There are many behavioral interventions that have a strong evidence base for improving the symptoms of common mental health conditions; however, many of these interventions were developed for weekly, one-hour visits with a specialty mental health provider. These interventions also often require extensive clinical training and a lengthy time commitment from both the patient and the provider.
Treatment plans in effective integrated care models, such as collaborative care, use medications, behavioral interventions, or both. Changing the treatment plan as necessary until the patient improves is a necessary component as well. To be effective in primary care, a behavioral intervention should:
- Include a patient engagement component
- Be time efficient, running no more than 20-30 minutes a visit
- Follow a structured, but patient-centered approach
- Minimize required clinical training and duration of treatment
- Be relevant and applicable to diverse patient populations
- Have a substantial research evidence base
Of the many existing behavioral interventions, only a few have shown to be effective in fast-paced settings such as primary care. These include Problem Solving Therapy-Primary Care (PST-PC), Cognitive Behavioral Therapy (CBT), Interpersonal Counseling (IPC), and Behavioral Activation (BA).
The AIMS Center currently provides training and certification in PST-PC for organizations with an integrated care program or for any clinician wishing to provide behavioral interventions in their practice. Please contact us for more information or to request training.