Integrated primary and behavioral health care (IPBH) is becoming a preferred mode of service delivery in the United States. Integrated care includes the participation of medical and mental health professionals, such as mental health counselors. The clinical outcomes of these professionals need to be studied to determine their effectiveness in such settings. We examined the performance of 10 mental health counselors on the clinical outcome of 1,747 clients treated in an IPBH center. Analyses using growth curve modeling and pre‐post test design revealed that mental health counselors were effective overall, but they differed in client dropout rates and efficiency in reducing clients' initial symptoms. We used the analyses to rank order counselors based on their effectiveness. Counselors who were the most effective varied in their efficiency but demonstrated the lowest client dropout rates. Implications for future research and counseling practice were discussed.

中文翻译：

---

心理健康咨询员在综合初级和行为卫生保健中的表现

集成的初级和行为卫生保健（IPBH）在美国正成为一种首选的服务提供方式。综合护理包括精神卫生顾问等医学和精神卫生专业人士的参与。需要研究这些专业人员的临床结局，以确定他们在这种情况下的有效性。我们检查了10名心理健康咨询师在IPBH中心接受治疗的1,747名客户的临床结果方面的表现。使用增长曲线建模和事前测试设计进行的分析表明，心理健康咨询师总体上是有效的，但他们在服务对象辍学率和减轻服务对象初始症状的效率方面存在差异。我们使用这些分析根据其效率对命令顾问进行排名。最有效的顾问的效率各不相同，但客户辍学率最低。讨论了对未来研究和咨询实践的影响。