Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration

Juvena R Hitt; Stephanie A Brennhofer; Matthew P Martin; C R Macchi; Daniel Mullin; Constance van Eeghen; Benjamin Littenberg; Rodger S Kessler

doi:10.1007/s10880-021-09806-z

Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration

J Clin Psychol Med Settings. 2022 Jun;29(2):274-284. doi: 10.1007/s10880-021-09806-z. Epub 2021 Aug 9.

Authors

Juvena R Hitt¹, Stephanie A Brennhofer², Matthew P Martin³, C R Macchi³, Daniel Mullin⁴, Constance van Eeghen⁵, Benjamin Littenberg⁵, Rodger S Kessler⁶

Affiliations

¹ Department of Medicine, University of Vermont Larner College of Medicine, 89 Beaumont Avenue, Given Courtyard South S467, Burlington, VT, 05405, USA. juvena.hitt@med.uvm.edu.
² Department of Public Health Sciences, University of Virginia, 345 Crispell Drive, P.O. Box 801379, Charlottesville, VA, 22908, USA.
³ Arizona State University College of Health Solutions, 500 N 3rd Street, Phoenix, AZ, 85004-2135, USA.
⁴ Department of Family Medicine and Community Health, Center for Integrated Primary Care, University of Massachusetts Medical School, 55 Lake Avenue, North Worcester, MA, 01655, USA.
⁵ Department of Medicine, University of Vermont Larner College of Medicine, 89 Beaumont Avenue, Given Courtyard South S467, Burlington, VT, 05405, USA.
⁶ Department of Family Medicine, University of Colorado Denver, Denver, USA.

PMID: 34370184
DOI: 10.1007/s10880-021-09806-z

Abstract

Valid measures of behavioral health integration have the potential to enable comparisons of various models of integration, contribute to the overall development of high-quality care, and evaluate outcomes that are strategically aligned with standard improvement efforts. The Practice Integration Profile has proven to discriminate among clinic types and integration efforts. We continued the validation of the measure's internal consistency, intra-rater consistency, and inter-rater consistency with a separate and larger sample from a broader array of practices. We found that the Practice Integration Profile demonstrated a high level of internal consistency, suggesting empirically sound measurement of independent attributes of integration, and high reliability over time. The Practice Integration Profile provides internally consistent and interpretable results and can serve as both a quality improvement and health services research tool.

Keywords: Collaborative care; Integrated behavioral health; Integrated primary care; Measurement; Primary care behavioral health.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Health Services Research
Humans
Primary Health Care* / methods
Psychiatry*
Quality Improvement
Reproducibility of Results