Behavioral Consultation and Primary Care

1. Front Matter

   Pages i-xxv

   PDF

2. The Perfect Storm of Primary Care

   1. Front Matter

      Pages 1-2

      PDF

   2. An Overview of Primary Care Behavioral Health Consultation

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 3-16

   3. A Primer on Primary Care

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 17-25

3. Your Mission, Should You Choose to Accept It

   1. Front Matter

      Pages 27-27

      PDF

   2. A Mission and a Job Description

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 29-58

   3. Your Services, Location, and Support

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 59-79

4. A Horizon and a Compass

   1. Front Matter

      Pages 81-82

      PDF

   2. Theoretical Models and Therapeutic Approaches for Integrated Care

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 83-104

   3. Measures for a Primary Care Behavioral Health Practice

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 105-138

5. The Adventure Begins

   1. Front Matter

      Pages 139-139

      PDF

   2. Practice Tools for the BHC

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 141-164

   3. Start-Up: What to do and How to Influence PCPS

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 165-193

6. The Heart of the Matter: Consulting with Patients and Pcps

   1. Front Matter

      Pages 195-197

      PDF

   2. Examples of Consultations With Youth and Their Families

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 199-232

   3. Examples of Consultations With Adults

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 233-287

   4. Examples of Consultations With Older Adults

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 289-318

   5. More Than One Patient at a Time: Group Visits in Primary Care

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 319-346

7. Uncharted Territory

   1. Front Matter

      Pages 347-347

      PDF

   2. Challenging Moments

      • Patricia J. Robinson, Jeffrey T. Reiter

      Pages 349-378

here exists a very large and growing demand for behavioral health care, Tand all too often the responsibility for such care falls not on mental health clinics but on primary care clinics. The mental health professions have been slow to respond to this problem, but an emerging and promising strategy has been to improve collaboration between mental health and p- mary care by integrating the two services. These efforts have taken a n- ber of forms, but they all share the common goal of better meeting the health care needs of the population. As with any new endeavor, however, confusion about how to proceed is widespread. Individuals and clinics attempting to integrate primary care and behavioral health can easily feel as if they are in a boat adrift without a rudder (and sometimes it can feel as if that boat is alone in the middle of a very large sea!). Imagine being the m- ical director of a primary care clinic wanting to develop an integrated se- ice, or the mental health provider hired to do that. Where would you start? With whom would you consult? This being a relatively new field, few people have training, and this means that finding guidance for establishing a se- ice can be challenging. Even when knowledgeable consultants are found, the advice given is likely to be discrepant from one consultant to another.

• BHC
• Behavioral Health Consultants
• PCBH
• assessment
• care

From the reviews:

"The recent emergence of psychology as a behavioral primary care profession has markedly accelerated during the past decade… Robinson and Reiter were identified with co-located behavioral primary care long before it became the next wave in mental health care delivery, and the depth of their knowledge and experience has enabled them to write this much-needed, comprehensive how-to book that can be regarded as the new wave's first textbook... The co-authors have provided not only listing key references for those already engaged in integrated behavioral/primary care, but also serving as a wealth of information with user-friendly guides, educational materials, and other tools necessary for starting up such a clinic."--Nicholas A. Cummings, PsycCRITIQUES, Vol. 52 (46), © American Psychological Assocation, 2007

"Comprehensive, wise, and incredibly practical, this exciting volume walks through the joys and challenges of an entirely new vision of behavioral health consultation in primary care settings.  Gently, and with good humor, the authors show how to avoid key errors, and provide a detailed, point by point guideline for success in an effective and needed new form of practice. You will forever think differently about the proper role of behavioral health providers in health care delivery.  Even better, you will be prepared to do something about it." -- Steven C. Hayes, University of Nevada

"This book embodies primary care behavioral health practice at its best. It is accessible, focused, based on the latest evidence, and capable of fundamentally changing health care delivery for those who encounter it. It is simultaneously revolutionary in its insistence on population approaches over individual approaches, and a handy toolbox of practical instruments for daily practice. It should be on the shelves of every primary care behavioral health professional and of the physicians and administrators who want toutilize their services."  -- Alexander Blount, EdD, Professor of Clinical Family Medicine, University of Massachusetts Medical School; Chair, Collaborative Family Healthcare Association, author of Integrated Primary Care: The Future of Medical and Mental Health Collaboration.

"Finally, a practical, comprehensive guide for how to successfully integrate a behavioral health service within primary health care. This book covers everything a person needs to know, from tips for getting started to avoiding common pitfalls and ensuring success over the long-term. In my view, this book is essential reading for anyone who is thinking about making the transition to primary care-based behavioral health services." -- Dr. JoAnne Epping-Jordan, Senior Programme Adviser, Department of Chronic Diseases and Health Promotion,World Health Organization, Geneva, Switzerland.

 

• Zillah, USA

  Patricia J. Robinson

• Seattle, USA

  Jeffrey T. Reiter

Policies and ethics