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Evaluating the implementation of primary care behavioral health systems in college health: development of a theory-based understanding of the organization of integrated care
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Readdean, Kevin C.. Evaluating the implementation of primary care behavioral health systems in college health: development of a theory-based understanding of the organization of integrated care. Retrieved from https://doi.org/doi:10.7282/t3-yrzp-sz22

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TitleEvaluating the implementation of primary care behavioral health systems in college health: development of a theory-based understanding of the organization of integrated care
NameReaddean, Kevin C. (author); Parrott, James (chair); Heuer, Albert (member); Gill, Kenneth J (member); Hotaling, Marcus (member); Rutgers University; School of Health Professions
Date Created2022
Other Date2022-05 (degree)
SubjectHealth care management, Health sciences, Mental health, Behavioral health, College health, Integrated care, Primary care, Qualitative comparative analysis
Extent166 pages
DescriptionThe prevalence and severity of mental health conditions among US college students has continued to increase over the past several decades. One strategy to address this challenge is the implementation of the interdisciplinary primary care behavioral health (PCBH) care model within student health centers. The overall aim of this dissertation was to investigate how the barriers and facilitators associated with integrated college health systems combine to impact PCBH implementation fidelity in college health centers. An explanatory, sequential-dependent mixed methods comparative case study project was conducted. This included completing an analytic comparative review of the existing integrated college health literature, administering a PCBH fidelity survey of behavioral health clinicians in college health settings, and conducting structured interviews with college health personnel.
The barriers and facilitators identified in the literature assisted in interpreting the survey and interview data. Overall, the findings suggested fidelity was driven by the independent aspects (activities of the behavioral health clinicians) more than the interdisciplinary aspects (collaboration between behavioral and primary care staff) of the PCBH model. Barriers to adhering to the interdisciplinary teamwork aspects of the PCBH model were mitigated through the purposeful cross-disciplinary communication through electronic health record systems and the utilization of diagnostic specific integrated care pathways. The synthesis of quantitative and qualitative data through the lens of implementation theory advanced testable hypotheses involving the use of contextual organizational strengths (facilitators) to mitigate operational challenges (barriers) in an effort to improve PCBH implementation fidelity. This dissertation adds to the college health integration literature and provides a foundation for future PCBH implementation research.
NotePh.D.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-yrzp-sz22
LanguageEnglish
CollectionSchool of Health Professions ETD Collection
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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