title: Using the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to identify practice patterns.
abstract: Primary care-mental health integration (PC-MHI) is growing in popularity. To determine program success, it is essential to know if PC-MHI services are being delivered as intended. The investigation examines responses to the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to explore PC-MHI provider practice patterns. Latent class analysis was used to identify clusters of PC-MHI providers based on their self-report of adherence on the PPAQ. Analysis revealed five provider clusters with varying levels of adherence to PC-MHI model components. Across clusters, adherence was typically lowest in relation to collaboration with other primary care staff. Clusters also differed significantly in regard to provider educational background and psychotherapy approach, level of clinic integration, and previous PC-MHI training. The PPAQ can be used to identify PC-MHI provider practice patterns that have relevance for future clinical effectiveness studies, development of provider training, and quality improvement initiatives.
authors.affiliation: VA Center for Integrated Healthcare (116N), VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY 14215 USA ; School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY USA ; School of Public Health and Health Professions, University at Buffalo, The State University of New York, Buffalo, NY USA.
authors.forename: Gregory P
authors.initials: GP
authors.lastname: Beehler
authors.affiliation: VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY USA ; Department of Psychology, Syracuse University, Syracuse, NY USA ; Department of Psychiatry, University of Rochester, Rochester, NY USA.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Funderburk
authors.affiliation: VA Center for Integrated Healthcare (116N), VA WNY Healthcare System, 3495 Bailey Ave, Buffalo, NY 14215 USA.
authors.forename: Paul R
authors.initials: PR
authors.lastname: King
authors.affiliation: VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Wade
authors.affiliation: VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY USA ; Department of Psychology, Syracuse University, Syracuse, NY USA.
authors.forename: Kyle
authors.initials: K
authors.lastname: Possemato
keywords: Guideline adherence; Mental health services; Primary health care; Program evaluation