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Real Behavior Change in Primary Care

Real Behavior Change in Primary Care Author Patricia J. Robinson
ISBN-10 1608822060
Release 2011-01-02
Pages 264
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A Toolkit for Creating Lasting Behavior Change in Your Patients As a primary care provider, you are on the front lines of medical treatment. Oftentimes, you're the first medical professional patients come to when they experience problems with their health. While some of these problems can be resolved by traditional medical treatment, many others are driven by underlying psychological issues and unhealthy lifestyle choices that you may feel powerless to affect. Between repeat patient visits and the frustrating progression of preventable symptoms and conditions, it's no wonder so many medical and behavioral health providers feel burned out and at a loss for effective solutions. This guide was designed to help you find those solutions and recapture the ability to effectively help patients achieve optimal health and happiness. Real Behavior Change in Primary Care offers ten-minute interventions that provide your patients with the tools they need to change unworkable and unhealthy behaviors. Each short yet powerful intervention utilizes empirically supported skills from acceptance and commitment therapy (ACT), a form of cognitive behavioral therapy, to help you empower patients to take charge of the psychological blocks that keep them from resolving their health problems. You'll also apply ACT skills to your own life and learn to better manage stress, recover from burnout, and rediscover the meaning behind your work as a health care provider. Help patients suffering with: Chronic disease Alcohol and substance abuse Chronic pain Anxiety and depression Trauma and abuse



Handbook of Psychological Assessment in Primary Care Settings Second Edition

Handbook of Psychological Assessment in Primary Care Settings  Second Edition Author Mark E. Maruish
ISBN-10 9781317330950
Release 2017-04-21
Pages 824
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The second edition Handbook of Psychological Assessment in Primary Care Settings offers an overview of the application of psychological screening and assessment instruments in primary care settings. This indispensable reference addresses current psychological assessment needs and practices in primary care settings to inform psychologists, behavioral health clinicians, and primary care providers the clinical benefits that can result from utilizing psychological assessment and other behavioral health care services in primary care settings.



Integrated Primary and Behavioral Care

Integrated Primary and Behavioral Care Author William O'Donohue
ISBN-10 9783319190365
Release 2015-10-23
Pages 258
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This timely analysis spotlights the concepts and possibilities of the Patient-Centered Medical Home for bringing mental health and other specialties into primary care. Overview chapters present the Patient-Centered Medical Home model, emphasizing how such systems are organized to solve widespread problems with accessibility, affordability, efficiency, and safety. Practitioner roles, boundaries, and opportunities plus applications are clarified, as well as staffing, financial, and technological challenges. And the section on applications describe care models for special populations, such as comprehensive services to the seriously mentally ill and behavioral services to patients with chronic health conditions. Included in the coverage: Integrated care and specialty behavioral health care in the patient-centered medical home. Training the behavioral health workforce for the patient-centered medical home. The importance of stepped care protocols for the redesign of behavioral health care in patient-centered medical homes. Depression management in the medical home. Treating obesity in a primary care setting. Integrating behavioral health in the pediatric medical home. For health and clinical psychologists, primary care and family physicians, and public health professionals, Integrated Primary and Behavioral Care represents the potential for an exciting new frontier in primary care reform.



Brief Interventions for Radical Change

Brief Interventions for Radical Change Author Kirk D. Strosahl
ISBN-10 9781608823475
Release 2012-10-01
Pages 296
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As a mental health professional, you know it’s a real challenge to help clients develop the psychological skills they need to live a vital life. This is especially true when you are working with time constraints or in settings where contacts with the client will be brief. Brief Interventions for Radical Change is a powerful resource for any clinician working with clients who are struggling with mental health, substance abuse, or life adjustment issues. If you are searching for a more focused therapeutic approach that requires fewer follow-up visits with clients, or if you are simply looking for a way to make the most of each session, this is your guide. In this book, you’ll find a ready-to-use collection of brief assessment and case-formulation tools, as well as many brief intervention strategies based in focused acceptance and commitment therapy (ACT). These tools and strategies can be used to help your clients stop using unworkable behaviors, and instead engage in committed, values-based actions to change their lives for the better. The book includes a practical approach to understanding how clients get stuck, focusing questions to help clients redefine their problem, and tools to increase motivation for change. In addition, you will learn methods for rapidly constructing effective treatment plans and effective interventions for promoting acceptance, present-moment awareness, and contact with personal values. With this book, you will easily integrate important mindfulness, acceptance, and values-based therapeutic work in their interactions with clients suffering from depression, anxiety, or any other mental health problem.



Behavioral Consultation and Primary Care

Behavioral Consultation and Primary Care Author Patricia J. Robinson
ISBN-10 9783319139548
Release 2015-10-20
Pages 347
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“In this 2nd edition, Robinson and Reiter give us an updated blueprint for full integration of behavioral health and primary care in practice. They review the compelling rationale, but their real contribution is telling us exactly HOW to think about it and how to do it. This latest book is a must for anyone interested in population health and the nuts and bolts of full integration through using the Primary Care Behavioral Health Consultation model.” Susan H McDaniel Ph.D., 2016 President, American Psychological Association Professor, University of Rochester Medical Center The best-selling guide to integrating behavioral health services into primary care is now updated, expanded and better than ever! Integration is exploding in growth, and it is moving inexorably toward the model outlined here. To keep pace, this revised text is a must for primary care clinicians and administrators. It is also essential reading for graduate classes in a variety of disciplines, including social work, psychology, and medicine. This updated edition includes: · A refined presentation of the Primary Care Behavioral Health (PCBH) model · The latest terms, trends and innovations in primary care · Comprehensive strategies and resource lists for hiring and training new Behavioral Health Consultants (BHC) · Step-by-step guidance for implementing the PCBH model · A plethora of evolved practice tools, including new Core Competency Tools for BHCs and primary care providers · Sample interventions for behaviorally influenced problems · The use of “Third Wave” behavior therapies in primary care · Detailed program evaluation instructions and tools · The latest on financing integrated care · An entire chapter on understanding and addressing the prescription drug abuse epidemic · Experienced guidance on ethical issues in the PCBH model · Improved patient education handouts With all of the changes in health care, the potential for the Primary Care Behavioral Health (PCBH) model to improve primary care—and the health of the population—is greater than ever. This book should be the first read for anyone interested in realizing the potential of integration.



In This Moment

In This Moment Author Kirk D. Strosahl
ISBN-10 9781626251298
Release 2015-01-02
Pages 224
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Little daily hassles can add up to big, big stress. Whether you're stuck in traffic, hauling your kids out the front door in the morning, dealing with a demanding boss, or worrying about money, it's easy to become overwhelmed. Stress is a normal part of daily life; but over time, chronic stress can take its toll on both your mental and physical health, leading to everything from anxiety and depression to weight gain and disease. So how can you move past the little hassles that get in the way of fully enjoying life? In This Moment will show you how to find a sense of calm and serenity using a breakthrough, evidence-based program grounded in mindfulness and neuroscience. Imagine feeling stressed, and being able to work through it by paying attention to your thoughts and feelings, moment by moment, no matter where you are or what you're doing. It's not as difficult as it sounds! Written by cofounder of acceptance and commitment therapy (ACT) Kirk Strosahl and pioneering behavioral health researcher Patricia Robinson, the mindfulness exercises in this book will help you strengthen the parts of your brain that support vitality and a sense of being fully present in the here and now. And with a little practice, you will learn to combat stress in healthy ways, stay balanced, and live a happier life, no matter what challenges arise.



Behavioral Healthcare and Technology

Behavioral Healthcare and Technology Author Lisa Marsch
ISBN-10 9780199314041
Release 2014-11-10
Pages 368
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In recent years, there has been an explosion of research focused on using technology in healthcare, including web- and mobile- health assessment and intervention tools, as well as smartphone sensors and smart environments for monitoring and promoting health behavior. This work has shown that technology-based therapeutic tools offer considerable promise for monitoring and responding to individuals' health behavior in real-time. They may also function as important "clinician-extenders" or stand-alone tools, may be cost-effective and may offer countless opportunities for tailoring behavioral monitoring and intervention delivery in a manner that is optimally responsive to each individual's profile and health behavior trajectory over time. Additionally, informational and communication technologies may be used in the context of decision support tools to help individuals better understand and access treatment. Technology may enable entirely new models of healthcare both within and outside of formal systems of care and thus offers the opportunity to revolutionize healthcare delivery. This edited book defines the state of scientific research related to the development, experimental evaluation, and effective dissemination of technology-based therapeutic tools targeting behavioral health. Behavioral Healthcare and Technology provides an overview of current evidence-based approaches to leverage technology to promote behavioral health, including management of substance use, mental health, diet/exercise, medication adherence, as well as chronic disease self-management. Additionally, the book defines the state of implementation research examining models for deploying technology-based behavioral healthcare systems and integrating them into various care settings to increase the quality and reach of evidence-based behavioral healthcare while reducing costs.



Medical Management of Vulnerable and Underserved Patients Principles Practice Populations Second Edition

Medical Management of Vulnerable and Underserved Patients  Principles  Practice  Populations  Second Edition Author Talmadge E. King
ISBN-10 9780071834018
Release 2016-06-17
Pages 480
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The leading reference and text on the increasingly relevant and important topic of caring for underserved patients and those with highly unique health requirements The timely publication of Medical Management of Vulnerable and Underserved Patients: Principles, Practice and Populations, Second Edition is designed to clarify current issues and instruct you in best practices and compliance with legislation, such as the Affordable Care Act, when caring for patients living with chronic diseases in poor and minority populations. How do these laws affect you, your practice, and patient care? Medical Management of Vulnerable and Underserved Patients is ideally suited for clinical and educational programs and policy-oriented institutions concerned with addressing health disparities and caring for the underserved and vulnerable patient. Comprehensive in scope and authored by many of the leading names in the field, the book takes complex concepts and issues and helps you understand them, resulting in a “roadmap” to guide real-world applications and compliance with the terms of the law. Each chapter integrates key concepts, core competencies, and common pitfalls and concludes with useful lists of web resources and stimulating discussion questions. From the reviews of the First Edition: "This book is an ambitious and important contribution to the care of our most wounded patients. For those of us who regularly care for vulnerable patients, it provides an excellent resource and supportive guide. However, it should also become part of the standard library for all medical students and practicing physicians. All physicians have much to learn from the practical, evidence-based approaches to the societal issues we all face in practice. Ultimately, this is a book that could help all clinicians take better care of all patients, especially those who may need extra help and support as they navigate our complex health care system." -- New England Journal of Medicine The Second Edition features: Fully revised to reflect passage and impact of the Affordable Care Act on care of underserved patients Expanded with major new chapters, from Health Quality to Rural Healthcare, and additional content relevant to nursing Focused on evidence-based practice with a patient-centered approach Full color format Boxed main points and Practical "Pearls,” such as how to write a disability letter PowerPoint slides and question sets, exercises, and cases to aid instruction



Inside This Moment

Inside This Moment Author Kirk D. Strosahl
ISBN-10 9781626253261
Release 2015-10-01
Pages 240
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In this breakthrough book, cofounder of acceptance and commitment therapy (ACT), Kirk Strosahl and two fellow ACT psychologists offer a brief, five-stage model to help you recognize, assess, and take advantage of the subtle shifts of awareness that occur during therapy to achieve the most effective intervention and successful treatment outcomes. In therapy, it is essential for both clinicians and their clients to pay attention to each moment in-session as an opportunity to create change. In addition, clients must be willing to experience pain in the present moment in order to make lasting change and begin to live according to their values. But staying in the moment is harder than it sounds. Inside This Moment offers a powerful skill set for learning to live in the now—even when it hurts. To help you and your client make the most of your time in treatment sessions, this book includes clinical examples of working with clients via self-related processes, and offers tips for what to do when faced with certain non-verbal and verbal client behaviors, such as: looking away or down body positioning respiration rate giving general answers to specific questions changing the topic forgetting what was asked repeating oneself over and over changes in rate of speech voice volume You'll learn that you don't need to go looking for radical change opportunities—but rather that the opportunities are transpiring right in front of you. This book will allow you to relax and trust in the power of the "now" in your therapy sessions.



The Mindfulness and Acceptance Workbook for Depression

The Mindfulness and Acceptance Workbook for Depression Author Kirk D. Strosahl
ISBN-10 9781626258471
Release 2017-05-01
Pages 328
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What if depression could lead to positive change? Written by acceptance and commitment therapy (ACT) cofounder Kirk Strosahl and Patricia Robinson, this revised edition of the best-selling classic, The Mindfulness and Acceptance Workbook for Depression includes updated research on self-compassion, mindfulness, and neuroscience to help you live a more meaningful life. If you suffer from depression, you may feel like you are living under a perpetual raincloud, even when it’s sunny outside. If left untreated, clinical depression can damage relationships, cause problems at work, lead to substance abuse, and even make it more difficult to overcome physical illnesses. You may feel too tired and scared to reach out for help, or you may try to avoid your feelings altogether. But you should know that there are little, effective ways you can overcome your depression, one day at a time. This fully revised and updated second edition of The Mindfulness and Acceptance Workbook for Depression will show you how changing daily behaviors and practicing new mindfulness skills can literally reshape your brain. Rather than fruitlessly trying to avoid your depression, you’ll learn to focus on living a productive life by accepting your feelings. There are hundreds of books that will try to help you overcome or put an end to depression. But what if you could use your depression to change your life for the better? Your symptoms may be signals that something in your life needs to change. Learning to understand and interpret these signals is much more important than ignoring or avoiding them—approaches that only make the situation worse. This workbook uses techniques from acceptance and commitment therapy (ACT) to offer a new treatment plan for depression that will help accept your feelings instead of fruitlessly trying to avoid them. This new edition will include skills based on new research and contributions from mindfulness, self-compassion, and neuroscience. Using the skills outlined in this book, you’ll be able to work through your depression, experience greater peace and well-being, and go on to create a better life.



Primary Care Second Edition

Primary Care  Second Edition Author Robert V. DiGregorio, PharmD, BCACP
ISBN-10 9780826171481
Release 2014-11-12
Pages 1168
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A complete, state-of-the-art bible of interprofessional primary care in one easy-to-use resource for Interprofessional Primary Care A truly interprofessional primary care textbook, created by DNPs/APRNs, MDs, PharmDs, PAs, CNSs, and CNMs Evidence-based practice guidelines for Primary Care Includes community care, team work, and wellness coachings Strong guidance on differential diagnosis, disease prevention, risk reduction and lifestyle management Across the lifespan focus PLUS gender, occupational and palliative care considerations Case Studies in PPT format available to faculty adopting the text This second edition of Primary Care delivers succinct, current, and integrated information on the assessment, differential diagnosis, treatment, and management of individuals with commonly seen conditions in primary care settings. Written and edited by APNs, MDs, PAs, PharmDs and other health professionals, it emphasizes guidance on differential diagnosis, interprofessional primary care, lifestyle management, health promotion, risk reduction, and disease prevention. The text features ërelationship-centered care, extensive coverage of age, gender, and occupational considerations; complementary approaches; nutritional assessment; violence exposure and vulnerability assessment; family, community, and cultural assessment; palliative care; and evidence-based practice guidelines. This important text presents current diagnostic criteria for each condition and includes relevant anatomy, pathology, and physiology, epidemiology of the condition, including cultural and economic factors, risk identification, and disease prevention strategies. Also included are related laboratory studies, the focused physical exam, wellness coaching, treatment options, potential pitfalls, and much more. Additionally, the book includes clinical "pearls", clinical warnings, referrals and warning points, and references. The text is of value to all interprofessional primary care providers, with a special focus on the needs of advanced practice nurses and MSN/DNP students, and as a course textbook for teaching primary health care topics New to the Second Edition: Increased focus on interprofessional primary care, including community care, team work, and wellness coaching Strong guidance on differential diagnosis, disease prevention, risk reduction and lifestyle management Broad team of interprofessional authors and editors Special focus on elder/geriatric primary care and palliative care Evidence-based practice guidelines Stronger focus on age, gender, and occupational considerationsFocus on age, gender, and occupational considerations Case Studies in PPT format available to faculty adopting the text



The Future of Nursing

The Future of Nursing Author Institute of Medicine
ISBN-10 9780309208956
Release 2011-02-08
Pages 700
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The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles -- including limits on nurses' scope of practice -- should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.



Motivational Interviewing in Health Care

Motivational Interviewing in Health Care Author Stephen Rollnick
ISBN-10 9781462507085
Release 2012-03-07
Pages 210
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Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.



Transforming Health Care Scheduling and Access

Transforming Health Care Scheduling and Access Author Institute of Medicine
ISBN-10 9780309339223
Release 2015-08-24
Pages 154
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According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource--highly trained personnel--inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.



Chronic Disease Management An Issue of Primary Care Clinics in Office Practice E Book

Chronic Disease Management  An Issue of Primary Care Clinics in Office Practice   E Book Author Brooke Salzman
ISBN-10 9781455744336
Release 2012-06-28
Pages 264
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This issue covers topics central to the management of the patient with a chronic disease by taking a comprehenisve look at: Successful/Innovative Models in Chronic Disease Management, The Patient-Centered Medical Home, Self-Management Education and Support, Major Pharmacologic Issues in Chronic Disease Management, Health Information Technology, Community-Based Partnerships for Improving Chronic Disease Management, and Effective Strategies for Behavioral Change, Diabetes Management, CHF Management, Asthma Management, and Depression Management.



Evidence based Practice in Nursing Healthcare

Evidence based Practice in Nursing   Healthcare Author Bernadette Mazurek Melnyk
ISBN-10 9781605477787
Release 2011
Pages 599
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Bernadette Mazurek Melnyk and Ellen Fineout-Overholt are creators of the ARCC (Advancing Research and Clinical practice through close Collaboration) Model, an innovative strategy for implementing and sustaining evidence-based practice in healthcare systems. The ARCC Model is cited as an exemplar of education in evidence-based practice in the Board on Health Care Services and the Institute of Medicine's book, Health Professions Education: A Bridge to Quality. "McInyk and Fineout-Overholt's book should be required reading in all graduate programs. Their text has provided a blueprint for the future of nursing practice and a rigorously substantiated and clearly described means for clinicians, educators, and administrators to participate in improving quality of care." Janet D. Allan, PhD, RN, FAAN Dean and Professor University of Maryland School of Nursing "Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice has been instrumental in developing a culture of evidence-based practice at Barnes-Jewish Hospital. It is fundamental to our curriculum provided to all levels of staff, from new graduate nurses to the highest levels of hospital leadership." Dr. Patricia Potter, RN, PhD, FAAN, Dr. Gail Rea, RN, PhD, CNE, Dr. Karen Balakas, RN, PhD, CNE, Jennifer Williams, MSN, RN, ACNS-BC, Elizabeth Pratt, MSN, RN, ACNS-BC Evidence Equals Excellence group at Barnes-Jewish Hospital and Barnes-Jewish School of Nursing at Goldfarb Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice is an exemplary text that spans the continuum of nursing evidence to support best practice. Utilizing this text with undergraduate, RN to BSN, and graduate nursing students, it is the ONLY text that demonstrates how to retrieve, read, and analyze evidence whether it is published as an individual study, systematic review, meta-analysis, best practice guideline, or outcomes management report. Students learn how to utilize multiple complex databases and websites as they move through each chapter. And, they experience dissemination of evidence through the development of presentations, publications, posters, and grants. This is truly a remarkable book that embraces evidence as the basis for nursing practice and patient-centered care and safety. Having used this text with more than 1000 students over the past five years, I can honestly say that I have found no other text that facilitates learning and development of clinical judgment that is grounded in valid, reliable, and applicable evidence. This is a keeper! Alice E. Dupler, JD, APRN-BC Clinical Associate Professor Washington State University College of Nursing "I have used the book since I developed the Evidence-based Practice course for our College of Nursing in Fall 2007. It was the first course of its kind at Indiana State University. It has been well received and the preferred course for all nursing graduate students for completion of their final scholarly projects. The text was essential in developing the course and provides the foundation and guidance that the students need to develop their Evidence Based Practice projects...the students love the text!" Susan Eley PhD, RN, FNP-BC Assistant Professor Director FNP Program Indiana State University



Motivational Interviewing for Health Care Professionals

Motivational Interviewing for Health Care Professionals Author Bruce A. Berger
ISBN-10 158212180X
Release 2013
Pages 239
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Motivational Interviewing for Health Care Professionals: A Sensible Approach presents a new way of teaching the theory and practice of motivational interviewing (MI) to health care professionals (HCPs). MI has been shown to improve treatment adherence and outcomes, promote health behavior change, improve patient satisfaction with care, and increase retention rates in complex case management. This book describes how everyday persuasive language and strategies can trigger resistance in patients and explains how this opposition can be overcome through building rapport with the patient and listening to the patients reasoning and concerns.