Sam Nordberg

Sam Nordberg
Reliant Medical Group · Department of Integrated Behavioral Health

Ph.D. Clinical Psychology

About

31
Publications
14,110
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842
Citations
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
U.S. Department of Veterans Affairs
Position
  • Research Associate
September 2006 - August 2013
Pennsylvania State University
Position
  • PhD Student

Publications

Publications (31)
Article
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
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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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
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.
Article
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...
Article
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...
Article
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, (...
Article
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...
Article
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Chapter
Full-text available
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...
Article
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...
Chapter
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...
Chapter
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...
Article
Full-text available
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...
Article
Full-text available
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...
Article
Full-text available
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...

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Project (1)
Project
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.