Sam NordbergReliant Medical Group · Department of Integrated Behavioral Health
Sam Nordberg
Ph.D. Clinical Psychology
About
31
Publications
14,110
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Introduction
My research is largely focused on the implementation and effectiveness of novel models of care and methods of treatment. This includes:
- Evaluating the feasibility of a free dialectical behavior therapy center for high-cost patients.
- Demonstrating the financial viability of integrating BH with primary care to reduce medical expenses
- Building and testing a digital treatment ecosystem in which patients are referred to non-human interventions instead of licensed clinicians.
Additional affiliations
September 2013 - January 2015
September 2006 - August 2013
Publications
Publications (31)
Background
The COVID-19 pandemic necessitated a rapid transition to telemental health (TMH) for behavioral health services in the behavioral health department of a large integrated primary care organization. Although the COVID-19 pandemic was the initial trigger for rapid organizational change, systems were developed with a focus on longer term sca...
Psychiatric illness confers significant risk for severe COVID-19 morbidity and mortality; identifying psychiatric risk factors for vaccine hesitancy is critical to mitigating risk in this population. This study examined the prevalence of vaccine hesitancy among those with psychiatric illness and the associations between psychiatric morbidity and va...
Purpose
While the use of clinical feedback systems has become commonplace in psychological treatment, many of the most common instruments used for this purpose have not changed in decades. This paper describes the first four cycles of a measure development method designed to embrace continuous quality improvement.
Methods
Using techniques and phil...
Purpose
As routine outcome monitoring has become prevalent in psychological practice, there is need for measurement tools covering diverse symptoms, treatment processes, patient strengths, and risks. Here we describe the development and initial tests of the psychometric properties of a multi-scale system for use in mental healthcare, Norse Feedback...
Covid-19 has led to an unprecedented shift to telemental health (TMH) in mental healthcare. This study examines the impact of this transition on visit adherence for mental health services in an integrated behavioral health department. Monthly visit data for 12,245 patients from January, 2019 to January, 2021 was extracted from the electronic medica...
Background
A personalized computer-adaptive system for clinical feedback and routine outcome monitoring in mental health, Norse Feedback aims to bridge the needs for standardized and idiographic measures in ordinary practice.
Methods
Item response theory analyses of completed treatment processes (n = 800) informed a qualitative study comprising in...
Termination with patients in integrated primary care behavioral health (IPCBH) is driven by elements that are present in other psychotherapies but more strongly emphasized under the primary care model. All treatments are, by design, time limited, and require transparent communication and almost immediate preparation for termination. Because treatme...
Patient‐reported outcome monitoring with clinical feedback systems (PRO/CFS) has been employed in many disease states to measure and improve health‐related quality of life (HRQOL). Exploring the role of PRO/CFS in treatment for obesity may prove valuable. Systematic reviews were summarized to determine the effectiveness of PRO/CFS on HRQOL in any d...
The current study investigated the sensitivity to change of the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34), a multidimensional measure designed to assess the mental health problems common in college students across seven domains. The results suggest that the CCAPS-34 is able to capture change taking place during treatment.
Objective: The authors attempted to develop and validate a general distress index for a multidimensional psychological symptom/outcome measure used in over 300 college counseling centers with more than 100,000 cases annually: the Counseling Center Assessment of Psychological Symptoms (CCAPS). Method: Four models were compared for fit indices (n = 1...
Objective:
The primary purpose was to develop, field test, and validate a computerized-adaptive test (CAT) for posttraumatic stress disorder (PTSD) to enhance PTSD assessment and decrease the burden of symptom monitoring.
Methods:
Data sources included self-report and interviewer-administered diagnostic interviews. The sample included 1,288 vete...
Objective:
We aimed to study perspectives of clinicians and patients to explore how ROM/CFS can be helpful and acceptable to them.
Method:
We interviewed 55 participants in focus groups and individual interviews and analyzed the data through rigorous team-based qualitative analyses.
Results:
We report 3 overarching domains: (a) Shared needs, (...
The current study explored the reliability and clinical utility of a method designed to identify latent classes of students seeking counseling, based on 8 symptom domains and their interactions. Participants were over 50,000 college students in counseling, assessed with the CCAPS-62 and -34 as part of routine clinical care. Latent profile analysis...
Introduction:
Knowledge of the factors affecting the adoption of new medications can enhance mental health care and guide quality improvement and policy development. Food and Drug Administration indications for treating bipolar disorder with several second-generation antipsychotics (SGAs) in the 2000s represent an opportunity to identify factors t...
To evaluate the factor structure and clinical validity of a Norwegian translation of the treatment
outcome package (TOP). Exploratory factor analysis was used to confirm the factor structure of
the TOP (n = 334). Samples collected from university students (n = 137) were used to evaluate
1-week test–retest reliability. Concurrent validity was examin...
Although recent research has begun to describe the neural and genetic processes underlying variability in responses to trauma,
less is known about how these processes interact. We addressed this issue by using functional magnetic resonance imaging to
examine the relationship between posttraumatic stress symptomatology (PTSS), a common genetic polym...
Objective
The present study was a replication and extension of prior work (Stulz, Lutz, Leach, Lucock, & Barkham, ) that identified multiple groups of clients in treatment with high-symptom severity and markedly different recovery trajectories (rapid/early response vs. little or no response).Method
Using data collected through repeated administrati...
The purpose of this study was to develop a better understanding of why college students seek psychological treatment by examining indicators of psychological distress. A secondary goal was to assess the utility of screening for treatment need via a brief self-report measure of distress. Two samples (1 clinical, 1 nonclinical; N= 8,380) were examine...
Self-report instruments of psychological symptoms are increasingly used in counseling centers but rely on rigorous evaluation of their clinical validity. Three studies reported here (total N = 26,886) investigated the validity of the Counseling Center Assessment of Psychological Symptoms-62 (CCAPS-62; Locke et al., 2011) as an assessment and screen...
In the last several years, considerable progress has been made in treatment outcome monitoring (TOM) in psychotherapy. Numerous instruments have been developed to assist practicing psychotherapists in assessing the impact of their services, and several clinical tools have been developed to directly improve the quality of services provided. As a fie...
In a seminal publication, Goldfried (1980) identified a number of principles of change that cut across different forms of psychotherapy, among which was the therapist’s facilitation of corrective experiences (CEs). As with all of the other principles he identified, Goldfried asserted that the types of CEs (and/or the procedures to foster them) are...
A comparison of institutional enrollment data and counseling center service utilization data at 66 universities showed that neither ethnic minority students nor European American students under-or overutilized counseling services (Study 1). Data from Study 2 examining students in the general campus bodies at 45 institutions indicated that utilizati...
Significant therapist variability has been demonstrated in both psychotherapy outcomes and process (e.g., the working alliance). In an attempt to provide prevalence estimates of "effective" and "harmful" therapists, the outcomes of 6960 patients seen by 696 therapists in the context of naturalistic treatment were analyzed across multiple symptom an...
Recent models suggest that generalized anxiety disorder (GAD) symptoms may be maintained by emotional processing avoidance and interpersonal problems.
This is the first randomized controlled trial to test directly whether cognitive-behavioral therapy (CBT) could be augmented with the addition of a module targeting interpersonal problems and emotion...
Increasingly, many psychotherapists identify with an integrative approach to psychotherapy. In recent years, more attention has been directed toward the operationalization and evaluation of competence in professional psychology and health care service delivery. Aspects of integrative psychotherapy competency may differ from competency in other psyc...
Psychotherapy research is primarily concerned with the evaluation of the impact and process of psychological interventions for clinical disorders (e.g., depression, anxiety), problems of living (e.g., marital discord), and medical conditions (e.g., chronic pain). It is also concerned with characteristics of the client and therapist as they relate t...
In this article I attempt to identify some salient themes in contemporary psychotherapy research. Maturation of the field is reflected in research of higher quality, collaborative research efforts, and rapprochement between researchers, therapists, and theoreticians. Continuing difficulties surround the following areas: outcome, technique, therapis...
Increasingly, many psychotherapists identify with an integrative approach to psychotherapy. In recent years, more attention has been directed toward the operationalization and evaluation of competence in professional psychology and health care service delivery. Aspects of integrative psychotherapy competency may differ from competency in other psyc...
Cognitive- behavioral therapy (CBT), although effective, has the lowest average effect size for generalized anxiety disorder (GAD), when compared to effect sizes of CBT for other anxiety disorders. Additional basic and applied research suggests that although interpersonal processes and emotional avoidance may be maintaining GAD symptomatology, CBT...
We propose a computational model to study (the evolution of) post-secondary education. "Consumer" who differ in quality shop around for desirable colleges or universities. "Firm" that differ in quality signal the availability of their services to desirable students. Colleges and universities, as long as they have capacity, make offers to students w...
Projects
Project (1)
The research design is intended to enable detailed analysis of the process through which client-therapist collaborative action yields constructive life changes for the client in naturalistic settings. The overall objective of this psychotherapy research project is to establish advanced phenomenological knowledge about change processes known to be important to psychotherapy outcome.
