CIPC Blog

CIPC (Center for Integrated Primary Care) had the privilege of interviewing Ariel Singer, MPH, a community health expert who specializes in helping healthcare professionals develop and implement practical strategies for human-centered health system redesign and care delivery.

Clinician burnout has become an alarming epidemic in healthcare, affecting up to 60% of clinicians (Shanafelt et al., 2015). This phenomenon is linked to increased rates of depression, anxiety, and substance use, as well as elevated errors and diminished quality of care. Various factors contribute to burnout, including systemic issues like escalating quality metrics, administrative burdens, and shorter patient visits.

After an assessment with East Bay leadership and team members to understand the current facilitators and barriers to integrated behavioral health efforts, CIPC faculty developed a day-long workshop on integrated behavioral health.

In President Biden’s 2023 State of the Union he described a four-part Unity Agenda, and declared, “By this summer, the Federal Bureau of Prisons will ensure that each of their 122 facilities are equipped and trained to provide in-house medication-assisted treatment (MAT).”

Adult Primary Care Physician Visits Increasingly Address Mental Health Concerns

Dr. Gardiner was recognized for her work in health equity and medical group visits!

We are thrilled to follow up on the successful second annual Group Medical Visit conference held on September 16^th and co-chaired by CIPC’s primary care clinician, Paula Gardiner, MD. The conference was attended by 160 people from all over the world and there was a wide range of places represented including academic medical centers, community health centers, private practice, and the Veterans Administration.

First let me say that the PHQ-9 is a fairly good tool for screening patients and identifying those who have an unmet behavioral health need.  While I think computer adaptive testing is a better approach and the way of the future, there are still plenty of settings where a paper and pencil PHQ-9 is the best we can do.

For years employers in many sectors, including healthcare, have offered funding for continuing education as an employment “benefit.”  As healthcare increasingly focuses on quality of care, are there good reasons to think about this investment?

Late this spring the CIPC faculty read with interest a special issue of Journal of Clinical Psychology in Medicals Settings on “The Primary Care Behavioral Health Model of Integration”.  One particular article caught the attention of CIPC Director, Daniel Mullin.  The author, Adrienne A. Williams, PhD discussed in “The Next Step in Integrated Care: Universal Primary Mental Health Providers” the binary view of mental health, either a patient is mentally healthy or is mentally ill.  The author cites examples of how this view reinforces stigma associated with seeking mental health services, even within current integrated care models.

Williams suggests as a solution, a primary mental health provider, “In contrast to the binary view, where some people are seen as needing an MHP and others do not, this model would be similar to the primary care model of health and would involve development of primary mental health providers (PMHPs). These PMHPs would be to mental health care what primary care physicians (PCPs) are to physical health care.”

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