The Integration of Primary Care and Behavioral Health

Strosahl, Kirk D.

doi:10.1016/b978-012198761-9/50005-7

Cited by 50 publications

(61 citation statements)

References 32 publications

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“…The reliance upon proactive, interdisciplinary teams of professionals working with informed and motivated patients is also aligned with the Chronic Care Model (Wagner, Austin, & Von Korff, 1966). Likewise, IPC lends itself to the growing trend of population-based care that seeks to address the needs of at-risk populations through early identification of risk, maximized availability of services, and the development of lower intensity services to meet the needs of more patients (Robinson & Reiter, 2007; Strosahl, 1997).…”

Section: Models Of Primary Care Psychologymentioning

confidence: 99%

Integrated care: Maturing the relationship between psychology and primary care.

Vogel

Kirkpatrick

Collings

et al. 2012

Professional Psychology: Research and Practice

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Integrated primary care (IPC) is an evolving model that describes the provision of behavioral health services within a primary care setting. IPC calls for professional psychologists to adopt an integrated and collaborative approach to care, while delivering a broad range of services at a faster pace, using a limited number of sessions of shorter duration, and more team interactions to address a variety of behavioral health issues. Successful implementation of IPC entails professional developmental growth through predictable stages. By tracing the development of one postdoctoral fellowship training program from colocated to fully integrated, providing case examples, and discussing lessons learned along the way, this article highlights best practices and common barriers to implementing an IPC model for others seeking to develop an IPC approach to training and/or practice.

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Section: Models Of Primary Care Psychologymentioning

confidence: 99%

Integrated care: Maturing the relationship between psychology and primary care.

Vogel

Kirkpatrick

Collings

et al. 2012

Professional Psychology: Research and Practice

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show abstract

“…The volume of patient visits to primary care physicians continues to be driven by psychological factors (e.g., Chiles et al, 1999; Cummings, 1997a; Kroenke & Mangelsdorff, 1989; O'Donohue, Ferguson, & Cummings, 2002; Speer & Schneider, 2003; Strosahl, 1998). The health care system is being swamped by these patients, and they deserve more appropriate care.…”

Section: Criticisms Of the Cost-offset Effectmentioning

confidence: 99%

Cost offset: Past, present, and future.

Levant

House

May

et al. 2006

Psychological Services

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The health of the U.S. health care system is precarious. Calls for reform in areas such as cost, quality, and equal access to health care are widespread and growing louder each day. Action is required on each of these issues, yet the lack of progress is cause for serious concern. A central problem is the reluctance to acknowledge the roles that the mind and behavior play in health and illness. One solution is the integration of psychological health care into the general health care system. A major vehicle for advancing the integration of health care is the "cost-offset" effect, a concept that involves paying systematic attention to psychological factors in order to reduce overuse of medical services and thereby decrease costs. Despite data demonstrating that the cost-offset hypothesis is quite robust, little has been done to implement integrated health care. This article reviews the literature on cost offset, discusses the policy implications, and considers its application to the public sector.

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“…Psychologists in family medicine experimented with ways to increase their availability and effectiveness for clinical teaching, and many developed a largely consultation role in the clinical setting. However, in addition to the required teaching aspects of the work, published accounts of these collaborations also describe colocated practice, with psychologists practicing in a traditional specialty manner, albeit with a great deal of informal consultation (Strosahl, 2005).…”

Section: Primary Care Psychology Practicementioning

confidence: 99%

“…Although this movement of psychology into the primary care health setting was a radical and important departure from traditional biomedical practice, traditional medical education, and traditional psychology practice, it had limited direct impact on the basic health levels of the population because it generally continued to focus on the provision of treatment for identified psychological problems in the customary fashion of mental health, namely the 50-min hour, which fails to respond to the range and the prevalence of population behavioral health needs. Also, Strosahl (2005) has pointed out that colocated practice models tend to support the notion that medical care and behavioral health care are separate processes and “that behavioral health is not a core aspect of quality health care” (p. 22). Clearly, a colocated model provides specialty mental health care that is more convenient for primary care patients to access, and it also puts less strain on both psychologist and physician partners because it is most consistent with the training each has received.…”

Section: Primary Care Psychology Practicementioning

confidence: 99%

Meeting U.S. Health Care Needs: A Challenge to Psychology.

Garcia-Shelton¹

2006

Professional Psychology: Research and Practice

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Is there really a growing need for primary care psychologists? U.S population health statistics reveal a great deal of variability in the care Americans receive and in their associated health outcomes. Members of minority groups, the inner-city poor, and rural Americans bear a disproportionate burden of ill health. The decreasing pool of primary care physicians is documented as well as is the growing pool of nonphysician primary care providers. The need to expand the nature of psychological interventions in primary care is examined, and change in the training of professional psychologists is recommended.

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The Integration of Primary Care and Behavioral Health

Cited by 50 publications

References 32 publications

Integrated care: Maturing the relationship between psychology and primary care.

Integrated care: Maturing the relationship between psychology and primary care.

Cost offset: Past, present, and future.

Meeting U.S. Health Care Needs: A Challenge to Psychology.

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