The Primary Care Toolkit: Practical Resources for the Integrated Behavioral Care Provider

ISBN-13: 9781441927088 / Angielski / Miękka / 2010 / 333 str.

Larry James; William T. O'Donohue

Opis

Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: 1) produce healthier patients; 2) produce medical savings; 3) produce higher patient satisfaction; 4) leverage the primary care physician s time so that they can be more productive; and 5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine. Yet there are few resources to assist all those that are interested in moving toward integrated care. This has been a major impediment to more widespread adoption of integrated care. The two co-editors of this proposed volume have produced some of the key books in this area: Dr. James (along with co-editor Ray Folen) has recently produced The Primary Care Consultant which is a good resource that helps define the unfortunately usually misunderstood and neglected consultation liaison function of the integrated care behavioral provider. Dr. O Donohue has co-written a book A Primer of Integrative Behavioral Care (Prometheus Press, in press) that is designed to serve as a general introduction to integrated case; as well as co-edited some more specific titles on medical cost offset, integrated care and substance abuse, and Behavioral Integrative Care (2005, Brunner Routledge). Please see our enclosed vitas for more information. What these books fail to do is to provide very concrete practice guidelines and other associated practical tools for the practicing integrative care behavioral health professional. This book is designed to fill this important gap. All chapters will be designed to provide useful materials to understand this quite different mode of practice. None of the chapters will be academically oriented, although all information will be evidenced based. As such it will reach a wide audience and have no direct competitors. We believe because of the editors profile in this area, the excellent reputations of the chapter authors, and the practicality of this book it will sell very well."

Recenzje

From the reviews:

"For mental health professionals working in primary care settings, this guide provides advice and information on collaboration care. ... James (psychology, Tripler Army Medical Center) and O'Donohue ... compile 20 chapters by psychologists and other mental health professionals and physicians from the US, who address assessment and treatment guidelines for illnesses ... . They also provide a review of Current Procedural Terminology codes and lists of resources for obtaining patient handouts." (SciTech Book News, March, 2009)

Spis treści

Tools for Getting Started.- How to Determine the Need: A Readiness Assessment System.- What Administrators Should Know About the Primary Care Setting.- Financial Models for Integrated Behavioral Health Care.- Essential Competencies of Medical Personnel in Integrated Care Settings.- Integrated Care: Whom to Hire and How to Train.- Effective Consultative Liaison in Primary Care.- Cultural Competency in the Primary Care Setting.- The Primary Care Consultant Toolkit: Tools for Behavioral Medicine Training for PCPs in Integrated Care.- Quality Improvement in the Integrated Health Care Setting.- Behavioral Screening in Adult Primary Care.- Toolbox for Integrated Consultation-Liaison Services: Guidelines and Handouts.- The Primary Care Consultant Toolkit: Tools for Behavioral Medicine.- Assessment and Treatment of Anxiety in Primary Care.- Assessing and Managing Chronic Pain in the Primary Care Setting.- Promoting Treatment Adherence Using Motivational Interviewing: Guidelines and Tools.- Diabetes – Guidelines and Handouts.- Attention-Deficit Hyperactivity Disorder in Primary Care.- Behavioral Health Consultation for Coronary Heart Disease.- Smoking.- Pediatric Obesity.- Somatization in Primary Care.

O autorze

Larry James, Ph.D, ABPP, is Chair of the Department of Psychology at Tripler Army Medical Center, Honolulu. He holds adjunct appointments at the Uniformed Services University of the Health Sciences School of Medicine, Howard University Hospital, University of West Florida, American School of Professional Psychology, University of Hawaii, and Hawaii Pacific University. He is President-elect of the American Board of Health Psychology; he is on the Board of Trustees of the American Board of Professional Psychology as well as on the Board of Directors of Division 38 (Health Psychology) of the American Psychological Association; and he is a member of the Presidential Task Force on Psychological Ethics and National Security. He is an Associate Editor on the Journal of Military Psychology (Division 19 of the American Psychological Association) and has received numerous professional, military, and athletic honors.

William T. O’Donohue, PhD is Professor of the Department of Psychology and Adjunct Professor of Psychiatry at the University of Nevada at Reno. From 1999 through 2005 he was Nicholas Cummings Professor of Organized Behavioral Healthcare Delivery at the same institution. In addition, he is Director of the Victoms of Crimes Treatment Center and the Sexual Assault Prevention and Counseling Services at University of Nevada, Reno. He is a member of the Association for the Advancement of Behavior Therapy and since 1999 has served on the Advisory Board of the Cambridge Center for Behavioral Studies. His areas of specialization are mental health service delivery, forensic psychology, human sexuality (treatment of victims and offenders), management and administration, behavior therapy, and philosophy of psychology.

Blurb

The Primary Care Toolkit

Practical Resources for the Integrated Behavioral Care Provider

Edited by Larry James, Tripler Army Medical Center, Honolulu

and William O’Donohue, University of Nevada, Reno

 

I’m working in a primary care facility.

Now…what am I doing here?

Ideally, the integration of behavioral health into the medical setting brings effective, coordinated treatment and increased satisfaction for both practitioner and patient. In reality, however, the results can be far from perfect—and far from integrated. The Primary Care Toolkit introduces mental health professionals to the best possibilities for the collaboration while preparing them for the crucial differences between primary care and traditional mental health settings, to make the transition as worthwhile and non-traumatic as possible.

The editors, experts on collaborative care (and astute judges of its potentials and pitfalls), have packed the Toolkit with hands-on, evidence-based, practical information, including handouts, protocols, inventories, and reference lists. Readers will improve their medical literacy, learn how to make more effective use of the clinic’s patient education and marketing resources, and uncover key consultation skills. And chapters for primary care physicians and administrators help all parties understand the synergy underlying integrative care.

A sampling of the Toolkit’s features:

• Assessment and treatment guidelines for core illnesses (chronic pain, heart disease, anxiety, depression), and issues (treatment compliance, obesity, smoking, somatization) encountered in primary care.
• Hiring and interview protocols for administrators.
• Training programs and issues.
• Financial and billing models.
• Quality management/improvement tools.
• Review of the current CPT codes.

The Primary Care Toolkit is a safety net for the clinician adjusting to collaborative practice, giving new "team players"—clinical and health psychologists, psychiatrists, mental health nurses, and clinical social workers, as well as the professionals working with them—greater confidence and competence.