Matthew R. Handley's research while affiliated with Kaiser Permanente Washington Health Research Institute and other places
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Publications (6)
This chapter details a specific model of behavioral health in primary care integration. The authors describe the Group Health Cooperative model of integrated care developed over many years of research and field testing. They conclude with a nine-part differentiation of the characteristics of specialty mental health care vs primary mental health car...
A large nonprofit staff model Health Maintenance Organization experienced increased use of prostate specific antigen (PSA) as a screening test for prostate cancer beginning in May 1991. A critical evaluation of the evidence in support of PSA screening was done and concluded that the use of PSA to screen for prostate cancer did not meet the criteria...
Clinical practice guidelines can improve health care outcomes, but they are only as effective as their implementation. We present a framework for implementing practice guidelines that begins by identifying the forces driving and restraining the adoption of the guideline. Strategies for changing physician behavior that strengthen the driving forces...
Group Health Cooperative of Puget Sound has developed a model for evaluating and improving clinical practice based on an explicit, evidence-based approach. It is designed to identify gaps between current and optimal practices, and to bring about changes in physician behavior so that health care outcomes (health status, patient satisfaction, provide...
Citations
... Although definitions of these forms of care vary considerably, in general, care management includes algorithm-based, protocol driven assessment and monitoring of symptoms, patient education, and motivational enhancement for specific mental health disorders, such as depression [6,7]. In contrast, CCC embeds an independent behavioral health provider (BHP) into the primary care clinic where he or she is expected to work collaboratively to support the PCP's care of the Veteran around a broad range of mental health diagnoses and behavioral concerns8910. BHPs, therefore, are available to offer immediate followup of VA mandated mental health screens (e.g., depression , alcohol, posttraumatic stress disorder) with brief assessments and interventions for a wide variety of mental health and health behavior concerns. Many VA facilities initiated PC-MHI programming by implementing a single component, either CCC or care management [3]. ...
... There is considerable and intentional overlap between this integrative definition and previously published work. At least one of these elements is discussed in nearly all of the articles with conceptual definitions of SDM [1][2][3][4][5][6][7][8][10][11][12][13][14][15][16][17][18][19]21,23,24,[26][27][28][38][39][40][41][42][43][44][45][46][47][48][49][51][52][53][54][55][56]58,59,61,62,[64][65][66][67][68][69]72,74,[76][77][78][81][82][83][84][85][86]88,[90][91][92][93][94][95][96][97]101,102,[105][106][107][108]110,[113][114][115][116][117]120,121,123,124,[126][127][128][129][130][131][133][134][135]139,141,142,[144][145][146][148][149][150][152][153][154][155][156][157][158][159][160][162][163][164][165]171,172]. Taken together, these essential elements are rooted in the transactional model of communication, which holds that messages are filtered through different frames-of-reference, or life-spaces [181], and that people involved in an interaction simultaneously influence one another. ...
... System approaches to improving smoking cessation services in clinical settings have included (a) training of physicians ( Cornuz et al., 1997;Richmond, Mendelsohn, & Kehoe, 1998;Swartz, Cowan, DePue, & Goldstein, 2002), (b) including smoking status as a vital sign ( Fiore et al., 1995;Robinson, Laurent, & Little, 1995), (c) staff training and educational materials (Lancaster, Silagy, & Fowler, 2004;Pine, Sullivan, Sauser, & David, 1997;Solberg, Maxwell, Kottke, Gepner, & Brekke, 1990), (d) assignment of smoking cessation interventions to job descriptions of professionals other than physicians or to teams ( Hollis et al., 2000;Hollis, Lichtenstein, Vogt, Stevens, & Biglan, 1993), (e) chart reminders used alone (Chang, Zimmerman, & Beck, 1995) or with other strategies such as free nicotine replacement (Cohen et al., 1987), and (f) reduced or reimbursed costs for smoking cessation services Curry, Grothaus, McAfee, & Pabiniak, 1998;Doescher et al., 2002;. A multicomponent approach that included prioritization of prevention objectives, quality management techniques, and attention to influences on service delivery at the practice, organizational, and community levels was effective ( Thompson et al., 1995). Such multicomponent approaches also were found effective in a meta-analysis of 102 trials to improve a variety of professionals' services (Oxman, Thomson, Davis, & Haynes, 1995). ...
... Clinical Q5 practice guidelines (CPGs) are defined as "systemati- 10 cally developed statements to assist practitioners and patients in 11 decisions about appropriate health care for specific clinical 12 circumstances" [1]. Facial palsy is a common disease for which 13 many patients have sought advice from Korean medical institu- 14 tions [2]. ...
... Thus, integrating the use of " toolkit " materials with in-service training and consultation would maximize the likelihood of improving clinicians' practice behaviors. Given the wealth of evidence indicating that feedback on practice patterns strongly impacts practice behav- iors [74,80,81], it is clear that fidelity monitoring [62] as well as ongoing supervision and consultation [73] are essential components of the technology transfer process. Indeed, studies comparing various counselor training methods for EBPs, such as motivational interviewing and cognitive behavioral therapy, have found that supervision and feedback increase post-training proficiency, relative to counselors who receive training via a workshop or seminar without feedback or supervision828384. ...
