Paul Nicholas Leandri, Psy.D., is a 2016 graduate of the Psy.D. Program in Clinical Psychology at Antioch University, New England

Dissertation Committee:

  • James Fauth, Ph.D., Committee Chair
  • Amanda Hitchings, Psy.D., Committee Member
  • Alexander Blount, Ed.D., Committee Member


alternative treatments, integrated primary care, IPC, exercise, yoga, meditation, self-management, peer support

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Integrated Primary Care (IPC) is an effective, cutting-edge modality to treating both physiological and psychological problems using a holistic approach within primary care. One of the primary challenges associated with IPC is figuring out the most cost-effective way of treating the largest possible number of patients with behavioral health-related conditions, within staffing constraints. This has led to a preference for time-limited psychological interventions that work well for common mild behavioral health conditions. These time-limited interventions, however, are often inadequate for patients struggling with moderate to severe psychological distress. As such, we need alternative treatment options for this population. Research has identified a number of alternative treatments as effective and potentially viable in primary care. Yet, we know little about the degree to which those potential alternative treatments would be utilized by primary care patients. This study investigated the acceptability of a number of alternative treatment options to primary care patients. Individual exercise was universally rated as the most acceptable alternative treatment option. Multivariate analyses indicated that DHK/CMC participants rated the group exercise intervention significantly higher than BFHC participants, and that female participants rated the group exercise and group yoga interventions significantly higher than their male counterparts. These analyses suggest that females and DHK/CMC participants are more likely to participate in group-based alternative options. Overall, the results suggest that both individual exercise and individual yoga programs were the most highly rated, and may represent viable options.


Paul Nicholas Leandri

ORCID Scholar ID# 0000-0003-3230-9398