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

This timely new edition brings the reader up to speed with the 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 provide 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. This paperback edition was previously published in hardcover in 2017.

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 roll- out 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 of the 2016 book Integrating Behavioral Health Into the Medical Home: A Rapid Implementation Guide and a coeditor of the 2014 Handbook of Clinical Psychology in Medical Settings: Evidence-Based Assessment and Intervention.
 
JeffreyL. 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, Maryland. 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 postdoctoral 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 the American Psychological Association 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.  
AnneC. 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.
 

Contents
List of Figures, Tables, and Exhibits
Acknowledgments
Introduction
Part I. Foundations of Integrated Behavioral Health Consultation Services
Chapter 1. Population Health and the Patient-Centered Medical Home
Chapter 2. Conducting the Initial Consultation Appointment
Chapter 3. Common Behavioral and Cognitive Interventions in Primary Care
Moving Out of the Specialty Mental Health Clinic
Part II. Common Behavioral Health Concerns in Primary Care
Chapter 4. Depression, Anxiety, Posttraumatic Stress Disorder, and Insomnia
Chapter 5. Health Behaviors: Tobacco Use, Overweight and Obesity,
and Physical Activity
Chapter 6. Diabetes
Chapter 7. Chronic Obstructive Pulmonary Disease and Asthma
Chapter 8. Cardiovascular Disease
Chapter 9. Pain Disorders
Chapter 10. Alcohol and Prescription Medication Misuse
Chapter 11. Sexual Problems
Chapter 12. Special Considerations for Older Adults
Chapter 13. Women’s Health
Chapter 14. Children, Adolescents, and Parenting
Chapter 15. Couple Distress
Part III. Special Issues
Chapter 16. Managing Suicide Risk in the Primary Care Setting
Chapter 17. Clinical Pathways and Shared Medical Appointments
References
Index
About the Authors