Integrated Behavioral Health in Primary Care: Step-by-Step Guidance for Assessment and Intervention
For individuals in the U.S. & U.S. territories
As many as 70% of primary care visits in the United States are related to behavioral health needs. Additionally, many common medical problems seen in primary care involve poor health habits that may initiate, exacerbate or perpetuate symptoms and poor functioning. Unfortunately, health care providers often lack the time and/or training to help patients manage these problems in evidence-based ways beyond medication prescriptions.
The authors of this book draw on research evidence and years of experience to provide practical information and guidance for health care practitioners, especially behavioral health care providers who wish to work more effectively in this fast-paced setting.
Interwoven through each chapter are practical tips for success and traps to avoid. The book includes a rich array of reproducible assessment questions, patient handouts, and sample scripts. All of these help the clinician alter his or her assessment and intervention skills in a manner that leads to focused interactions that work well within the fast pace of primary care.
Detailed guidance is provided for these common health problems: generalized anxiety disorder, panic disorder, depression, tobacco use, weight issues, sleep problems, diabetes, asthma, irritable bowel syndrome, cardiovascular disorders, pain disorders, and sexual problems. Special chapters cover cultural competency, special concerns for older adults, and "health anxiety."
This comprehensive book belongs on the bookshelf of a range of clinicians, including psychologists and social workers, as well as family physicians, physician assistants, nurses, and health care educators.
List of Figures and Tables
I. Foundations of Integrated Behavioral Consultation Service
- Building an Integrated Primary Care Service
- Conducting the Initial Consultation Appointment
- Common Behavioral and Cognitive Interventions in Primary Care: Moving Out of the Specialty Mental Health Clinic
- Cultural Competence
II. Common Behavioral Health Concerns in Primary Care
- Depression, Anxiety, and Insomnia
- Health Behaviors: Tobacco Use, Overeating, and Physical Inactivity
- Irritable Bowel Syndrome
- Chronic Obstructive Pulmonary Disease and Asthma
- Cardiovascular Disease
- Pain Disorders
- Alcohol and Prescription Medication Misuse
- Sexual Dysfunctions
- Special Considerations for Older Adults
- Women's Health
- Health Anxiety (Hypochondriasis)
About the Authors
Christopher L. Hunter, PhD, ABPP, works out of the Office of Health Affairs/TRICARE Management Activity as the Department of Defense program manager for behavioral health in primary care. He is board certified in clinical health psychology and has launched several behavioral health consultation services in family and internal medicine clinics in major medical centers. He also has extensive experience training psychology interns, social workers, and licensed psychologists to start and work in integrated behavioral health consultation services. He has conducted numerous national presentations and workshops on integrated care, is a graduate of the University of Memphis, and resides in Arlington, Virginia.
Jeffrey L. Goodie, PhD, ABPP, is an assistant professor in the Department of Family Medicine at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. He is board certified in clinical health psychology and has served as a behavioral health consultant in family and internal medicine, and obstetrics clinics, as well as trained, supervised, and provided consultation for other behavioral health providers working in primary care. He has published research, conducted workshops, and presented at national and international conferences about integrated primary care. He earned his doctoral degree from West Virginia University.
Mark S. Oordt, PhD, ABPP, is a licensed clinical psychologist living in San Antonio, Texas. He is board certified in clinical health psychology and is the author (with Robert J. Gatchel) of Clinical Health Psychology and Primary Care: Practical Advice and Clinical Guidance for Successful Collaboration (American Psychological Association, 2003). He has provided consultation and training to numerous medical facilities on the integration of behavioral health services into primary care clinics, and he has served on the training faculties of psychology internship and postdoctoral fellowship training programs. Dr. Oordt has authored articles and chapters in the areas of suicide risk management, disease management, and military psychology.
Anne C. Dobmeyer, PhD, ABPP, is director of the clinical health psychology service at Wright-Patterson Medical Center, Wright-Patterson Air Force Base, Ohio, and is board certified in clinical health psychology. She has established fully integrated primary care services in family and internal medicine, and women's health clinics in three major medical centers. Additionally, she has trained and supervised psychology interns, social workers, and psychologists in providing integrated primary care services. Her integrated primary care publications and presentations have focused on training models and outcome evaluation for integrated services. Dr. Dobmeyer is a graduate of Utah State University and resides with her family in Dayton, Ohio.