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VISN 2 Center for Integrated Healthcare (CIH)

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Research Core

Goals & Objectives

Key Publications

Research Projects


Recent Findings

Research Goals & Objectives

Image of the Dictionary Definition of Research Our research activities focus on discovering better and more effective ways of treating mental and behavioral health problems in primary care Patient Aligned Care Teams (PACTs). Our research is driven by our center-wide goals:

  • Advance the national implementation of integration
  • Develop and disseminate behavioral interventions that are feasible in primary care
  • Identity and disseminate best practices in integration

These goals are in direct support of the national VA objectives, such as the Uniform Mental Health Services Handbook, VA's Blueprint for Excellence, and Secretary’s Shulkin’s Top 5 priorities, including improving access to care and eliminating suicide. Our research activities emphasize close collaboration with a wide variety of stakeholders, from experts in our Education and Implementation cores, to Veterans, frontline VA clinicians, as well as local and national VA leaders.

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Key Publications

CIH Key Mission Focused Peer Reviewed Research Publications FY13 – FY17

Beehler, G. P., Funderburk, J. S., King, P. R., Wade, M., & Possemato, K. (2015). Using the Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ) to identify variation in practice patterns. Translational Behavioral Medicine, 5, 384-392. doi:10.1007/s13142-015-0325-0

Beehler, G. P., Funderburk, J. S., Possemato, K., & Vair, C. L. (2013). Developing a measure of provider adherence to improve the implementation of behavioral health services in primary care: A Delphi study. Implementation Science, 8, 19.

Beehler, G. P., Lilienthal, K. R., Possemato, K., Johnson, E. M., King, P. R., Shepardson, R. L., Vair, C. L., Reyner, J., Funderburk, J. S., Maisto, S. A., & Wray, L. O. (2017). Narrative review of provider behavior in Primary Care Behavioral Health: How process data can inform quality improvement. Families, Systems, and Health, 35, 257-270.

Buchholz, L., King, P. R., & Wray, L. O. (2017). Identification and management of eating disorders in integrated primary care: Recommendations for psychologists in integrated care settings. Journal of Clinical Psychology in Medical Settings, 24, 163-177. doi:10.1007/s10880-017-9497-8

Funderburk, J. S., Dobmeyer, A. C., Hunter, C., Walsh, C., & Maisto, S. A. (2013). Provider practices in the primary care behavioral health (PCBH) model: An initial examination in the Veterans Health Administration and United States Air Force. Families, Systems, and Health, 31, 341-353.

Funderburk, J. S., & Shepardson, R. L. (2017). Real-world program evaluation of integrated behavioral health care: Improving scientific rigor. Families, Systems, & Health, 35 (2), 114-124. doi:10.1037/fsh0000253

Johnson, E., Possemato, K., Barrie, K., Webster, B., Wade, M., & Stecker, T. (2017). Veterans’ Thoughts about PTSD Treatment and Subsequent Treatment Utilization. International Journal of Cognitive Therapy, 10 (2), 138-160. doi:10.1521/ijct_2017_10_02

King, P. R., Beehler, G. P., Vair, C. L., Gass, J., Funderburk, J. S., Lilienthal, K. R., & Novi, J. (2017). Identifying measurement-based care practices of VHA co-located, collaborative care providers. Professional Psychology: Research and Practice, 48(4). 236-242. doi:10.1037/pro0000048

King, P. R., Beehler, G. P., & Wade, M. (2015). Self-reported pain and pain management strategies among veterans with traumatic brain injury (TBI): A pilot study. Military Medicine, 180 (8), 863-868. doi:10.7205/MILMED-D-14-00472

Pigeon, W., Funderburk, J. S., Bishop, T. M., & Crean, H. F. (2017). Brief cognitive behavioral therapy for insomnia among depressed veterans receiving primary care services: a pilot study. Journal of Affective Disorders, 217, 105-111. doi: 10.1016/j.jad.2017.04.003

Possemato, K., Bergen-Cico, D., Treatman, S., Allen, C. A., Brooks, E., & Pigeon, W. (2015). A randomized clinical trial of a primary care brief mindfulness program for veterans with PTSD. Journal of Clinical Psychology, 72, 179-193. doi:10.1002/jclp.22241

Possemato, K., Johnson, E., Wray, L. O., Webster, B., & Stecker, T. (2017). The implementation and testing of a referral management system to address barriers to treatment seeking among primary care veterans with PTSD. Psychological Services. Advance online publication. doi:0.1037/ser0000150

Possemato, K., Kuhn, E., Johnson, E., Hoffman, J., Owen, J. E., Kanuri, N., De Stefano, L., & Brooks, E. (2016). Using PTSD Coach in primary care with and without clinician support: A pilot randomized controlled trial. General Hospital Psychiatry, 38, 94-98.doi:10.1016/j.genhosppsych.2015.09.005

Possemato, K., Maisto, S.A., Wade, M., Barrie, K., Johnson, E.M. & Ouimette, P.C. (2017). Natural course of co-occurring PTSD and alcohol use disorder among recent combat veterans. Journal of Traumatic Stress, online first. doi:10.1002/jts.22192

Shepardson, R. L., & Funderburk, J. S. (2016). Likelihood of attending treatment for anxiety among veteran primary care patients: Patient preferences for treatment attributes. Journal of Clinical Psychology in Medical Settings, 23, 225-239. doi:10.1007/s10880-016-9462-y

Shepardson, R. L., Funderburk, J. S., & Weisberg, R. B. (2016). Adapting evidence-based, cognitive-behavioral interventions for anxiety for use with adults in integrated primary care settings. Families, Systems, and Health, 34, 114-127. doi:10.1037/fsh0000175

Wray, L. O., Pikoff-Mirwis, E., King, P. R., Hutchison, D., Beehler, G. P., & Maisto, S. A. (2016). Veterans’ mental health beliefs: Facilitators and barriers to primary care-mental health use. Families, Systems, and Health, 34(4), 404-413.

Wray, L. O., Wade, M., Beehler, G. P., Hershey, L., & Vair, C. L. (2014). A program to improve identification of undiagnosed dementia in primary care and its association with health care utilization. American Journal of Geriatric Psychiatry, 22, 1282-1291.

Mavandadi, S., Wray, L. O., DiFilippo, S., Streim, J. E., & Oslin, D. W. (2017). Evaluation of a telephone-delivered, community-based collaborative care management program for caregivers of older adults with dementia. American Journal of Geriatric Psychiatry, 25, 1019-1028.

Wray, J. M., Funderburk, J. S., Cooney, J. L., & Maisto, S. A. (2017). Ways That Psychologists Can Contribute to Tobacco Cessation Efforts in Integrated Primary Care Settings. Professional Psychology: Research and Practice. Advance online publication. doi:10.1037/pro0000120

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Research Projects

Research Projects by the Center for Integrated Healthcare's personnel are listed below:

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Publications and Presentations

Publications and Presentations by the Center for Integrated Healthcare's personnel are listed below:

Recent Findings in Primary Care Mental Health


As part of the vision as a national resource regarding the integration of mental health in primary care, CIH publishes a periodical entitled Recent Findings in Primary Care Mental Health. The periodical highlights recent publications in the area of primary care-mental health integration (PC-MHI).



Additional Information

  • For additional information about Recent Findings, contact: 

Laura O. Wray, PhD
Executive Director
VA Center for Integrated Healthcare

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