The Primary Care Behavioral Health (PCBH) model is fast emerging as the future of integration between mental health and primary care services. As the first book to detail the model, this book explains in hands-on terms how to achieve truly integrated care. From starting up a new PCBH service to evaluating its outcome, clinicians and medical administrators alike will find much of value here. Written by two veteran Behavioral Health Consultants (BHCs), the Guide offers a wealth of practical advice for all levels of therapists entering primary care. Every detail of BHC work is discussed, ranging from key job competencies to proven strategies for navigating challenging new terrain. Detailed case examples also bring theory to life for a wide variety of common clinical problems. In addition to assisting professionals in the field, the guide is perfectly suited for use in a variety of graduate classes and residency training programs.

Klappentext

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
The Primary Care Behavioral Health (PCBH) model is fast emerging as the future of integration between mental health and primary care services. As the first book to detail the model, Behavioral Consultation and Primary Care: A Guide to Integrating Services explains in hands-on terms how to achieve truly integrated care. From starting up a new PCBH service to evaluating its outcome, clinicians and medical administrators alike will find much of value here.
Written by two veteran Behavioral Health Consultants (BHCs), the Guide offers a wealth of practical advice for all levels of therapists entering primary care. Every detail of BHC work is discussed, ranging from key job competencies to proven strategies for navigating challenging new terrain. Detailed case examples also bring theory to life for a wide variety of common clinical problems.
Real-world features designed to help establish a service and ease the transition from specialty mental health to primary care:
-Specific administrative recommendations for setting up a BHC office, scheduling patients, billing, and staffing
-Start-up checklist, chart note templates, handouts for generating referrals, and other valuable tools
-Chapters outlining the therapeutic approaches and assessment methods best suited to BHC work
-Creative strategies for influencing that new colleague--the primary care provider-Case examples to illustrate typical consultations with children, adults, and older adults, as well as innovative group approaches
-Tips for handling ethical concerns unique to the PCBH model, and professional and personal challenges unique to the primary care setting
The authors' lively and engaging style is accessible to a wide range of professionals, so seasoned practitioners and neophytes--as well as the administrators who hire them--will find this material totally accessible. In addition to assisting professionals in the field, the Guide is perfectly suited for use in a variety of graduate classes and residency training programs.

Zusammenfassung
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.

Inhalt
The Perfect Storm of Primary Care.- An Overview of Primary Care Behavioral Health Consultation.- A Primer on Primary Care.- Your Mission, Should You Choose to Accept It.- A Mission and a Job Description.- Your Services, Location, and Support.- A Horizon and a Compass.- Theoretical Models and Therapeutic Approaches for Integrated Care.- Measures for a Primary Care Behavioral Health Practice.- The Adventure Begins.- Practice Tools for the BHC.- Start-Up: What to do and How to Influence PCPS.- The Heart of the Matter: Consulting with Patients and Pcps.- Examples of Consultations With Youth and Their Families.- Examples of Consultations With Adults.- Examples of Consultations With Older Adults.- More Than One Patient at a Time: Group Visits in Primary Care.- Uncharted Territory.- Challenging Moments.- Common Ethical Issues.- Evaluating Your Service.