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Long-Term Covid-19 and Other Chronic Illnesses

Long-Term Covid-19 and Other Chronic Illnesses

ISBN: 978-1-4338-3993-1
August 2022
Item # 3839931

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Available as part of the APA PsycTherapy database, through your or your institution’s subscription. Questions? Contact Psycdatabases@apa.org.
Description

During the COVID-19 pandemic, a significant portion of patients have survived after contracting the virus but have continued to experience symptoms over a long time period. In this video, Dr. Anne C. Dobmeyer demonstrates and discusses working with clients suffering from long-term (or long-haul) COVID-19.

Using a primary care behavioral health model in the teletherapy demonstration, Dobmeyer first confirms the client’s symptoms and the medical treatments recommended and then seeks to understand the client’s reactions to both in order to help improve the client’s care and self-management strategies. As with all psychologists in this context, she looks for opportunities to help expedite medical care and gathers information that she can pass along to the treating physician.

This approach may be used in an integrated behavioral healthcare setting with a range of clients suffering from any chronic illness. In this program, Dr. Dobmeyer not only demonstrates her work with a patient, she also shows how she interacts with the patient’s physician before and after the session. Framing these demonstrations is an in-depth discussion with host Dr. Jeffrey L. Goodie about the primary care behavioral health model as well as an examination of key moments from the teletherapy session.

This session features a client portrayed by actor on the basis of a composite of different cases.

Approach

The primary care behavioral health model of service delivery is a population-health model in which behavioral health clinicians function as integrated primary care team members to improve the primary care treatment of a wide range of behavioral health conditions, adverse health behaviors, and chronic medical problems.

As behavioral health consultants (BHCs), clinicians provide focused, evidence-based assessment and intervention to patients, as well as consultative recommendations to the primary care provider (PCP). Patients and families work with the BHC to learn and implement self-management strategies to improve functioning and quality of life and to decrease symptoms. BHCs provide verbal feedback to PCPs on each patient, including recommendations for specific actions the PCP can take during future interactions with the patient.

Appointments with the BHC typically last 20 to 30 minutes, and episodes of care for a particular problem often range from 1 to 4 appointments. Mirroring the pace of primary care, BHCs see a large volume of patients, often meeting with 10 to 14 patients per day.

The use of brief appointments and shorter courses of care allows services to be provided to a high volume of patients, consistent with a population health approach. Patients who need more intensive, specialized mental health treatment are referred to higher levels of care in a stepped care approach.

BHCs provide services for a wide range of conditions and patient populations.

Services are available to patients across the age spectrum, and may focus on improving health behaviors, managing chronic illness, preventing onset of health or mental health problems, addressing sub-clinical mental health symptoms, or treating clinical mental health disorders.

Contributor bios

Anne C. Dobmeyer is a board-certified clinical health psychologist. She serves as an active-duty officer in the United States Public Health Service (USPHS), providing consultation and training for integrated primary care behavioral health programs for clinics and medical centers across the country.

Her publications and presentations primarily focus on training, implementation, and evaluation of integrated care programs.

Dr. Dobmeyer obtained her PhD from Utah State University and completed a post-doctoral fellowship in clinical health psychology at Wilford Hall Medical Center. She has served as president of the American Board of Clinical Health Psychology and a trustee of the American Board of Professional Psychology.

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