Practicing Psychology in Primary Care

This book equips mental health professionals, students, interns, and post-graduate trainees to work effectively in a primary care setting which today is the principal site for psychiatric care, behavioral health risk reduction, and psychological treatment of physical or functional complaints such as diabetes, hypertension, asthma, fibromyalgia, or irritable bowel syndrome. The primary care setting has a culture that is very distinct from more traditional mental health settings, and so the first part of this book teaches professionals and students about the norms, communication styles, social rituals, and roles they need to be familiar with to be effective psychologists. Psychological therapies in primary care must be symptom-focused and brief. A broad-based epidemiological perspective is also necessary to address mood and anxiety disorders, medical nonadherence, and health risk behaviors such as alcohol abuse and smoking among a large number of patients. Core chapters in the book therefore describe counseling techniques developed specifically for primary care such as the Four A's and BATHE, the Transtheoretical Model (TM), adaptations of Motivational Interviewing (MI) and Problem-Solving Therapy (PSA), as well as cross-cultural considerations and consultations as a mental health intervention. Equipped with these strategies and a deeper appreciation of primary care culture, readers will be well placed to adapt their clinical skills to this challenging and rewarding health care setting.

Auteur

H. Russell Searight is Associate Professor of Psychology at Lake Superior State University in Sault Sainte Marie, Michigan. For 18 years, he was Director of Behavioral Science at the Forest Park Hospital Family Medicine Residency and on the faculty of Saint Louis University School of Medicine. He has published three previous books and over 140 articles and book chapters.

Contenu
Chapter 1 Introduction to Primary Care Psychology Chapter 2 The Patients Chapter 3 The Culture of Primary Care and Your Physician Colleagues Chapter 4 When You Hear Hoofbeats, Think of Horses Not Zebras: Applied Epidemiology, Brief Assessment, and Population-Oriented Intervention Chapter 5 Brief Counseling for Health Risk Behaviors: The Five ''A''s and FRAMES Chapter 6 Assessing and Addressing Patient Motivation With the Stages of Change Chapter 7 Motivational Interviewing: Addressing Ambivalence About Change Chapter 8 Primary Care Approaches to Psychosocial Problems: BATHE and Other Brief Counseling Techniques Chapter 9 Brief Cognitive Treatment: Problem-Solving Therapy and Acceptance and Commitment Therapy Chapter 10 Cross-Cultural Issues in Primary Care Psychology: An Overview Chapter 11 Conclusion: Putting It All Together References Index