Characteristics of Learning from Effective Ambulatory Practices and Behavioral Health Integration, 2013
| Characteristic | N = 30* | % |
|---|---|---|
| Practice characteristics | ||
| Organization type | ||
| Federally qualified health center | 15 | 50.0 |
| Private practice, multispecialty group | 9 | 30.0 |
| Private practice, primary care only | 6 | 20.0 |
| Number of sites in practice organization | ||
| One | 7 | 23.3 |
| 2 to 5 | 6 | 20.0 |
| 6 to 10 | 8 | 26.7 |
| 11 to 20 | 4 | 13.3 |
| Setting | ||
| Urban | 9 | 30.0 |
| Suburban | 8 | 26.7 |
| Rural | 11 | 36.7 |
| Multiple | 2 | 6.7 |
| BH specialist staffing characteristics | ||
| Any BH specialist present at practice† | 25 | 83.3 |
| Masters'-level therapists (such as LCSWs) | 21 | 70.0 |
| BH prescribers (psychiatrists or psychiatric NPs) | 16 | 53.3 |
| Psychologists | 8 | 26.7 |
| Substance abuse counselors | 3 | 10.0 |
| Complementary/alternative BH providers (such as art therapists, dance movement therapists) | 3 | 10.0 |
| Affiliation of BH specialist when present (N = 25)‡ | ||
| Employed by the practice | 14 | 56.0 |
| Employed by an external organization | 8 | 32.0 |
| Mixed (some BH staff employed by practice, some employed by external organization) | 2 | 8.0 |
| Unknown | 1 | 4.0 |
| BH-related services available | ||
| Any BH-related screening† | 22 | 73.3 |
| Depression (PHQ or others) | 22 | 73.3 |
| Substance use | 8 | 26.7 |
| Anxiety | 6 | 20.0 |
| Any BH-related services† | 27 | 90.0 |
| Short-term therapeutic approaches | 20 | 66.7 |
| CBT, DBT, and/or ACT | 8 | 26.7 |
| Complementary/alternative BH therapies | 5 | 16.7 |
| Any access to BH prescribers (psychiatrists or psychiatric NPs)† | 18 | 60.0 |
| Via in-person appointments and consultations | 16 | 53.3 |
| Via telemedicine or phone | 3 | 10.0 |
| Substance use counseling or programs available in the practice | 7 | 23.3 |
BH, behavioral health; CBT, cognitive behavioral therapy; DBT, dialectical behavioral therapy; ACT, acceptance and commitment therapy; PCP, primary care provider; PHQ, Patient Health Questionnaire; LCSW, licensed clinical social workers; NP, nurse practitioner.
↵* Except where otherwise noted.
↵† Multiple options could apply to each site.
↵‡ 25 of 30 LEAP practices had at least one BH specialist available to provide BH services at the practice.