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Adaptations of an Integrated Behavioral Health Program During COVID-19.
Bogucki, Olivia E; Mattson, Angela B; Leasure, William B; Berg, Summer L; Mulholland, Hannah L; Sawchuk, Craig N.
  • Bogucki OE; Division of Integrated Behavioral Health, Mayo Clinic, Rochester, MN.
  • Mattson AB; Division of Integrated Behavioral Health, Mayo Clinic, Rochester, MN.
  • Leasure WB; Division of Integrated Behavioral Health, Mayo Clinic, Rochester, MN.
  • Berg SL; Division of Integrated Behavioral Health, Mayo Clinic, Rochester, MN.
  • Mulholland HL; Division of Integrated Behavioral Health, Mayo Clinic, Rochester, MN.
  • Sawchuk CN; Division of Integrated Behavioral Health, Mayo Clinic, Rochester, MN.
Cogn Behav Pract ; 28(4): 481-491, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1144532
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has consistently been described as an "unprecedented" global health crisis. While the focus has been primarily on the medical and economic impact of the pandemic, psychological sequelae are anticipated. Primary care is the main point of access for mental health care in the United States, making it the ideal locale to provide psychological services for a larger proportion of the population than traditional mental health care settings. The aim of this paper is to describe how our multi-state, multi-site integrated primary care program adapted and applied cognitive behavioral therapy in the context of COVID-19. Access to mental health care was disrupted despite burgeoning mental health concerns, necessitating novel approaches to providing care. A stepped-care approach was implemented within our primary care practice, which consisted of a combination of low-intensity, high-yield stress management and resiliency building resources and cognitive behavioral therapy that were delivered flexibly based on patient preference, technological capabilities, state ordinances, insurance coverage, and institutional policies. The lessons learned from this experience can inform other integrated primary care clinics in responding to the current and future pandemics.
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Full text: Available Collection: International databases Database: MEDLINE Topics: Long Covid Language: English Journal: Cogn Behav Pract Journal subject: Behavioral Sciences Year: 2021 Document Type: Article Affiliation country: J.cbpra.2021.01.006

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Full text: Available Collection: International databases Database: MEDLINE Topics: Long Covid Language: English Journal: Cogn Behav Pract Journal subject: Behavioral Sciences Year: 2021 Document Type: Article Affiliation country: J.cbpra.2021.01.006