Integrating clinical psychology into primary care settings

James, Larry C.

doi:10.1002/jclp.20306

Cited by 9 publications

(5 citation statements)

References 12 publications

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“…It has been suggested by Gatchel and Oordt (2006) that health psychologists are a common part of primary care clinics: “Primary care has been a professional home for many psychologists over the past 30 years” 8. Conversely, when writing about integrating psychology within primary care James (2006) notes, “The primary care setting offers a mostly new and exciting opportunity for clinical psychology” 41. There is no quantitative information to support these discussions, and to our knowledge, research has not clarified how many primary care clinics use health psychology interventions or integrated care models.…”

Section: Current and Future Challengesmentioning

confidence: 99%

Health psychology in primary care: recent research and future directions

Thielke¹,

Thompson²,

Stuart³

2011

PRBM

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Over the last decade, research about health psychology in primary care has reiterated its contributions to mental and physical health promotion, and its role in addressing gaps in mental health service delivery. Recent meta-analyses have generated mixed results about the effectiveness and cost-effectiveness of health psychology interventions. There have been few studies of health psychology interventions in real-world treatment settings. Several key challenges exist: determining the degree of penetration of health psychology into primary care settings; clarifying the specific roles of health psychologists in integrated care; resolving reimbursement issues; and adapting to the increased prescription of psychotropic medications. Identifying and exploring these issues can help health psychologists and primary care providers to develop the most effective ways of applying psychological principles in primary care settings. In a changing health care landscape, health psychologists must continue to articulate the theories and techniques of health psychology and integrated care, to put their beliefs into practice, and to measure the outcomes of their work.

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Section: Current and Future Challengesmentioning

confidence: 99%

Health psychology in primary care: recent research and future directions

Thielke¹,

Thompson²,

Stuart³

2011

PRBM

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“…They maintained 30-min sessions with patients and routinely met with medical providers to discuss patient issues. Integration of care among providers may involve both formal and informal collaboration through such events as rounds, psychologist–provider meetings, and even lunch breaks (James, 2006; Kolbasovsky et al, 2005; Rowan & Runyan, 2005). Indeed, levels of integration exist from simple co-location with minimal interactions to regular multidisciplinary team collaboration in delivery of health care services (Rowan & Runyan, 2005).…”

mentioning

confidence: 99%

The integration of psychology into primary care: Personal perspectives and lessons learned.

Elder¹,

Silvers²

2009

Psychological Services

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The purpose of this article is to discuss the integration of psychology into a Veterans Affairs Medical Center Primary Care clinic, as experienced by the authors. There has been an evolving need for psychology's presence in primary care, due in part to the increasing number of primary care patients who present with complex physical and psychological issues, as well as institutional procedures for first-line treatment of more common mental health concerns (e.g., depression). Concurrent with the expansion of Medical Center services and patient population, an increasing demand has been placed upon psychology in primary care. To better accommodate the workload, a consultationoriented model of treatment has been implemented. Within this integrated model, primary care providers and psychologists collaborate to provide multidisciplinary care.

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“…However, up to 70% of the medical appointments made with a primary care physician are for problems stemming from psychosocial issues (Gatchel & Oordt, 2003). Additionally, primary care physicians provide 67% of all psychotropic medications and 90% of the ten most common complaints in primary care have no organic basis (James, 2006). Unfortunately, our health care system is arranged in such a manner that patients are required to go to one location to receive services for their physical problems and a separate location for their psychological, mental and behavioral problems.…”

Section: Providing a Sequential Training Approach For Psychology Traimentioning

confidence: 99%

Interprofessional Education: Preparing Psychologists for Success in Integrated Primary Care

Cubic

Mance

Turgesen

et al. 2012

J Clin Psychol Med Settings

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Rapidly occurring changes in the healthcare arena mean time is of the essence for psychology to formalize a strategic plan for training in primary care settings. The current article articulates factors affecting models of integrated care in Academic Health Centers (AHCs) and describes ways to identify and utilize resources at AHCs to develop interprofessional educational and clinical integrated care opportunities. The paper asserts that interprofessional educational experiences between psychology and other healthcare providers are vital to insure professionals value one another's disciplines in health care reform endeavors, most notably the patient-centered initiatives. The paper highlights ways to create shared values and common goals between primary care providers and psychologists, which are needed for trainee internalization of integrated care precepts. A developmental perspective to training from pre-doctoral, internship and postdoctoral levels for psychologists in integrated care is described. Lastly, a call to action is given for the field to develop more opportunities for psychology trainees to receive education and training within practica, internships and postdoctoral fellowships in primary care settings to address the reality that most patients seek their mental health treatment in primary care settings.

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Integrating clinical psychology into primary care settings

Cited by 9 publications

References 12 publications

Health psychology in primary care: recent research and future directions

Health psychology in primary care: recent research and future directions

The integration of psychology into primary care: Personal perspectives and lessons learned.

Interprofessional Education: Preparing Psychologists for Success in Integrated Primary Care

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