health. 2022 Dec;40(4):586-591. doi: 10.1037/fsh0000739.
It is critical that we strengthen the ability of the behavioral health workforce to better manage the complex behavioral and physical health needs of people in medically underserved areas. Despite the knowledge that integrated care (IC) models improve patient outcomes and experience, provider satisfaction, and health care costs, educational and experiential training in IC is limited, limiting workforce capacity to deliver this care.
Through the Health Resources and Services Administration-funded Rutgers University Integrated Substance Use Disorder Training Program (RUISTP), we partner with community-based primary care clinics to implement an interprofessional fellowship program for psychologists, social workers, physician assistants, and advanced practice nurses. The RUISTP simultaneously provides training and implements IC within these community-based systems. Our multiple-methods evaluation design examines data-driven indicators of feasibility, uptake, and program success during implementation and sustainability phases and assesses changes in organizational beliefs and practices, provider competencies, and service utilization throughout the project period.
This article describes the significance and innovation of (a) an IC training program, (b) an implementation plan for sustained change within systems of care, and (c) evaluative methodology to assess and improve IC and SUD service delivery and training. These data will be used to create a template for other academic and health care systems nationally.
It is the mission of this program to use an innovative training, implementation, and evaluation design to enhance IC and SUD services, bolster the behavioral health workforce trained to provide high-quality IC, and inform replications of this model in other geographic and clinical settings, particularly those in medically underserved communities. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
加强行为健康工作者的能力，以更好地管理医疗服务不足地区人群的复杂行为和身体健康需求，这一点至关重要。尽管人们知道整合照护（IC）模式可以改善患者的预后和体验、提高提供者的满意度和医疗保健成本，但在 IC 方面的教育和实践培训却很有限，这限制了工作人员提供这种护理的能力。
通过健康资源和服务管理局资助的罗格斯大学综合物质使用障碍培训计划（RUISTP），我们与社区基层医疗诊所合作，为心理学家、社会工作者、医师助理和高级执业护士实施一个跨专业的奖学金计划。RUISTP 同时在这些社区基层医疗系统中提供培训并实施 IC。我们的多方法评估设计在实施和可持续性阶段检查可行性、采用率和项目成功的数据驱动指标，并评估组织信念和实践、提供者能力以及整个项目期间服务利用的变化。
本文描述了以下方面的意义和创新：（a）IC 培训计划；（b）在照护系统内实现持续变革的实施计划；（c）评估方法，用于评估和改进 IC 和物质使用障碍服务的提供和培训。这些数据将用于为全国其他学术和医疗保健系统创建模板。
该计划的使命是使用创新的培训、实施和评估设计来增强 IC 和物质使用障碍服务，加强接受过提供高质量 IC 培训的行为健康工作者队伍，并为在其他地理和临床环境中复制这种模式提供信息，特别是在医疗服务不足的社区。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
