Adaptations of an Integrated Behavioral Health Program During COVID-19

Olivia E. Bogucki, Angela B. Mattson, William B. Leasure, Summer L. Berg, Hannah L. Mulholland, Craig N. Sawchuk

Research output: Contribution to journalArticlepeer-review


The coronavirus disease 2019 (COVID-19) pandemic has consistently been described as an “unprecedented” global health crisis. While the focus has been primarily on the medical and economic impact of the pandemic, psychological sequelae are anticipated. Primary care is the main point of access for mental health care in the United States, making it the ideal locale to provide psychological services for a larger proportion of the population than traditional mental health care settings. The aim of this paper is to describe how our multi-state, multi-site integrated primary care program adapted and applied cognitive behavioral therapy in the context of COVID-19. Access to mental health care was disrupted despite burgeoning mental health concerns, necessitating novel approaches to providing care. A stepped-care approach was implemented within our primary care practice, which consisted of a combination of low-intensity, high-yield stress management and resiliency building resources and cognitive behavioral therapy that were delivered flexibly based on patient preference, technological capabilities, state ordinances, insurance coverage, and institutional policies. The lessons learned from this experience can inform other integrated primary care clinics in responding to the current and future pandemics.

Original languageEnglish (US)
Pages (from-to)481-491
Number of pages11
JournalCognitive and Behavioral Practice
Issue number4
StatePublished - Nov 2021


  • COVID-19
  • cognitive behavioral therapy
  • integrated care

ASJC Scopus subject areas

  • Clinical Psychology


Dive into the research topics of 'Adaptations of an Integrated Behavioral Health Program During COVID-19'. Together they form a unique fingerprint.

Cite this