Behavioral Consultation and Primary Care

“In this 2^nd 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.

“From introducing the concept of the Primary Care Behavioral Health (PCBH) model, to practical evaluative and practice tools, this text serves as a helpful handbook of implementation of integration. It provides valuable resources for administrators, primary care providers (PCP), behavioral health consultants (BHC) and support staff. ... In addition to the physical textbook, the authors have placed supplemental materials online and have linked these materials to relevant passages in the book.” (Shruti Varadarajan, Family Medicine, journals.stfm.org, Vol. 50 (3), March, 2018) In this 2^nd 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 (APA)
Dr Laurie Sands Distinguished Professor of Families & Health
Associate Chair, Department of Family Medicine
Director, Institute for the Family, Department of Psychiatry
University of Rochester Medical Center

We highly recommend this book as a resource for clinicians, educators, and administrators involved in advancing integration at the practice level.  Robinson and Reiter go well beyond the basic rationale and foundational concepts of integration of behavioral health and primary care; they provide practical tips and strategies, honed from decades of experience in the field, for implementation of the PCBH model in an easy to use format.  Packed with practice support tools, updated clinical protocols, and current literature reviews, this second edition of Behavioral Consultation and Primary Care is an excellent resource for healthcare professionals committed to strengthening primary care. 

Dennis Freeman, Ph.D.
CEO, Cherokee Health Systems
Parinda Khatri, Ph.D.
Chief Clinical Officer, Cherokee Health Systems

The 2007 edition of Behavioral Consultation and Primary Care, A Guide to Integrating Services has been a must read for anyone interested in implementing Primary Care Behavioral Health. The second edition will have an even wider impact in today’s healthcare environment when the spread of integrated care is gaining momentum by the moment. The updated volume has new content and benefits from seven additional years of practice experience, emerging research and new opportunities (or imperatives) created by healthcare reform. What is not new is the approach that we have come to expect from these authors – one that is entirely accessible, practical and immediately applicable. 

Natalie Levkovich, CEO
Health Federation of Philadelphia
2015 President-Elect, Collaborative Family Healthcare Association (CFHA)

As we planned integration for Healthcare for the Homeless - Houston FQHC, we identified the most compelling resource available, Behavioral Consultation and Primary Care: A Guide to Integrating Services, 2^nd Edition. With the model described in this book, we were able to transform our system quickly in uncharted waters, with immediate gains in capacity and willingness to address complex behavioral health issues among our primary care providers. Perhaps most significantly, using the model in this book we are seeing enhanced capacity to address the behavioral health needs inherent to all patients. The ability of this model to help us adapt our complex setting of homelessness and co-morbid health problems, including severe mental illness, means this book is an indispensable resource for primary care. 

David S. Buck, M.D., MPH 
Winner, 2013 AAFP Public Health Award
Founder, Healthcare for the Homeless—Houston

Robinson and Reiter have done it again! They characteristically produced another seminal book on integrated care - filled with theory, evidence, expert opinion, and practical resources for novice to proficient behavioral health clinicians working in primary care. There is something for everyone! This book will be equally valuable for administrators, practice managers, support staff and primary care providers who want to better understand the rationale, challenges and opportunities of integrated primary care. Their passion for this work and the patients they have cared for leaps off the pages, while the foundational elements and evidence are eloquently and expertly weaved throughout the book. From beginning to end, this rich, well-written, cogently organized academic resource reads like the kind of story you have to know and share with others. 

Tina Runyan, Ph.D., ABPP
Clinical Associate Professor
University of Massachusetts Medical School
Dept of Family Medicine and Community Health 

These two nationally recognized behavioral health consultants offer the Primary Care Behavioral Health Model of service delivery as a framework that any primary care team can use to effectively integrate behavioral health services into practice.  Combining their vast experience with the latest science, they have created practical service delivery support tools and detailed guidance on improving team-based competencies that produce effective outcomes.  Behavioral Consultation and Primary Care is a “have-to-have” text for any graduate or medical school student and a necessary desk-top reference for primary care providers, administrators, nurses and behavioral health consultants looking to achieve the Triple Aim of simultaneously enhancing the experience and outcomes of the patient, reducing per capita cost of care, and improving the health of the population they serve. 

Christopher L. Hunter, Ph.D., ABPP 
Lead author of Integrated Behavioral Health in Primary Care: 
Step-By-Step Guidance for Assessment and Intervention

Like many behavioral health professionals in primary care, I often went back and forth among the many available book and resource options to find what I needed for practice or programs. When the first edition of this book came out, however, I found that it was a priceless foundation and a “go to” resource for the beginner or seasoned veteran. In this 2^nd edition, Drs. Robinson and Reiter have found a way extend beyond their first offering to provide us with an engaging presentation of all of the resources a behavioral health consultant, program developer or trainer needs AND with the essential human side seamlessly woven throughout. You will enjoy hours in one sitting or use as an easy quick reference with this very readable and informative primary care compendium. Bravo! 

Abbie O. Beacham, Ph.D.
Associate Professor
PsyD Program - Director of Clinical Training
School of Psychology, Xavier University

“Integrated Behavioral Health is not a fad or buzzword that will fade.  It is a crucial, evidence-based tool of practice transformation in primary care.  How do you get there from you are, especially when the workforce is not equipped for this role? The authors’ previous works and tools have been essential to the implementation of the model, and to sustaining it with fidelity. This second edition of Behavioral Consultation and Primary Care builds upon their prior work and will serve as an invaluable tool to all who aspire to this important change.

Mike Maples, M.D., CEO
Community Health of Central Washington, Yakima, WA

This text is a quintessential component of our training program for both new and established Behavioral Health Consultants. In an era where Patient Centered Medical Homes are standard practice, Patti and Jeff not only do a fantastic job of covering the rationale for integrated behavioral health, but they also deliver on practice tools that are easy to grasp and apply to daily practice. The core competencies in this version have been incorporated seamlessly into our workflows and have provided increased structure and uniformity in our program. Whether you are just beginning your integration efforts or have a well-established Primary Care Behavioral Health program, this book is an invaluable resource that willguide your program towards excellence on many levels. 

Brian E. Sandoval, Psy.D.
Program Manager, Primary Care Behavioral Health
Yakima Valley Farm Workers Clinic

When the first edition of Behavioral Consultation and Primary Care was published the idea of primary care behavioral health was largely ignored, marginalized or even ridiculed. My, how times have changed. Integrated behavioral health is now the hot topic in healthcare reform, and suddenly new “experts” are jumping on the bandwagon. What a welcome relief to have two maestros update their classic with a practical, how-to guide for the Behavioral Health Consultant in primary care. This new edition is completely updated with clear guidelines, practice tools and a precise roadmap for transforming primary care. Primary care behavioral health is not for the weak of heart, tradition-bound or chaos adverse clinician. However, for those ready to take the plunge into the future of behavioral health, this book will prove invaluable.  

Ronald R. O’Donnell, Ph.D., Clinical Professor
Arizona State University, College of Health Solutions
Doctor of Behavioral Health

Whether you are reading Robinson and Reiter’s book for a general understanding of PCBH or for the implementation of the PCBH model in a primary care clinic, this is a must read.  This book presents a practical, evidence-based approach to integrating behavioral health into a primary care setting.  The material presented offers a structured approach and speaks to all levels of readers, with information for the advanced BHC or the beginner BHC.

Michael D. Fitts, Psy.D.
University of Arkansas Medical Systems
Regional Programs Instructor

If you want to improve health care, start in primary care and start with this book. In this second edition, Robinson and Reiter provide up-to-date evidence and practical guidance for implementing the Primary Care Behavioral Health model,an optimal method for integrating behavioral health into medical homes. Resources include core competency tools that promote model fidelity, clinical practice support materials, and guidance for difficult problems, such as the prescription drug abuse epidemic—a great resource for practicing providers, administrators and graduate students.

Maria X Martinez
Deputy Director of Community Programs
San Francisco Department of Public Health 

Drs. Robinson and Reiter are genuine authorities in the area of integrated primary care practice. I am thrilled with their Second Edition, which incorporates the very latest innovations and research findings in this rapidly evolving field. It is at once comprehensive and pragmatic.  I believe it will serve a wide range of audiences – medical providers, behavioral health consultants, and administrators.  It will most certainly be assigned as the primary required text for our doctoral students in clinical psychology. 

Jodi Polaha, Ph.D.
Associate Professor
Department of Psychology
East Tennessee State University

This is the “go to” for “how to” for developing a fully integrated primary care behavioral health (PCBH) service in your clinical setting. Excellent resource based on the authors’ many years of experience in PCBH design and implementation. Since their 2007 edition, the authors have updated the content in addressing real life micro and macro—system issues in delivering PCBH services. I especially liked the attention to training medical clinicians and other staff to maximize services, as it is a paradigm shift for all of us!” 

Debra A. Gould MD, MPH
Associate Clinical Professor, University of Washington
Central Washington Family Medicine Residency Program
Yakima, WA

Patricia Robinson Ph.D. is currently principal and consultant for the Mountainview Consulting Group Inc., a firm specializing in providing consultation, program implementation and training services for health care systems seeking to integrate behavioral health and primary medical services and/or develop effective methods for collecting and using clinical outcome data. Dr. Robinson obtained her Ph.D. in Psychology from Texas Womans University in 1979. Dr. Robinson worked in a student health setting at Kansas State University several years before joining the Mercer Island School District in 1981, where she served as Director of Childfind. During her employment at Mercer Island, Dr. Robinson developed school-based group treatment programs for behaviorally disabled adolescents and socially isolated elementary students.

Jeff Reiter, Ph.D., ABPP. is a Clinical Psychologist with an ABPP in Behavioral Psychology. Co-director of Primary Care Behavioral Health Services for HealthPointCommunity Health Centers, Seattle, WA, Dr. Reiter is the co-author of the book, Behavioral Consultation and Primary Care: A Guide to Integrating Services. Dr. Reiter spent eight years as a psychologist in the U.S. Air Force. In 2008, he was one of three consultants contracted by the U.S. Air Force to help implement integrated care services throughout their bases worldwide. His work in primary care recently earned him an APA Presidential Award for Innovative Practice, one of twelve given annually.