Outcome Referrals, Inc.
This is a Stepped Wedge Cluster Randomized Trial (SW-CRT) to evaluate Express Access -- a new behavioral health referral application to support PCP referrals to behavioral health therapists. The hypotheses are that clients who use Express Access for behavioral health referrals will have better overall well-being (primary outcome), as well as higher satisfaction with the referral process and faster speed to behavioral health care (secondary outcomes), than those who experience the usual standard referral processes.
The United States is experiencing a major mental health crisis. The gap between need and access to behavioral health services is rapidly increasing. Given that about \~50% of patients who have a behavioral health diagnosis will have had that condition first identified by a primary care physician (Hill et al., 2015; Reeves et al., 2011), the primary care setting is an ideal site to conduct an efficacy test of a new online behavioral health referral system called Express Access. Stepped wedge cluster randomized trial (SW-CRT) is a preferred approach when it is difficult to randomize individual…
Inclusion Criteria: * Adults seeking behavioral health referrals from licensed primary care providers. Exclusion Criteria: * None
Patients will access Express Access via a QR code on a flyer that their PCP will give them. When they open the application, patients will be asked to select the name of the PCP who referred them and then complete a behavioral health assessment to help to identify therapists who treat patients with similar behavioral health needs.
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