A large number of primary care visits in the United States are related to behavioral health needs, and 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 or training to help patients manage these problems in evidence-based ways beyond medication prescriptions. This step-by-step guide for assessment and intervention changes that pattern.
This timely new edition of Integrated Behavioral Health in Primary Care brings the reader up to speed with changing aspects of primary care service delivery in response to the Patient-Centered Medical Home (PCMH), the Triple-Aim health approach, and the Patient Protection and Affordable Care Act.
Drawing on research evidence and years of experience, the authors offer practical information and guidance for behavioral health care practitioners who wish to work more effectively in the fast-paced setting of primary care, and provide detailed advice for addressing common health problems such as generalized anxiety disorder, depression, weight issues, sleep problems, cardiovascular disorders, pain disorders, sexual problems, and more.
New to this edition are chapters on population health and the PCMH; children, adolescents, and parenting; couples; managing suicide risk; and shared medical appointments.
Interwoven throughout are practical tips for success and traps to avoid, as well as a rich array of reproducible assessment questions, patient handouts, and sample scripts.
All of these help the clinician to foster the kinds of focused interactions that have proven successful within the primary care environment.
Table of Contents:
List of Figures, Tables, and Exhibits
I. Foundations of Integrated Behavioral Consultation Service
Population Health and the Patient-Centered Medical Home
Conducting the Initial Consultation Appointment
Common Behavioral and Cognitive Interventions in Primary Care: Moving Out of the Specialty Mental Health Clinic
II. Common Behavioral Health Concerns in Primary Care
Depression, Anxiety, Posttraumatic Stress Disorder, and Insomnia
Health Behaviors: Tobacco Use, Overweight and Obesity, and Physical Activity
Chronic Obstructive Pulmonary Disease and Asthma
Alcohol and Prescription Medication Misuse
Special Considerations for Older Adults
Children, Adolescents, and Parenting
III. Special Issues
Managing Suicide Risk in the Primary Care Setting
Clinical Pathways and Shared Medical Appointments
About the Authors
Christopher L. Hunter, PhD, ABPP, graduated from the University of Memphis with his PhD in clinical psychology with a specialization in behavioral medicine. He is board certified in clinical health psychology and works for the Defense Health Agency as the Department of Defense (DoD) Program Manager for Behavioral Health in Primary Care.
As the DoD lead for the last 8 years, he has worked to develop policy, secure funding, and oversee the rollout of primary care behavioral health services for Military Health System enrollees. He has extensive experience developing integrated primary care behavioral health services as well as training individuals to work in primary care settings treating common mental health conditions (e.g., depression), health behavior problems (e.g. tobacco use, obesity) and chronic medical conditions (e.g., diabetes, chronic pain).
He is also a coauthor on the 2016 book, Integrating Behavioral Health Into the Medical Home: A Rapid Implementation Guide and a coeditor on the 2014 Handbook of Clinical Psychology in Medical Settings: Evidence-Based Assessment and Intervention.
Jeffrey L. Goodie, PhD, ABPP, is a board certified clinical health psychologist and an associate professor in the department of Medical and Clinical Psychology and the department of Family Medicine at the Uniformed Services University (USU) in Bethesda, MD. He serves as the Director of Clinical Training of the Clinical Psychology program at USU.
Dr. Goodie earned his PhD from West Virginia University and completed his residency and a post-doctoral fellowship in clinical health psychology at Wilford Hall Medical Center at Lackland Air Force Base.
Dr. Goodie has served as an internal behavioral health consultant in family medicine, internal medicine, and OB/GYN clinics. He has trained psychology and social work residents and providers how to provide behavioral health interventions in integrated primary care settings.
He is a Fellow of APA and the Society of Behavioral Medicine.
Mark S. Oordt, PhD, ABPP, earned a PhD in clinical psychology from the Fuller Graduate Schools in Pasadena, California in 1992 and completed a postdoctoral fellowship in clinical health psychology at Wilford Hall Medical Center in San Antonio, Texas. He is a licensed clinical psychologist and a diplomate of the American Board of Professional Psychology in clinical health psychology.
Specific professional interests include integrated behavioral health in primary care settings, assessment and treatment of suicidal risk, clinical health psychology, substance abuse prevention, and behavioral health care with military populations. He currently resides in Fairfax, Virginia.
Anne C. Dobmeyer, PhD, ABPP, is a clinical health psychologist who has been actively involved in implementation and training in integrated primary care for the past 16 years.
She has established fully integrated primary care behavioral health services in family medicine, internal medicine, and women's health clinics, and provided training and consultation to clinics and medical centers across the country. Her publications and presentations primarily focus on training, implementation, and evaluation of integrated primary care programs.
Dr. Dobmeyer obtained her PhD from Utah State University and completed a postdoctoral fellowship in clinical health psychology at Wilford Hall Medical Center. She has served as president of the American Board of Clinical Health Psychology and is currently a trustee of the American Board of Professional Psychology.