PITCH
Program for the Integrated Training of Counselors in Behavioral Health
Jessica Lloyd-Hazlett, Cory Knight, Stacy Ogbeide, Heather Trepal, Noel Blessing
Strengthening the Behavioral Health Workforce: Spotlight on PITCH
The coordination of primary and behavioral health care that holistically targets clients’ physical and mental needs is known as integrated care. Primary care is increasingly becoming a de facto mental health system because of behavioral health care shortages and patient preferences. Primary care behavioral health (PCBH) is a gold standard model used to assist in the integration process. Although counselor training addresses some aspects of integrated care, best practices for counselor education and supervision within the PCBH framework are underdeveloped. This article provides an overview of the Program for the Integrated Training of Counselors in Behavioral Health (PITCH). The authors discuss challenges in implementation; solutions; and implications for counselor training, clinical practice, and behavioral health workforce development.
Publication Alert!
Recently published in The Professional Counselor
Strengthening the Behavioral Health Workforce: Spotlight on PITCH
Integrated Primary Care Literature
For additional journal articles and resources for supervisors, visit the PITCH Dropbox.
Introduction to Integrated Primary Care
Robinson, P., & Reiter, J. (2016). Behavioral consultation and primary care: A guide to integrating services (2nd ed.). New York, NY: Springer Publishing. Chapters 1 and 2
Vogel, M., Malcore, S., Illes, R., Rose, A., & Kirkpatrick, H. (2014). Integrated primary care: Why should you care and how to get started. Journal of Mental Health Counseling, 36(2), 130-144.
Behavioral Health's Role in Primary Care
Robinson, P., & Reiter, J. (2016). Behavioral consultation and primary care: A guide to integrating
services (2nd ed.). New York, NY: Springer Publishing. Chapters 3-5
Heath B, Wise R. P., & Reynolds K. A. (2013). Review and proposed standard framework for levels of integrated healthcare. Washington, DC: SAMHSAHRSA Center for Integrated Health Solutions
Primary Care Patients & Behavioral Health
Robinson, P., & Reiter, J. (2016). Behavioral consultation and primary care: A guide to integrating services (2nd ed.). New York, NY: Springer Publishing. Chapter 15
Kessler, R. (2009). Identifying and screening for psychological and comorbid medical and
psychological disorders in medical settings. Journal of Clinical Psychology, 65, 253-267.
Kohn-Wood, L., & Hooper, L. (2014). Cultural competency, cultural-tailored care, and the primary care setting: Possible solutions to reduce racial/ethnic disparities in mental health care. Journal of Mental Health Counseling, 36(2), 173-188.
Integrated Primary Care Interventions
Robinson, P., & Reiter, J. (2016). Behavioral consultation and primary care: A guide to integrating services (2nd ed.). New York, NY: Springer Publishing. Chapter 7
Bridges, A., Gregus, S., Rodriguez, J., Andrews, A., Villalobos, B., Pastrana, F., & Cavell, T. (2015). Diagnoses, intervention strategies, and rates of functional improvement in integrated behavioral health care patients. Journal of Consulting and Clinical Psychology, 83(3), 590-601, doi: http://dx.doi.org/10.1037/a0038941
Hudgins, C., Rose, S., Fifield, P. Y., & Arnault, S. (2013). Navigating the legal and ethical foundations of informed consent and confidentiality in integrated primary care. Families, Systems, and Health, 31, 9-19.
Health Promotion and Disease Prevention in Primary Care
Fisher, L., & Dickinson, W. P. (2014). Psychology and primary care: New collaborations for providing effective care for adults with chronic health conditions. American Psychologist, 69, 355-363.
Kalmakis, K., & Chandler, G. (2015). Health consequences of adverse childhood experiences: A systematic review. Journal of the American Association of Nurse Practitioners, 27, 457-465.
Shay, L. A., & Lafata, J. E. (2015). Where is the evidence? A systematic review of shared decision making and patient outcomes. Medical Decision Making, 35, 114-131.
Depression Management in Primary Care
Thota, A. B., Sipe, T. A., Byard, G.J… (2012). Collaborative care to improve the management of depressive disorders: A community guide systematic review and meta-analysis. American Journal of Preventative Medicine, 42, 525-538.
DIAMOND Program, Institute for Clinical Systems Improvement. (2010). A new direction in depression treatment in Minnesota. Psychiatric Services, 61, 1042-1044.
Perry, D. F., Nicholson, W. Christensen, A. L., & Riley, A. W. (2011). A public health approach to addressing perinatal depression. International Journal of Mental Health Promotion, 13, 5-13.
Bryan, C. J., Corso, K. A., Neal-Walden, T. A., & Rudd, M. D. (2009). Managing suicide risk in primary care: Practice recommendations for behavioral health consultants. Professional Psychology: Research and Practice, 40, 148-155.
Anxiety Management in Primary Care
Roy-Byrne, P., Craske, M. G., Sullivan, G., Rose, R. D., Edlund, M. J., Lang, A. J., … Stein, M. B. et al. (2010). Delivery of evidence-based treatment for multiple anxiety disorders in primary care: A randomized controlled trial. Journal of the American Medical Association, 30, 1921-1928.
Roy-Byrne, P. ., Veitengruber, J. P., Bystritsky, A., Edlund, M. J., Sullivan, G., Craske, M. G., … Stein, M. B.(2009). Brief intervention for anxiety in primary care. Journal of the American Board of Family Medicine, 22, 175-186.