April 15, 2024 | Publications

Behavioral Health Workforce Development in Washington State: Addition of a Behavioral Health Support Specialist.

This Open Forum highlights an innovative effort in Washington State to initiate a bachelor’s-level behavioral health support specialist (BHSS) curriculum leading to credentialing to expand the mental health workforce and improve access to care for people with depression and anxiety.

January 13, 2023 | Publications

Perspectives of Nonspecialists Delivering a Brief Depression Treatment in the United States: A Qualitative Investigation

Authors examined qualitative reports of nonspecialist provider (NSP) experiences delivering a brief structured behavioral intervention for depression (called “Do More, Feel Better” [DMFB]) to adults aged 55 and older. NSPs perceived the intervention and delivery experience to be acceptable, feasible, and appropriate. Qualitative results provided insight into specific barriers and facilitators which may be important to consider when planning to implement task sharing.

November 2, 2022 | Publications

Task Sharing to Expand Access to Care: Development of a Behavioral Health Support Specialist

This article proposes the development of non-specialist professional roles to deliver low-intensity behavioral interventions for common mental health conditions in U.S. settings such as primary care, to improve access to mental health care. Using data and a multilevel stakeholder assessment, authors discuss findings and challenges associated with such a role, ultimately concluding that stakeholders find such a role to be acceptable and feasible.

June 11, 2022 | Publications

A Low-intensity Behavioral Intervention for Depression in Older Adults Delivered by Lay Coaches: Proof-of-Concept Trial

With an eye toward expanding U.S. geriatric mental health services, this proof-of-concept-trial examined the feasibility of training undergraduate students to deliver Do More, Feel Better, an evidence-informed program for depression; and feasibility, acceptability, and outcomes of this program. The trial concluded that it is feasible to train bachelor’s-level students to deliver a brief, structured intervention for depression.

May 1, 2022 | Publications

“Do More, Feel Better”: Pilot RCT of Lay-Delivered Behavioral Activation for Depressed Senior Center Clients

This randomized control trial tested “Do More, Feel Better”, a lay-delivered Behavioral Activation intervention for senior center clients with depression. It found that evidence-based behavioral interventions delivered by lay volunteers can increase activity levels and reduce depression severity in older adults; and that this approach has the potential to address the insufficient workforce available to meet the mental health needs of community-dwelling older adults.

February 1, 2021 | Publications

Making Psychotherapy Available in the United States: Implementation Challenges and Solutions

This article examines the inadequate treatment of mental illness in the US health care system, and advocates that diverse stakeholders come together to ensure that evidence-based psychotherapy is more readily available within the system.

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