兰德-Effects-of-the-Integrated-Behavioral-Health-Projects-Efforts-to-Promote-Integrated-Care-Under-Funding-from-the-California-Mental-Health-Services-Authority_10页_422kb

Summary of the Integrated Behavioral Health Project (IBHP) Evaluation

Core Content

The Integrated Behavioral Health Project (IBHP) was funded by the California Mental Health Services Authority (CalMHSA) as part of its stigma and discrimination reduction (SDR) initiative. The project aimed to promote integrated care, which involves collaboration between mental health and general medical care providers to address both physical and mental health needs of patients. The evaluation focused on understanding how recipients of IBHP's information and services used them and whether these efforts were effective in reducing stigma and encouraging integrated care practices.

Main Objectives

• Promote integrated care across mental health, primary care, and substance abuse treatment sectors.
• Reduce mental illness stigma and discrimination among care providers.
• Encourage policy and practice changes that support integrated care and cultural competence.

Key Findings

• IBHP reached its target audience effectively, with 187 respondents completing the survey.
• 71% of respondents held a stakeholder role in health or mental health professions.
• 66% shared the information with colleagues at their own organization.
• 35% shared the information with other organizations.
• 16% shared the information with people with mental illness or their family members.
• 24% reported acting in more supportive ways toward people with mental illness.
• 18% reported behaviors that prevented discrimination against individuals with mental illness.
• 20% started new collaborative relationships with other organizations.
• 18% made actual policy or practice changes.
• 95% of respondents indicated they were somewhat or very likely to use the information in the future.
• Cultural appropriateness was high, with 98% of respondents reporting they would recommend the information to someone of their cultural background.
• 68% agreed that the information was sensitive to their cultural background.
• 65% felt the information taught them how to be culturally sensitive when interacting with individuals with mental illness.
• 15% reported that their organization adopted more culturally competent approaches to reduce stigma.

Methods

• An online follow-up survey was conducted approximately six months after participation in IBHP activities.
• The survey was sent to 1,518 individuals who received IBHP's integrated care toolkit, attended annual summits, or participated in webinars.
• Respondents were asked about their roles, demographics, and usage of information/services.
• The survey included statements based on a logic model, asking respondents to indicate how they used the resources.

Sample Characteristics

• 187 respondents completed the survey, representing 14% of those invited.
• The sample was predominantly female (73%), ages 26–59 (71%), and White (66%).
• 43% reported being a consumer of mental health services or having a family member who was.

Information/Services Received

• 51% attended an online event, training, or presentation.
• 32% attended an in-person event.
• 42% visited the IBHP website.
• 37% received materials or information via various channels.
• 9% received one-on-one technical assistance.
• 11% did not recall receiving any information or services.

Use of Information/Services

• 91% used the information in at least one way.
• 16% used the information in other ways not specified.
• Most common use was information sharing with colleagues, other organizations, or individuals with mental illness.
• Organizational and policy changes were reported by 20% and 18% respectively.
• Health care providers and mental health service providers were more likely to make policy changes and start collaborations than other groups.

Cultural Appropriateness and Competence

• 98% of respondents would recommend the information to someone of their cultural background.
• 68% felt the information was sensitive to their cultural background.
• 65% felt the information taught them how to be culturally sensitive when interacting with individuals with mental illness.
• 15% reported that their organization adopted more culturally competent approaches to reducing stigma.

Limitations and Considerations

• The sample size was small, and the results may not be fully generalizable.
• Self-reported data means that actual changes in behavior or policy cannot be confirmed.
• The evaluation did not account for other sources of integrated care information that respondents may have encountered.
• Longer-term impacts of integrated care on stigma reduction remain to be explored.

Conclusion

The IBHP evaluation suggests that the project was successful in reaching its target audience and promoting the use of integrated care resources. The information and services were perceived as culturally appropriate and sensitive, and respondents were likely to use them in the future. While the findings indicate positive changes in behavior and policy, the small sample size and limited data collection suggest that further research is needed to fully assess the impact and sustainability of these efforts. The project aligns with broader initiatives in California aimed at reducing mental illness stigma and improving integrated care systems.