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CR Macchi

Clinical Associate Professor, Integrated Behavioral Health


 (602) 496-1355


  • Doctor of Philosophy, Kansas State University, Manhattan, Kansas, 2006
    Major:  Human Ecology specializing in Marriage and Family Therapy
    Dissertation:   Systemic change processes:  A framework for exploring weight loss and weight loss maintenance processes within the individual and family context  Major Professor:  Candyce S. Russell, Ph.D.
  • Master of Science, Friends University, Wichita, Kansas, 1999
    Major:  Family Therapy
  • Master of Arts, Northern Baptist Theological Seminary, Lombard, Illinois, 1992
    Major:  Christian Education
  • Bachelor of Arts, University of California, Santa Barbara, California, 1989
    Major:  Sociology


Dr. Macchi was trained as a systems therapist receiving his doctorate in Family Therapy from Kansas State University.  Dr. Macchi is a Licensed Marriage and Family Therapist in Arizona, Clnical Fellow and Approved Supervisor with the American Association of Marriage and Family Therapists (AAMFT), and 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 and Associate Chair of Internship Programs in the Doctor of Behavioral Health (DBH) Program.  The DBH internship program places approximately 45 student interns each a semester at internship sites located throughout the U.S. and in other countries.  Dr. Macchi recently engaged a group of field experts in the development of a program student intern performance rubric that assesses integrated behavioral health core competencies.  Dr. Macchi 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.  Dr. Macchi 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.  Dr. Macchi is an instructional faculty on Arizona State University Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training & Implementation Collaborative (ASU-STIC), a three-year Substance Abuse and Mental Health Services Administration (SAMHSA) grant-funded project.  Working with five ASU degree programs, the initiative is focused on developing sustainable training programs for clinical students preparing to work in medical and mental health settings.

As a Co-Investigator on several previous Centers for Medicare and Medicaid Services (CMS)-funded grants, Dr. Macchi 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, Dr. Macchi collaborated with key stakeholders in three Kansas counties training teens to engage with their communities and support increased physical activity.

Research Interests

Area #1 – 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 patient’s experiences.

Area #2 – 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.

Research Publications

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.   http://onlinelibrary.wiley.com/doi/10.1111/jmft.12016/full

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.  http://link.springer.com/article/10.1007/s10591-010-9127-1

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.