Many people in need of behavioral health measures or psychotherapy do not seek clinical care and are simply not being "reached" by current practices and services. This book shows psychologists how to integrate public health tools into psychological practice - and so better meet today's demands for effective and cost-effective therapeutic and preventive care.
Readers learn about intervention approaches, how they work and for what populations, and how clinical treatment fits into such a scheme. The goal is to complement and expand current clinical and psychotherapeutic approaches, reaching more people in need with services that vary in scope and intensity based on their needs and preferences. This "integrated behavioral health care" approach maintains a degree of individualization while finding "teachable moments" for behavior change interventions, enhancing motivation for change, and making use of print, telephone, and computer dissemination strategies.
This clearly structured book provides practice suggestions and examples for incorporating a public health approach into clinical work, as well as useful appendices to help expand these applications. It is both compelling reading for those already in clinical practice and an ideal text for courses on behavioral health problems and strategies to promote behavior change.
Auteur
About the AuthorsJalie A. Tucker, PhD, MPH, is Professor and Chair of the Department of Health Behavior in the School of Public Health at the University of Alabama at Birmingham (UAB) and directs the UAB Addictive Behaviors and Health Studies group. She earned a doctorate in clinical psychology in 1979 (Vanderbilt University) and an MPH in health care organization and policy in 1998 (UAB). Dr. Tucker's research interests include the behavioral economics of substance misuse, help-seeking, and behavior change, including how positive change occurs with and without clinical treatment. Dr. Tucker has authored or coauthored numerous journal articles and book chapters and has been a coeditor of two books, including Changing Additive Behavior: Bridging Clinical and Public Health Strategies (1999). She is a past president of the Division on Addictions (50) of the American Psychological Association (APA), a past member and chair of the APA Board of Professional Affairs, and a four-term APA Council of Representatives member.Diane M. Grimley, PhD, is Professor in the Department of Health Behavior in the School of Public Health at the University of Alabama at Birmingham. She earned a doctorate in health psychology in 1994 (University of Rhode Island). Dr. Grimley's research interests include STD/HIV and other reproductive health issues, multiple health risk behaviors, and theory-based, technology-delivered behavioral interventions. Dr. Grimley has authored or coauthored numerous journal articles and has served on the editorial board of AIDS and Behavior. She is currently on the editorial board of Sexually Transmitted Diseases and the American Journal of Health Behavior. She also serves on the Advisory Board of Public Health Reports, published by the American Schools of Public Health (ASPH).
Contenu
1 Description
1.1 Terminology
Clinical and Public Health Practice Models . Population Impact of Practice Approaches . Developing an Intervention Spectrum
1.2 Definitions
1.3 Epidemiology
Behavioral Health Problems in the General Population . Behavioral Health Problems in Medical Patients . Economic Impact
1.4 Course and Prognosis
1.5 Differential Diagnosis
1.6 Comorbidities
1.7 Diagnostic Procedures and Documentation
2 Theories and Models of Behavior Change in Behavioral Health Practice
2.1 Psychological Theories
Expectancy-Value Therories . Transtheroretical Model of Change
2.2 Contextual Theories
Social-Ecological Model . Behavioral Economics
2.3 Health Communication
2.4 Theoretical Themes and Implications for Behavioral Health Change
3 Diagnosis and Treatment Indications
3.1 Finding Opportunities for Intervention Delivery
3.2 Assessing Consumer Needs and Preferences
3.3 Effective Screening
3.4 Assessing Motivation and Readiness to Change
Finding and Using Teachable Moments . Stage of Change . Temporal Dynamics of Motivation and Change . Self-Efficacy and Contextual Factors
3.5 Moving From Screening and Assessment to Intervention
4 Treatment
4.1 Using Media and Technology to Extend the Scope of Practice
4.2 Methods of Treatment
Print Interventions . Interactive Voice Response (IVR) Systems . Other Behavioral Health Cell Phone Applications . High-Technology Treatment Modalities
4.3 Unresolved Issues and Future Directions
5 Case Vignette
6 Further Reading
7 References
8 Appendices: Tools and Resources