Implementation of Behavioral Health Interventions in Real World Scenarios: Managing Complex Change

Khaya D. Clark, Benjamin F. Miller, Larry A. Green, Frank V. de Gruy, Melinda Davis, Deborah Cohen

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction: A practice embarks on a radical reformulation of how care is designed and delivered when it decides to integrate medical and behavioral health care for its patients and success depends on managing complex change in a complex system. We examined the ways change is managed when integrating behavioral health and medical care. Method: Observational cross-case comparative study of 19 primary care and community mental health practices. We collected mixed methods data through practice surveys, observation, and semistructured interviews. We analyzed data using a data-driven, emergent approach. Results: The change management strategies that leadership employed to manage the changes of integrating behavioral health and medical care included: (a) advocating for a mission and vision focused on integrated care; (b) fostering collaboration, with a focus on population care and a team-based approaches; attending to learning, which includes viewing the change process as continuous, and creating a culture that promoted reflection and continual improvement; (d) using data to manage change, and (e) developing approaches to finance integration. Discussion: This paper reports the change management strategies employed by practice leaders making changes to integrate care, as observed by independent investigators. We offer an empirically based set of actionable recommendations that are relevant to a range of leaders (policymakers, medical directors) and practice members who wish to effectively manage the complex changes associated with integrated primary care. (PsycINFO Database Record

Original languageEnglish (US)
JournalFamilies, Systems and Health
DOIs
StateAccepted/In press - Nov 28 2016

Fingerprint

Delivery of Health Care
Primary Health Care
Health
Physician Executives
Foster Home Care
Mental Health
Research Personnel
Observation
Learning
Interviews
Population
Surveys and Questionnaires

Keywords

  • And primary health care
  • Behavioral medicine
  • Delivery of health care
  • Integrated
  • Organizational change management

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Implementation of Behavioral Health Interventions in Real World Scenarios : Managing Complex Change. / Clark, Khaya D.; Miller, Benjamin F.; Green, Larry A.; de Gruy, Frank V.; Davis, Melinda; Cohen, Deborah.

In: Families, Systems and Health, 28.11.2016.

Research output: Contribution to journalArticle

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