This timely and important work looks at the collaborative health care model for the delivery of mental health care in a primary care setting. This has become the ideal model for the treatment of comorbid medical and psychiatric or psychological disorders.

Rodger Kessler and Dale Stafford This book is intended to foster thinking and dialogue about behavioral health clinicians providing psychological treatments as part of medical practice. Since medical sites evaluate and treat more mental health and substance abuse problems than the specialty behavioral health system and because many acute and chronic medical presentations have significant psychological components, on-site collaboration between medicine and behavioral health is a logical, feasible, and important evolution of medical care. The majority of this book is the presentation of medical cases in which psychological dimensions are important components of the problem, or cases that are primarily mental health diagnoses that were treated in primary care or specialty medical settings. The feature common to each of the cases is that they rep- sent some form of collaborative treatment between medicine and behavioral health. Conversations about the issues raised in this volume will hopefully be held by those who participate in providing health care, who do not often think and talk about these issues together. The intended audience is physicians, psychologists, behavioral health providers, health care administrators, health care financers, and health care policy makers. Each has both a role and an impact on patient care and patient outcomes although each has a different perspective on achieving the goal. Because of new clinical advancements and administrative and cost pressures, the goals of medicine have shifted to achieving the right care for patients.

Practical and applieddiscusses economic and administrative issues alongside evidence-based clinical issues In-depth case studies, co-written by psychologists and physicians Includes supplementary material: sn.pub/extras

Autorentext

Rodger Kessler is a clinical psychologist who has been doing research in the area of integration of primary health care and mental health care for the past 15 years. Dr. Kessler created a five site medical practice where behavioral health clinicians can deliver evidence-based, integrated medical psychological care. Dr. Kessler's current research focuses on patient compliance with psychological referral in an integrated practice, and the impact of integrated medical psychological care on medical and cost outcomes. He is a Fellow of the American Psychological Association and a Past President of the Vermont Psychological Association.

Inhalt
Background.- Primary Care Is the De Facto Mental Health System.- Organizing Collaborative Care in Medical Settings.- Planning Care in the Clinical, Operational, and Financial Worlds.- How I Learned About Integrated Care by Failing Miserably: The Deadly Sins of Integration.- Tailoring Collaborative Care to Fit the Need: Two Contrasting Case Studies.- Managing Chronic Pain Through Collaborative Care: Two Patients, Two Programs, Two Dramatically Different Outcomes.- Integrating Mental Health Services into Primary Care: The Hamilton FHT Mental Health Program.- Primary Care Life.- The Primary Care Behavioral Health Model: Applications to Prevention, Acute Care and Chronic Condition Management.- A Collaborative Approach to Somatization.- Improved Health Status and Decreased Utilization of an Anxious Phobic Man.- The Train Wreck: Assessment and Management of a Complex Medical Patient.- Collaborative Medical and Behavioral Health Treatment of Patients with Migraine Headache.- Collaborative Care for an Immigrant Couple.- Assessment and Management of Somatoform and Conversion Symptoms.- Women's Health.- Chronic Pelvic Pain: A Case for an Interdisciplinary Evaluation and Treatment Approach.- Biobehavioral Management of Hot Flashes in a 48-Year-Old Breast Cancer Survivor.- Preserving a Life and a Career: How a Partnership Between Medicine and Psychology Saved a Physician with Anorexia Nervosa.- Collaborative Care to Heal Gender Relations Across Generations: A Couple of Trainees Watch a Couple of Experts Treat a Couple of Couples.- Specialty Mental Health Care to Medical Patients.- The Complex Orofacial Pain Patient: A Case for Collaboration Between the Orofacial Pain Dentist and the Clinical Health Psychologist.- Integrated Care in a Cardiac Rehabilitation Program: Benefits andChallenges.- Collaborative Treatment in Behavioral Medicine: Treatment of a Young Single Mother with Psoriasis and Generalized Anxiety Disorder.- Hypnotic AmplificationAttenuation Technique for Tinnitus Management.- Chronic Medical Illness.- An Integrative Approach to Treating Obesity and Comorbid Medical Disorders.- A Case of Medically Unexplained Chronic Cough.- Walking the Tightrope Without a Net: Integrated Care for the Patient with Diabetes, Cardiovascular Disease, and Bipolar Disorderand No Insurance.- Healing Through Relationships: The Impact of Collaborative Care on a Patient with Spina Bifida.- Psychiatric and Comorbid Disorders in Primary Care.- Overcoming Depression in a Strange Land: A Hmong Woman's Journey in the World of Western Medicine.- Seven Years in a Young Man's Life: Collaborative Care in Rural Vermont.- Bringing the Family into Focus: Collaborative Inpatient Psychiatric Care.- Pain.- Complexity and Collaboration.- A Bad Situation Made Worse.- Innovations in the Treatment of Comorbid Persistent Pain and Posttraumatic Stress Disorder.- What Goes Up Must Come Down: The Complexity of Managing Chronic Pain and Bipolar Disorder.- Pediatric Burns: They Are Not Always What They Appear.- A Man with Chronic Back Pain and Panic Attacks: A Collaborative Multisystem Intervention.- Conclusion.- Summary.