Integrated Behavioral Health in Primary Care: Step-By-Step Guidance for Assessment and Intervention

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As many as 70% 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 have initiated or exacerbated the symptoms, yet medical providers often lack the training or time to help patients manage these behaviors. The authors of this book draw on years of experience to provide practical information for behavioral care practitioners who wish to work 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 condense the traditional 50-minute session into the 30-minute consultations typical of managed care. Each chapter addresses a single clinical topic or content area following the 5A's model of assessment and intervention: Assess, Advise, Agree, Assist and Arrange. Detailed guidance is provided for these common health problems: generalized anxiety disorder, panic disorder, posttraumatic stress disorder, depression, tobacco use, weight issues, sleep problems, diabetes, asthma, irritable bowel syndrome, cardiovascular disorders, pain disorders, sexual problems, and health anxiety. Special chapters cover cultural competency, special concerns for older adults, women's health, 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.

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Editorial Reviews

Doody's Review Service
Reviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: Behavioral health has pervaded medical specialty clinics, such as oncology or obstetrics/ gynecology, for quite some time now. It is now infiltrating primary care clinics as the usefulness of psychological treatment as an adjunct to prescriptions in this setting are realized. This book provides information about the role of behavioral health in these clinics and how to integrate it seamlessly to match the needs of these clinics.
Purpose: This book is intended to assist behavioral health providers adjust to their role in a primary care setting with practical advice and a step-by-step guide.
Audience: This is clearly intended for health psychologists or behavioral medicine specialists practicing in a more traditional medical setting, but primary care providers may find it useful for expanding their mental health knowledge. The authors have a variety of practical experiences to draw from.
Features: While obviously written as a traditional textbook, readers will notice immediately the tools contained in the book in the form of assessment questions, handouts, and sample scripts. All of this is focused around the five As - Assess, Advise, Agree, Assist, and Arrange. With that context in mind, the book delves into the treatment of a large variety of psychological disorders, as well as medical disorders that benefit from psychological interventions and general psychological issues that may arise unique to the primary care setting. Each chapter is easy to access and reference. The book could be used as a quick reference on a particular topic for readers already familiar with the content as a whole.
Assessment: This book provides a constructive approach to behavioral health treatment in the primary care setting with discussions of typical mental health issues as well as those firmly within the realm of health psychology. The book will undoubtedly assist readers new to primary care to assimilate into the environment in a meaningful way.
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Product Details

  • ISBN-13: 9781433804281
  • Publisher: American Psychological Association
  • Publication date: 1/15/2009
  • Edition description: New Edition
  • Pages: 291
  • Sales rank: 299,187
  • Product dimensions: 8.80 (w) x 11.00 (h) x 1.00 (d)

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