Collaborative Medicine Case Studies

1. Front Matter

   Pages i-xix

   PDF

2. Background

   1. Introduction

      • Rodger Kessler, Dale Stafford

      Pages 3-8

   2. Primary Care Is the De Facto Mental Health System

      • Rodger Kessler, Dale Stafford

      Pages 9-21

3. Organizing Collaborative Care in Medical Settings

   1. Planning Care in the Clinical, Operational, and Financial Worlds

      • C. J. Peek

      Pages 25-38

   2. How I Learned About Integrated Care by Failing Miserably: The Deadly Sins of Integration

      • Rodger Kessler

      Pages 39-50

   3. Tailoring Collaborative Care to Fit the Need: Two Contrasting Case Studies

      • Nicholas A. Cummings, William T. O'Donohue

      Pages 51-57

   4. Managing Chronic Pain Through Collaborative Care: Two Patients, Two Programs, Two Dramatically Different Outcomes

      • Barbara B. Walker, Peter A. Brawer, Andrea C. Solomon, Steven J. Seay

      Pages 59-70

   5. Integrating Mental Health Services into Primary Care: The Hamilton FHT Mental Health Program

      • Nick Kates

      Pages 71-82

4. Primary Care Life

   1. The Primary Care Behavioral Health Model: Applications to Prevention, Acute Care and Chronic Condition Management

      • Kirk Strosahl, Patricia Robinson

      Pages 85-95

   2. A Collaborative Approach to Somatization

      • Alexander Blount, Ronald Adler

      Pages 97-104

   3. Improved Health Status and Decreased Utilization of an Anxious Phobic Man

      • Rodger Kessler, Dale Stafford

      Pages 105-113

   4. The Train Wreck: Assessment and Management of a Complex Medical Patient

      • Christopher L. Hunter, Jeffrey L. Goodie, Pamela M. Williams

      Pages 115-125

   5. Collaborative Medical and Behavioral Health Treatment of Patients with Migraine Headache

      • Beverly E. Thorn, Gary R. Kilgo, Laura Pence, Mary Kilgo

      Pages 127-141

   6. Collaborative Care for an Immigrant Couple

      • Jo Ellen Patterson, Todd M. Edwards, Gene A. Kallenberg, Sol D'Urso

      Pages 143-152

   7. Assessment and Management of Somatoform and Conversion Symptoms

      • Mark S. Warner, M. Lucy Freeman, Lonn Guidry

      Pages 153-166

5. Women’s Health

   1. Chronic Pelvic Pain: A Case for an Interdisciplinary Evaluation and Treatment Approach

      • Allen H. Lebovits, Kenneth A. Levey

      Pages 169-175

   2. Biobehavioral Management of Hot Flashes in a 48-Year-Old Breast Cancer Survivor

      • Gary R. Elkins, Christopher Ruud, Michelle Perfect

      Pages 177-185

   3. Preserving a Life and a Career: How a Partnership Between Medicine and Psychology Saved a Physician with Anorexia Nervosa

      • Barbara Cubic, Daniel Bluestein

      Pages 187-201

   4. Collaborative Care to Heal Gender Relations Across Generations: A Couple of Trainees Watch a Couple of Experts Treat a Couple of Couples

      • Tziporah Rosenberg, Daniel Mullin, Susan H. McDaniel, Kevin Fiscella

      Pages 203-213

6. Specialty Mental Health Care to Medical Patients

   1. The Complex Orofacial Pain Patient: A Case for Collaboration Between the Orofacial Pain Dentist and the Clinical Health Psychologist

      • John L. Reeves II, Robert L. Merrill

      Pages 217-254

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.

• Collaborative health care model
• Comorbid medical disorder treatment
• Diabetes
• Evidence-based clinical interventions
• Medicine case studies
• Rehabilitation
• assessment
• patients
• primary care

From the reviews:

"The book is organized into nine parts. … This book contains 36 chapters. … This book can influence medical school training, health care management, primary care practice, and health care funding." (Mary Ann Cook, PsycCRITIQUES, Vol. 54 (1), January, 2009)

• Department of Family Medicine, University of Vermont, Berlin, USA

  Rodger Kessler, Dale Stafford

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.

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