CR Macchi

Health South
500 N. 3rd Street, Suite 430
Clinical Assoc Professor (FSC)
Faculty
DTPHX Campus
Mailcode
9020

Biography

C.R. Macchi was trained as a systems therapist receiving his doctorate in Family Therapy from Kansas State University.  He is a Licensed Marriage and Family Therapist in Arizona, an Approved Supervisor with the American Association of Marriage and Family Therapists (AAMFT), and a Certified Family Life Educator (CFLE) with the National Council on Family Relations (NCFR).  He is currently with Arizona State University as a Clinical Associate Professor, Academic Program Lead for the programs in Integrated Behavioral Health, and Associate Chair of Internship Programs.  He consulted with field experts and developed a program student intern performance rubric that assesses integrated behavioral health provider core competencies.  He also developed and teaches a course focused on working with couples and families in primary care.

Dr. Macchi is involved in several grant-funded research initiatives focused on the development, implementation, and evaluation of in-person and online trainings, graduate program training, and the development of online data management systems.  He is working with a research team that is conducting a study to validate the Practice Integration Profile (PIP), a practice-level integration measure.  As the Principal Investigator, Dr. Macchi is leading a team that is developing an asynchronous, online training program designed for adult learners who are providers of integrated team-based healthcare in primary care settings. This initiative is funded by a five-year Patient-Centered Outcomes Research Institute (PCORI) subcontract with the University of Vermont School of Medicine and in collaboration with the University of Massachusetts School of Medicine.  He is on a team overseeing theArizona State University Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training & Implementation Collaborative (ASU-STIC).  This three-year Substance Abuse and Mental Health Services Administration (SAMHSA) grant-funded projectworks with five ASU degree programs (i.e., Nursing, Social Work, Clinical Psychology, Counseling Psychology, and Integrated Behavioral Health) focused ondeveloping sustainable training programs for clinical students preparing to work in medical and mental health settings.

As a Co-Investigator on severalpreviousCenters for Medicare and Medicaid Services (CMS)-funded grants,he led a research team that developed, implemented, and evaluated a multi-delivery training program (i.e., in-person, videoconferencing, and asynchronous online learning modules) designed to support clinicians use of evidence-based family therapy practices.  Dr. Macchi administered the projects (i.e., contracting, staffing, research, and budgeting) in collaboration with other statewide stakeholders including the Department of Social and Rehabilitative Services of Kansas, the Association of Community Mental Health Center Directors, and Kansas Health Solutions (a state Medicaid-contracted organization).  As the project manager for a five-year, USDA grant-funded initiative, he collaborated with key stakeholders in three Kansas counties training teens to engage with their communities and support increased physical activity. 

Education

PhD Human Ecology (Marriage and Family Therapy), Kansas State University, 2006

MS Family Therapy, Friends University, 1999

MA Christian Education, Northern Seminary, 1992

BA Sociology University of California, Santa Barbara, 1989

Google Scholar

Research Interests

Area #1  Measuring level of integration and providers professional development and training issues

Through collaborative partnerships with other universities and primary care practices we are developing a tool to measure clinic-level integrated medical and behavioral practice.  Focused on identifying and exploring the core competencies required to effectively deliver integrated primary care and training initiatives to further support healthcare delivery that meets the Triple Aim objectives.

Area #2  Effects of medical management and health behavior change processes occurring within family systems

Focused on patients experiences with making and sustaining health behavior changes within family and other relational contexts.  Studies examine biopsychosocial interactions occurring at and among various levels of a patients experiences.

Research Group

Integrating Behavioral Health and Primary Care for Comorbid Behavioral and Medical Problems (IBH-PC)

Development of an integrated team-based educational program, funded by a five-year grant from the Patient-Centered Outcomes Research Institute (PCORI), with University of Vermont, School of Medicine and University of Massachusetts, Medical School.

Practice Integration Profile (PIP) Research Team

Development of a 30-item, valid, reliable measure of practice-level integration with University of Vermont, School of Medicine and University of Massachusetts, Medical School

Publications

Published Papers

Mullin, D.J., Hargreaves, L., Auxier, A., Brennhofer, S.A., Hitt, J.R., Kessler, R.S., Littenberg, B., Macchi, C.R., Martin, M., Rose, G., Trembath, F., van Eeghen, C. (2019). Measuring the integration of primary care and behavioral health services. Health Services Research. In Press.

Macchi, C.R., Kessler, R., Auxier, A., Hitt, J., Mullin, D., van Eeghen, C., & Littenberg, B. (2016).  Practice Integration Profile: Rationale, development, method, and research. Families, Systems & Health.  http://dx.doi.org/10.1037/fsh0000235

Kessler, R., Auxier, A., Hitt, J., Macchi, C.R., Mullin, D., van Eeghen, C., & Littenberg, B. (2016).  Development and validation of a measure of primary care behavioral health integration. Families, Systems & Health.  http://dx.doi.org/10.1037/fsh0000227 

Kessler, R., van Eeghan, C., Mullin, D., Auxier, A., Macchi, C.R., & Littenberg, B. (2015).  Research in progress: Measuring behavioral health integration in primary care settings.  Health Psychologist.  http://div38healthpsychologist.com/2015/03/13/research-in-progress-measuring-behavioral-health-integration-in-primary-care-settings/

Macchi, C.R., Russell, C., & White, M. (2013).  Shifting processes model: A conceptual model for sustainable weight management. Families, Systems & Health, 31(4), 326-37. http://dx.doi.org/10.1037/a0033521

Macchi, C.R., Johnson, M., & Durtschi, J. (2013).  Predictors and processes associated with home-based family therapists’ professional quality of life.  Journal of Marital and Family Therapy, 40(3), 380-90.   https://doi.org/10.1111/jmft.12016

Macchi, C.R., & O'Conner, N. (2010). Common components of home-based family therapy models: The HBFT Partnership in Kansas. Contemporary Family Therapy, 32(4), 444-458.  https://doi.org/10.1007/s10591-010-9127-1

Edited Book

Macchi, C.R.& Kessler, R. (Eds.) (2018).  Training to deliver integrated care:  Skills aimed at the future of healthcare. Training manual in production for publication with Springer.  https://doi.org/10.1007/978-3-319-78850-0

Edited Book Chapter

Borst, C., Martin, M. & Macchi, C.R.(2017).  Health problems in couple and family therapy.  In J. Lebow, A. Chambers, & D. Breunlin, D. (eds.).  Encyclopedia of Couple and Family Therapy.  New York, NY: Springer.  https://doi.org/10.1007/978-3-319-15877-8

Research Activity

Macchi, C.R., PI (2016).  Large pragmatic studies to evaluate patient-centered outcomes.  Develop training program in collaboration with the University of Massachusetts School of Medicine and the University of Vermont School of Medicine.  Proposal approved for $426,963 as a subcontract of an $18,500,000 5-year collaborative agreement with Patient-Centered Outcomes Research (PCORI).

Macchi, C.R., Instructional Faculty (2015). Screening, brief intervention, and referral to treatment (SBIRT): Health professions student training (RFA#: TI-15-001).  Substance Abuse and Mental Health Services Administration (SAMHSA).  Awarded $315,000 over three years.

Anderson, J. R. & Macchi, C.R. (2009). Systemic health behavior change and weight maintenance following bariatric surgery. A research grant proposal submitted to the Office of Research and Sponsored Programs at Kansas State University, University Small Research Grant (USRG). Funded budget: $500 (Includes department and college match).

Anderson, J. R. & Macchi, C.R. (2009). Systemic health behavior change and weight management following bariatric surgery. A research grant proposal submitted to the College of Human Ecology (CHE) at Kansas State University, Sponsored Research Overhead (SRO).  Funded budget:  $5,000.

O’Conner, N. and Macchi, C.R. (2006-2013).  A Program for Training and Consultation of CMHC Practitioners Delivering Intensive Home-Based Family Therapy Services. A training contract with Kansas Department of Social and Rehabilitative Services and Kansas Health Solutions (KHS).  Awarded renewed annual training contracts totaling $3,253,583.

Courses

Spring 2019
Course NumberCourse Title
IBC 601Models of Integrated Primary C
Fall 2018
Course NumberCourse Title
IBC 601Models of Integrated Primary C
IBC 640Family Couples in Primary Care
IBC 690Reading and Conference
Fall 2017
Course NumberCourse Title
IBC 690Reading and Conference
IBC 691Seminar
Spring 2017
Course NumberCourse Title
IBC 595Continuing Registration
IBC 691Seminar
Fall 2016
Course NumberCourse Title
IBC 690Reading and Conference
Summer 2016
Course NumberCourse Title
IBC 690Reading and Conference
Spring 2016
Course NumberCourse Title
IBC 595Continuing Registration
IBC 690Reading and Conference
Fall 2015
Course NumberCourse Title
IBC 691Seminar
IBC 793Applied Project
Summer 2015
Course NumberCourse Title
IBC 690Reading and Conference
IBC 793Applied Project
Spring 2015
Course NumberCourse Title
IBC 613Cognitive/Affective Bases Hlth
IBC 793Applied Project
Fall 2014
Course NumberCourse Title
IBC 691Seminar
IBC 780Practicum

Presentations

Macchi, C.R., van Eeghen, C., Lavoie, J., Pinckney, R., & Rose, G. (2017, October).  Listening to and collaborating with patients:  A pragmatic approach to determining patient needs and interests.  Workshop speaker selected through a national, peer-review process and to be presented at the Annual Conference of the Collaborative Family Healthcare Association, Houston, TX.

Lindsey, A, Macchi, C.R. & Clemency Cordes, C. (2017, October).  Utilizing web-based patient simulations to advance clinical skill mastery.  Workshop speaker selected through a national, peer-review process and to be presented at the Annual Conference of the Collaborative Family Healthcare Association, Houston, TX.

Lindsey, A. & Macchi, C.R. (2017, March).  When one size does not fit all: Addressing issues throughout an SBIRT project life cycle.  Invited webinar presenter for NORC at the University of Chicago.

Lindsey, A. & Macchi, C.R. (2017, March).  Utilizing web-based patient simulations to advance clinical skills mastery.  Workshop speaker at the Annual Integrated Health Care Conference.

Kessler, R., Auxier, A., Mullin, D., Macchi, C.R., van Eeghen, C., Hitt, J., van Luling, J., & Littenberg, B. (2016, November).  Development and validation of a measure of primary care.  Poster presentation at the North American Primary Care Research Group Annual Meeting, Colorado Springs, Colorado.

Kessler, R., Auxier, A., Hitt, J., Littenberg, B., Macchi, C.R., Mullin, D., & van Eeghen, C. (2016, November).  Variability in the implementation of integrated behavioral health.  Poster presentation at the North American Primary Care Research Group Annual Meeting, Colorado Springs, Colorado.

Macchi, C.R. (2016, October).  Education for teams that are integrating behavioral care: Whats needed and how to get it.  Invited speaker at the Transforming Primary Care and Behavioral Health Conference, Essex, Vermont.

Macchi C.R., Robinson, P. & Kessler R. (2016, October). Identifying protocols for assessing and teaching core competencies for integrated care. Panel presentation at the Annual Conference of the Collaborative Family Healthcare Association, Charlotte, North Carolina.

Macchi, C.R. (2016, August).  Healthcare transformation:  Enhancing team-based care in primary care settings.  Invited speaker at the National Chronic Disease Invitational Academy, Denver, Colorado.

Macchi C.R. & Kessler R. (2016, January). Integrating behavioral health practice in medical training. Presented at the Society of Teachers of Family Medicine Conference on Medical Student Education, Phoenix, Arizona.

Macchi, C.R. (2015, April).  BYOD videoconferencing paves the way for workforce pursuing advanced degrees.  Workshop speaker selected through a national, peer-review process and to be presented at the National Conference of the United States Distance Learning Association, St. Louis, Missouri.

Kessler R., Auxier A., Macchi C.R., & Mullin D. (2014, December). Improving primary care: Measurement of primary care behavioral health integration: rationale, measurement, validation, applications, and initial data. Presented at the Society of Teachers of Family Medicine Conference on Practice Improvement, Tampa, FL.

Kessler, R., Mullin, D., & Macchi, C.R. (2014, October).  Measuring Integration: An empirical, Lexicon-based approach.  Workshop speaker selected through a national, peer-review process and to be presented at the Annual Conference of the Collaborative Family Healthcare Association, Washington, D.C.

Macchi, C.R. (2013, October).  Online program behavioral health internship.  Workshop speaker selected through a national, peer-review process and to be presented at the Annual Conference of the Collaborative Family Healthcare Association, Denver, Colorado.

Clemency Cordes, C. & Macchi, C.R. (2013, July).  Integrated behavioral health interventions for depression and anxiety: Return on investment in the accountable care organization. Workshop presentation at the 14th Annual Summer Institute of the ASU Center for Applied Behavioral Health Policy, Sedona, Arizona.

Clemency Cordes, C. & Macchi, C.R. (2013, July).  The practice and teaching of mindfulness. Workshop presentation at the 14th Annual Summer Institute of the ASU Center for Applied Behavioral Health Policy, Sedona, Arizona.

Professional Associations

American Association of Family Practitioners (AFP), 2014 to present; Collaborative Care Research Network (CCRN) National Research Network (NRN); American Association for Marriage and Family Therapy (AAMFT), 1998 to present (Clinical Fellow & Approved Supervisor); American Psychological Association (APA), 2007 to present (Member of Division 38  Health Psychology;Member of Division 43  Family Psychology); Arizona Association for Marriage and Family Therapy (AzMFT), 2016 to present (Board of Directors); Collaborative Family Healthcare Association (CFHA), 2011 to present (Voting Member of Research and Evaluation Special Interest Group, 2015 to present); Kansas Association for Marriage and Family Therapy (KAMFT), 1998-2012 (Board Member-at-Large, President, Past-President, 2007-2011); National Council on Family Relations (NCFR), 2005 to present (Certified Family Life Educator (CFLE), 2006 to present); Society of Teachers of Family Medicine (STFM), 2014 to present

Work History

KANSAS STATE UNIVERSITY, Manhattan, Kansas, Research Assistant Professor, School of Family Studies and Human Services, January 2007 to 2012; Project Manager and Graduate Research Assistant, Kansas State Research and Extension, August 2004 to June 2006 (funded by USDA/CYFAR New Communities Project grant for Teen Leadership for Physically Active Lifestyles); Graduate Research Assistant, School of Family Studies and Human Services, August 2003 to July 2004 FRIENDS UNIVERSITY, Lenexa, Kansas, Adjunct Professor, Family Therapy Program, December 2006 to July 2010; Adjunct Instructor, Family Therapy Program, August 2003 to November 2006; External Program Director, Graduate School, February 2005 to December 2006; Ph.D. Intern, Family Therapy Program, April 2005 to January 2006 Taught graduate courses and supervised masters students during their clinical internships.