Integrated Health: Heartpath Practitioner Assessment and Intervention for the Trauma-Exposed Patient

Integrated Health: Heartpath Practitioner Assessment and Intervention for the Trauma-Exposed Patient


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Integrated Health: Heartpath Practitioner Assessment and Intervention for the Trauma-Exposed Patient by Bill J McFeature, Cinthia Herron-McFeature

This book is about:
Integrated Health - HeartPath Practitioner Assessment and Intervention for the Trauma-Exposed Patient - was written to expose the deeper impact of trauma from a physical, mental, emotional, social, and spiritual perspective. Proper assessment and treatment must involve a "whole person" and a patient-centered approach to assist the trauma-exposed patient. It is also critical to have good communication and coordination of community services and all systems of care. Integrated health and collaboration are required to truly meet the needs of the patient and family who can be devastated by complex trauma.
The HeartPath assessment and treatment philosophy is grounded in evidence-based narrative treatment. HeartPath utilizes thematic analysis to help the patient understand the deeper meaning and life purpose unique to his or her "telling of the story." Guided imagery is a part of this healing process, and flows with the identified patterns and themes of each patient's told story. The individualized guided imagery process allows the "inner heart" to open to compassion and release all that does not serve the patient's life. The telling of the story is cathartic in and of itself. The story also represents testimonies of resilience and moves the patient from victim to survivor. This process is brief in nature, and the patient will report relief and functionality after three to five sessions (varies by individual).
The HeartPath Practitioner works in all settings, however, may also be co-located in a patient-centered and integrated healthcare setting. The patient will be fully supported and empowered as they assist with the development of a self-management plan that is "holistic" in nature. This book offers a variety of assessment tools and resources utilized in primary care and mental health settings. This book also provides an overview of the various types of trauma; physical health and mental health diagnoses common to trauma exposure; narrative treatment philosophy, and how the inner-heart transformation offers deep healing. Finally, this book offers a solid foundation for primary care and behavioral health integration healthcare philosophy, functionality, and sustainability.

Product Details

ISBN-13: 9781628653496
Publisher: Motivational Press
Publication date: 02/08/2017
Pages: 376
Product dimensions: 5.50(w) x 8.50(h) x 0.78(d)

About the Author

Bill J. McFeature, Ph.D. received his Doctorate of Philosophy in Clinical Psychology with 16 years of specialized training in integrative behavioral health care field in working with primary care and behavioral health practitioner in treating patients with acute and chronic medical conditions. Dr. McFeature is an SAMHSA and HRSA consultant for both primary care and community behavioral health clinics in the development and implementation of primary care and behavioral health integration model designs that align with AIM objectives. He is also the consultant for the Radford University Integrated Behavioral Health and Wellness Certificate program receiving national recognition for their participation in workforce development initiatives promoting competent integrated behavioral practitioners. Dr. McFeature is also co-author of "HeartPath Practitioner" published in 2009. Dr. McFeature is currently the owner of Kardia Counseling Center and Consultation.

Cinthia Herron-McFeature, Ph.D. received her Doctorate of Philosophy in Counseling with specialized training in integrated behavioral health and narrative therapies. She has worked for the past thirty-five years as a therapist, social worker, and consultant for private schools, social service agencies, adult and juvenile probation service, and private practice. She has served in the social work and counseling fields working directly with clientele, providing individual, family, and group therapy while utilizing narrative and psychospiritual treatments. Dr. McFeature is also co-author of the book “HeartPath Practitioner” nationally released in November 2009. Most recently Dr. McFeature worked as a state trainer and curriculum developer for the Virginia Department of Social Services and acted as a Family Partnership Meeting Facilitator for several local social service agencies. She also conducted vicarious trauma sessions for local social service agencies with a focus on "holistic" health.

Table of Contents


Dedication ix


List of Figures



Narrative Treatment and Trauma
Utilizing HeartPath Practitioner Techniques
Who Benefits from Reading this Book

Chapter One: The Impact of Trauma Exposure
Universal Experience
Trauma Theory
Trauma-informed Care Research and Statistics
Impact of Trauma - Physical Body
-Cardiovascular Disease
-Chronic Obstructive Pulmonary Disease (COPD)
-Adult Functional Gastrointestinal Disorders (FGID)/Irritable Bowel Syndrome (IBS)
-Obesity, High Body Mass Index (BMI)
-Chronic Pain Syndromes (CPS)
Impact of Trauma - Physical
Impact of Trauma - Mental/Brain/Mind Health
Impact of Trauma - Emotional Health
Impact of Trauma - Spiritual Health
Impact of Trauma - Social Health
Impact of Trauma on the Family: Including Children/Youth Removed from Parents

Chapter Two: Trauma Exposure and Life Journey Responses
Types of Trauma
Traumatic Life Events: Challenges to Overcome
-History of Physical Abuse and Neglect
-Exposure to Sexual Abuse
-Victims of Human Trafficking
-Domestic Violence/Intimate Partner Violence (IPV)
-Exposure to Substance-Abusing Parents
-Children/Youth in Foster Care System: Traumatic Grief
-Children/Youth in Kinship Care
-Vicarious Trauma/Secondary Trauma Exposure/Trauma Exposure Response
-Behavioral Health and Primary Care Exposure to Vicarious/Secondary Traumatic Stress
-Steps to Awareness and Managing Vicarious/Secondary Traumatic Stress
-Adopted Children with History of Trauma Exposure
-Children/Youth in Congregate Care with History of Trauma Exposure:
-Historical Trauma

Chapter Three: Trauma-informed Care Systems a Paradigm Shift
Where do trauma-exposed individuals go for help?
-Primary Care Providers
-Dental Providers
-Emergency Medical Technicians (First Line Responders)
-Hospital Emergency Rooms
-Mental Health Providers Public and Private
-Pharmacists/Pharmacy Technicians
-Social Workers - Public and Private
-School Systems: Teachers, Guidance Counselors, School Nurses, and Administrative Staff
-Foster Parents (County and Therapeutic)
-Juvenile Justice Systems: Judges, Attorneys, Probation Officers, and Detention Workers
-World Religions and Philosophies
Integration Along a True Continuum of Care
-Policies for Trauma-informed Care Across the Spectrum of Care

Chapter Four: Mental Health Diagnoses and Presenting Behaviors Common to Trauma Exposure
Trauma and Attachment to Self and Others
Trauma and Loss of the Ability to Love Others (Sabotaging Relationships)
Trauma and the Trust Factor Role (Guarded Feelings)
Trauma and Mental Illness
-Trauma and Posttraumatic Stress Disorder (PTSD)
-PTSD with Co-occuring Substance Use Disorder
-Trauma and Reactive Attachment Disorder (RAD)
-Trauma and Borderline Personality Disorder (BPD)
-Trauma and Oppositional Defiant Disorder (ODD)
-Trauma and Conduct Disorder (CD)
-Trauma and Intermittent Explosive Disorder (IED)
Developing a Patient-Centered Plan of Care by Assessing the Trauma Impact of Common Core Issues

Chapter Five: Understanding the Primary Care Playground - Addressing the Trauma-Exposed Patient
Patient Centered Medical Home with Aligned Behavioral Health Indicators
Primary Care Philosophy - Team Care Approach
Competencies, Role, and Function of Behavioral Health Consultant Working in
Primary Care
Role of the Behavioral Health Consultant Working in the Primary Care Setting
-Definition of Behavioral Health Consultant (BHC)
Cultural Awareness and Sensitivity
Building a "Culture of Health"
Integrative Care Practice
-BHC Working in Primary Care to Address the Trauma-Exposed Patient
-Comprehensive Care Management Enhances Behavioral Health Consultation Model in Primary Care
-A Case Study Example: 15/30 min - Behavioral Health Consult Visit
Higher Rates of Cost-Related Access and Care Safety Problems
An Integrated Behavioral Health Consultation Model Design for Comprehensive Health Care Services
Embedding Screening, Brief Intervention, and Referral to Treatment (SBIRT) Strategy within Primary Care
-What is SBIRT?
Structural Integration
-Critical Pathways
-BHC Consultation/Brief Treatment
-BHC Advanced Skills
-Basic Psychopharmacology
-Protocol for Psychotropic Medication Use
Operation Mechanistic Structures
-Referral Script for Medical Providers when speaking about a Behavioral Health Consultant
-Script for the BHC during Initial Visit in the Exam Room
-Feedback to Medical Providers (PCP)
-Advanced Education and Certifications available for BHC's

Chapter Six: Assessment and Screening Tools to Address the Complexity of the Trauma-Exposed Patient
Flow of Primary Care Brief Assessments Integrated (PCP-BH Coordinated Care)
Alcohol and Substance Abuse Screens
Comprehensive Healthcare Primary Care Screening Measures
Trauma Assessment Tools - Brief Screening Instruments
HeartPath Technique Conducting "Holistic" Assessment with Scaling Questions
Rationale Behind the HeartPath Technique

Conduct Further Evaluation with a Personality Assessment

Chapter Seven: Understanding Acute and Preventative Chronic Disease Management
-Develop Plan of Care for Diabetes (Example)
-Develop Plan of Care for Cardiovascular Disease (Example)
Chronic Obstructive Pulmonary Disease (COPD)
-Develop a Plan of Care for COPD/Asthma (Example)
Adult Functional Gastrointestinal Disorders (FGID)/Irritable Bowel Syndrome (IBS)
-Develop a Plan of Care for Gastrointestinal Disorders/IBS
Obesity, High Body Mass Index (BMI)
-Develop a Plan of Care for Obesity (Example)
Chronic Pain Syndromes (CPS) - Fibromyalgia, Chronic Fatigue Syndrome, Arthritis, Crohn's Disease, Ulcerative Colitis, and Interstitial Cystitis
-Develop a Plan of Care for Chronic Pain Syndromes (Example)
New Research on Trauma and Cancer - Psycho-Oncology
The "Telling of the Story" the Next Step for Ongoing Assessment

Chapter Eight: Narrative Assessment: "The Telling of the Story"
Autobiographical Narrative
Narrative Drawing
Thematic Analysis & Life Domains
Phenomenological Reduction Grounded: Reflect upon the Pedagogic Experience Emerging
Heart Memory
Depicted Themes - Core and Unique: Trauma-exposed Patient
The Unspoken Language of Dreams and Nightmares
Dissociation A Secret Hiding Place in the Subconscious Mind
Narrative Assessment and Thematic Analysis
Further "Down the Rabbit Hole" Understanding Archetypes (Overview of Abiding Patterns in the Human Psyche)
Through the Rabbit Hole to the Other Side

Chapter Nine: HeartPath Practitioner Assessment and Techniques: To Create a Path to Qualitative Change
Narrative Approaches
The Telling of the Story - Rewriting "Life-World" Themes
Resilience Factor Explored
Future Relationships
Expectations for Patient and Caregiver's
Affirmation of True Self - New Life Chapter

Chapter Ten: Mindful Awareness and HeartPath Practice - Connection with Divine Source
The Science of Mindfulness
The Here and Now Growing in Mindfulness
Guided Imagery with HeartPath - Beyond Self-Biofeedback
Surrender and Release Fear - Replace with Love of Self and Others
Self-Analysis and Reflection
New Perception
Spiritual Exploration

Primary Care and Behavioral Health Integration the Actualization of Trauma-Informed Care
Help the Patient Find Balance with Integrated Health and Guiding Principles for Health
Patient-Centered Healthcare: Recognizing Trauma
HeartPath Practitioner Theoretical Framework: Assisting the Trauma-Exposed Patient

Appendix I Trauma-Informed Care Resources
Appendix II Integrated Health Resources
Appendix III Glossary


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