Gardner Elena, W Owens Robert, T Fortenberry Katherine, Pippitt Karly, J Ose Dominik, Cochella Susan
Department of Family and Preventative Medicine, University of Utah, Salt Lake City, UT, 84108, USA.
Faculty of Health and Healthcare Sciences, Westsächsische Hochschule Zwickau, Zwickau, Germany.
BMC Prim Care. 2024 Dec 21;25(1):434. doi: 10.1186/s12875-024-02656-2.
The treatment gap for mental and behavioral health (MBH) in the United States (US) remains a major public health concern. Given the growing need for a robust MBH workforce, particularly for underserved populations, calls for integrated MBH in primary care have been mounting. Family medicine providers, who know and can treat all members of a family within the same setting, are uniquely positioned to manage MBH conditions.
With HRSA funding, the University of Utah Family Medicine Residency (UUFMR) seeks to address gaps in mental health services by enhancing or developing MBH training and partnerships. This protocol describes the project's evaluation. The evaluation aims to identify areas to improve training content, describe training capacity, and assess intermediate outcomes of improved trainings.
The evaluation consists of three components: analyzing current curriculum and best practices, developing or enhancing trainings with partners, and assessing residents' and graduates' confidence in providing MBH care.
The results from this protocol fill gaps in the current literature regarding evaluation methods for provider- and organizational-level outcomes of increased quality and capacity of residency training in MBH. Further, the results provide practical guidance for other residencies seeking to integrate MBH training into their curriculum.
Considering the resources committed to the ongoing enhancement of resident education, it is crucial to evaluate the implementation and outcomes of improvements to ensure that limited resources are well-utilized. Assessing the training capacity developed through collaboration supports progress toward creating a high-quality, accessible, and integrated mental and behavioral healthcare system in primary care.
美国精神和行为健康（MBH）方面的治疗差距仍是一个重大的公共卫生问题。鉴于对强大的MBH劳动力的需求不断增加，尤其是对服务不足人群的需求，将MBH整合到初级保健中的呼声越来越高。家庭医学提供者能够在同一环境中了解并治疗一个家庭的所有成员，他们在管理MBH病症方面具有独特的优势。
在卫生资源与服务管理局（HRSA）的资助下，犹他大学家庭医学住院医师项目（UUFMR）旨在通过加强或发展MBH培训及合作关系来解决心理健康服务方面的差距。本方案描述了该项目的评估情况。评估旨在确定培训内容需要改进的领域，描述培训能力，并评估改进培训的中期成果。
评估包括三个部分：分析当前课程和最佳实践，与合作伙伴共同开发或加强培训，以及评估住院医师和毕业生在提供MBH护理方面的信心。
本方案的结果填补了当前文献中关于MBH住院医师培训质量和能力提高的提供者和组织层面结果评估方法的空白。此外，这些结果为其他寻求将MBH培训纳入其课程的住院医师项目提供了实用指导。
考虑到为持续加强住院医师教育所投入的资源，评估改进措施的实施情况和结果以确保有限资源得到有效利用至关重要。评估通过合作发展起来的培训能力有助于朝着在初级保健中创建一个高质量、可及且综合的精神和行为医疗保健系统迈进。
