TY - JOUR
T1 - Delivering parent management training in an integrated primary care setting
T2 - Description and preliminary outcome data
AU - Gomez, Debbie
AU - Bridges, Ana J.
AU - Andrews, Arthur R.
AU - Cavell, Timothy A.
AU - Pastrana, Freddie A.
AU - Gregus, Samantha J.
AU - Ojeda, Carlos A.
PY - 2014/8
Y1 - 2014/8
N2 - This paper describes how behavioral health consultants (BHCs) in an integrated primary care setting use evidence-based principles that underlie parent management training (PMT) to assist caregivers of youth with externalizing behavior problems. Illustrated is the decision-making process that BHCs utilize from the moment they receive a patient referral from a primary care provider to how interventions are selected and delivered. When delivering PMT in integrated care, operant-based learning principles underlying PMT are often selected based on a combination of factors, including match with presenting problem, caregiver efficacy, caregiver beliefs about the causes and maintaining factors, and feasibility of implementation. We further present preliminary outcome data on the effectiveness of BHCs' efforts to use PMT principles in a primary care setting. Participants were 21 caregivers and their children (Mage=7.76years, 38.1% female; 66.7% Hispanic) seen for an average of 2.38 visits. Pre-post data provided by caregivers (for youth 11years or younger) and adolescents (self-report of patients 12-17years of age) taken at the time of first and last sessions revealed significant reductions in global distress scores and high levels of satisfaction with services received. Findings support the viability of providing brief, focused PMT interventions for pediatric populations seen in primary care.
AB - This paper describes how behavioral health consultants (BHCs) in an integrated primary care setting use evidence-based principles that underlie parent management training (PMT) to assist caregivers of youth with externalizing behavior problems. Illustrated is the decision-making process that BHCs utilize from the moment they receive a patient referral from a primary care provider to how interventions are selected and delivered. When delivering PMT in integrated care, operant-based learning principles underlying PMT are often selected based on a combination of factors, including match with presenting problem, caregiver efficacy, caregiver beliefs about the causes and maintaining factors, and feasibility of implementation. We further present preliminary outcome data on the effectiveness of BHCs' efforts to use PMT principles in a primary care setting. Participants were 21 caregivers and their children (Mage=7.76years, 38.1% female; 66.7% Hispanic) seen for an average of 2.38 visits. Pre-post data provided by caregivers (for youth 11years or younger) and adolescents (self-report of patients 12-17years of age) taken at the time of first and last sessions revealed significant reductions in global distress scores and high levels of satisfaction with services received. Findings support the viability of providing brief, focused PMT interventions for pediatric populations seen in primary care.
KW - Externalizing behavior
KW - Integrated behavioral health
KW - Parent management training
KW - Primary care
KW - Youth
UR - http://www.scopus.com/inward/record.url?scp=84902258148&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84902258148&partnerID=8YFLogxK
U2 - 10.1016/j.cbpra.2014.04.003
DO - 10.1016/j.cbpra.2014.04.003
M3 - Article
AN - SCOPUS:84902258148
VL - 21
SP - 296
EP - 309
JO - Cognitive and Behavioral Practice
JF - Cognitive and Behavioral Practice
SN - 1077-7229
IS - 3
ER -