Psychologists' Training, Attitudes, and Practice Behaviors Regarding Collaboration with Primary Care

Psychologists' Training, Attitudes, and Practice Behaviors Regarding Collaboration with Primary Care PDF Author: Lucas Eberhardt De Master
Publisher:
ISBN:
Category :
Languages : en
Pages : 65

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Book Description
Primary care patients frequently present with behavioral health related concerns, but for various reasons often fail to receive effective treatment for these problems. The integration of behavioral health providers, including psychologists, within primary care practice has been receiving an increasing amount of research and policy support as the most appropriate way to address this health care problem. However, behavioral health integration appears to remain uncommon. Although several experts in the field have suggested that the lack of specialized training, professional culture, and attitudes among behavioral health providers has significantly hampered collaboration and integration with primary care, there exists little research to support their claims. This study examined the effects of educational experiences and professional practice on collaborative practices with and attitudes toward primary care. 104 licensed US psychologists were administered a survey constructed by this author based on expert theories and limited past research. Analysis of variance (ANOVA) and t-tests were conducted to examine the effects of training experiences, coursework, professional practice setting, and theoretical orientation on positive attitudes toward primary care (PAPC) and integrative practice behaviors (IPB). Results evidenced no significant difference in attitudes toward collaboration with primary care based on education or professional experiences. However, some differences were found on actual practice behaviors, including those endorsing training and professional experiences in medical settings being more likely to engage in collaborative care with primary care providers and those completing graduate coursework directly related to practice in medical settings more likely to obtain and review their clients' medical records. These findings suggest openness among psychologists to collaborative care with primary care providers but a difficulty engaging in collaborative practices unless having past or current experience within a medical setting. This attitude-behavior disconnect may belie significant external and internal barriers to integrative care that psychologists experience, including infrastructure (physical separation, separate record systems, etc.), financial (collaboration non-billable for private practitioners), and discomfort from lack of experience of interacting professionally with medical providers. Additional research is needed to establish and expand upon these findings and provide further understanding of the professional factors affecting the implementation of interprofessional collaborative and integrated care.

Psychologists' Training, Attitudes, and Practice Behaviors Regarding Collaboration with Primary Care

Psychologists' Training, Attitudes, and Practice Behaviors Regarding Collaboration with Primary Care PDF Author: Lucas Eberhardt De Master
Publisher:
ISBN:
Category :
Languages : en
Pages : 65

Get Book Here

Book Description
Primary care patients frequently present with behavioral health related concerns, but for various reasons often fail to receive effective treatment for these problems. The integration of behavioral health providers, including psychologists, within primary care practice has been receiving an increasing amount of research and policy support as the most appropriate way to address this health care problem. However, behavioral health integration appears to remain uncommon. Although several experts in the field have suggested that the lack of specialized training, professional culture, and attitudes among behavioral health providers has significantly hampered collaboration and integration with primary care, there exists little research to support their claims. This study examined the effects of educational experiences and professional practice on collaborative practices with and attitudes toward primary care. 104 licensed US psychologists were administered a survey constructed by this author based on expert theories and limited past research. Analysis of variance (ANOVA) and t-tests were conducted to examine the effects of training experiences, coursework, professional practice setting, and theoretical orientation on positive attitudes toward primary care (PAPC) and integrative practice behaviors (IPB). Results evidenced no significant difference in attitudes toward collaboration with primary care based on education or professional experiences. However, some differences were found on actual practice behaviors, including those endorsing training and professional experiences in medical settings being more likely to engage in collaborative care with primary care providers and those completing graduate coursework directly related to practice in medical settings more likely to obtain and review their clients' medical records. These findings suggest openness among psychologists to collaborative care with primary care providers but a difficulty engaging in collaborative practices unless having past or current experience within a medical setting. This attitude-behavior disconnect may belie significant external and internal barriers to integrative care that psychologists experience, including infrastructure (physical separation, separate record systems, etc.), financial (collaboration non-billable for private practitioners), and discomfort from lack of experience of interacting professionally with medical providers. Additional research is needed to establish and expand upon these findings and provide further understanding of the professional factors affecting the implementation of interprofessional collaborative and integrated care.

Basics of Behavior Change in Primary Care

Basics of Behavior Change in Primary Care PDF Author: Patricia J. Robinson
Publisher: Springer Nature
ISBN: 3030320502
Category : Psychology
Languages : en
Pages : 172

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Book Description
Emerging policy changes are encouraging adoption of a team-based approach to healthcare, yet most healthcare professionals receive little training in how to practice integrated care. Basics of Behavioral Health in Primary Care is a playbook for mental health and medical professionals to share in addressing behavioral health concerns in primary care. Concise and practical, this clinically-focused book addresses the needs of a diverse group of healthcare providers, as well as students preparing for careers in the rapidly changing landscape of healthcare.

Handbook of Psychological Assessment in Primary Care Settings

Handbook of Psychological Assessment in Primary Care Settings PDF Author: Mark E. Maruish
Publisher: Routledge
ISBN: 1317330943
Category : Psychology
Languages : en
Pages : 1076

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Book Description
The second edition Handbook of Psychological Assessment in Primary Care Settings offers an overview of the application of psychological screening and assessment instruments in primary care settings. This indispensable reference addresses current psychological assessment needs and practices in primary care settings to inform psychologists, behavioral health clinicians, and primary care providers the clinical benefits that can result from utilizing psychological assessment and other behavioral health care services in primary care settings.

Behavioral Consultation and Primary Care

Behavioral Consultation and Primary Care PDF Author: Patricia J. Robinson
Publisher: Springer
ISBN: 3319139541
Category : Psychology
Languages : en
Pages : 354

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Book Description
“In this 2nd edition, Robinson and Reiter give us an updated blueprint for full integration of behavioral health and primary care in practice. They review the compelling rationale, but their real contribution is telling us exactly HOW to think about it and how to do it. This latest book is a must for anyone interested in population health and the nuts and bolts of full integration through using the Primary Care Behavioral Health Consultation model.” Susan H McDaniel Ph.D., 2016 President, American Psychological Association Professor, University of Rochester Medical Center The best-selling guide to integrating behavioral health services into primary care is now updated, expanded and better than ever! Integration is exploding in growth, and it is moving inexorably toward the model outlined here. To keep pace, this revised text is a must for primary care clinicians and administrators. It is also essential reading for graduate classes in a variety of disciplines, including social work, psychology, and medicine. This updated edition includes: · A refined presentation of the Primary Care Behavioral Health (PCBH) model · The latest terms, trends and innovations in primary care · Comprehensive strategies and resource lists for hiring and training new Behavioral Health Consultants (BHC) · Step-by-step guidance for implementing the PCBH model · A plethora of evolved practice tools, including new Core Competency Tools for BHCs and primary care providers · Sample interventions for behaviorally influenced problems · The use of “Third Wave” behavior therapies in primary care · Detailed program evaluation instructions and tools · The latest on financing integrated care · An entire chapter on understanding and addressing the prescription drug abuse epidemic · Experienced guidance on ethical issues in the PCBH model · Improved patient education handouts With all of the changes in health care, the potential for the Primary Care Behavioral Health (PCBH) model to improve primary care—and the health of the population—is greater than ever. This book should be the first read for anyone interested in realizing the potential of integration.

The Primary Care Toolkit

The Primary Care Toolkit PDF Author: Larry James
Publisher: Springer Science & Business Media
ISBN: 0387789715
Category : Psychology
Languages : en
Pages : 331

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Book Description
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.

The Primary Care Toolkit

The Primary Care Toolkit PDF Author: Larry James
Publisher: Springer
ISBN: 9780387570587
Category : Psychology
Languages : en
Pages : 0

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Book Description
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.

Primary Care

Primary Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175690
Category : Medical
Languages : en
Pages : 411

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Book Description
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

The Primary Care Consultant

The Primary Care Consultant PDF Author: Larry C. James
Publisher: Amer Psychological Assn
ISBN: 9781591472124
Category : Medical
Languages : en
Pages : 317

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Book Description
"Given the dramatic changes in health care and technology over the past decade, this book is not intended to be a restatement of the many well-established and now considered traditional tasks that health psychologists engage in. Rather, by highlighting innovative DoD and other programs, we offer new ways of thinking about health psychology that may serve as a guide for the future. The first chapter in this book, for example, provides a new conceptual model and practical primer for the delivery of services in a primary care setting. Imbedded in this and other chapters are paradigm shifts the reader is encouraged to make. The hallowed 50-minute therapy hour, for example, is replaced with an effective 15- to 30-minute session that complements the primary care physician. Where appropriate, authors provide the reader with helpful hints on how to make the transition to these new models a smooth one. In most training programs, it is the psychosocial aspects of the biopsychosocial model that are emphasized. Unfortunately, the biological aspect invariably gets short shrift. Psychological assessment in primary care and other medical settings demands a greater emphasis on medical history, medical assessment, and medical symptomology, and the authors of chapter 2 address this often missing link. In keeping with the expanding themes of the first two chapters, the third chapter further extends the influence of primary care psychologists through the use of telehealth, with specific attention to the clinical, ethical, and technical issues that emerge with the use of this technology. Next the book presents interventions and treatment models specific to the adult primary care setting. Chapter 4 addresses the importance of a multidisciplinary primary care approach in the treatment of pain management, and this is followed by chapters on treating cardiovascular disease, HIV/AIDS, diab++

Handbook of Pediatric Psychological Screening and Assessment in Primary Care

Handbook of Pediatric Psychological Screening and Assessment in Primary Care PDF Author: Mark E. Maruish
Publisher: Routledge
ISBN: 1351757342
Category : Psychology
Languages : en
Pages : 635

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Book Description
Handbook of Pediatric Psychological Screening and Assessment in Primary Care provides an overview of the principles of screening, monitoring, and measuring of the treatment outcomes of behavioral health disorders in pediatric primary care. The Handbook serves as a guide to the selection of psychometric measures that can be used to screen for and/or assess behavioral health problems of children and adolescents. The Handbook is an invaluable reference to behavioral health clinicans in maximizing potential benefits in efficient assessment and effective treatment of children and adolescents in pediatric primary care settings as well as other health care settings.

Handbook of Cognitive Behavioral Approaches in Primary Care

Handbook of Cognitive Behavioral Approaches in Primary Care PDF Author: Robert A. DiTomasso, PhD, ABPP
Publisher: Springer Publishing Company
ISBN: 0826103847
Category : Psychology
Languages : en
Pages : 784

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Book Description
" The American Psychological Association, National Institute of Health, and the National Institute of Mental Health have strongly advocated for the integration of psychology and primary care, as the new, cutting-edge approach to health care delivery. To address this need for integration, this seminal text provides thorough descriptions of common psychological and medical problems that arise in primary care, and identifies cognitive-behavioral techniques to overcome these barriers. Issues discussed include ethical dilemmas and nonadherence, as well as the treatment of behavioral and medical problems such as smoking, overeating, suicide risk, hypertension, asthma, diabetes, chronic pain, and more. The book also elucidates the roles and functions of the cognitive-behavioral clinician in the primary care setting, offering guidance on issues such as how to mentally prepare patients for stressful medical procedures, provide patient-centered care, enhance cultural competence, and more Key Features: Discusses how to improve collaboration between mental health providers and primary care physicians Includes guidelines for using cognitive-behavioral models with patients suffering from substance abuse, medical phobias, insomnia, and eating disorders Provides important information on training primary care residents Assists in elucidating the consultation process in primary care "