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140 pages

English

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Sujets

Sociologie, société et politique

Clinical psychology

Informations

Publié par	New Harbinger Publications
Date de parution	01 janvier 0001
Nombre de lectures	0
EAN13	9781608822065
Langue	English

Informations légales : prix de location à la page 0,2388€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

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“One of the most difficult tasks faced by primary care providers is convincing patients to engage in positive behaviors such as maintaining a diet. Robinson, Gould, and Strosahl’s Real Behavior Change in Primary Care adds ACT to the growing list of techniques that are available to help the primary care provider convince patients to change their behaviors for the better. In simple, readable prose, they outline a strategy with wide implications for improving primary care practice.”
—Robert McGrath, PhD, professor of psychology at Fairleigh Dickinson University
“The authors have provided an outstanding set of assessment and intervention tools that primary care providers can use with patients who are stuck in maladaptive health patterns. The downloadable tools, practical advice, and focused clinical examples can be easily incorporated into everyday practice, leading to better patient outcomes, decreased provider burnout, and increased job satisfaction.”
—Christopher L. Hunter, PhD, ABPP, coauthor of Integrated Behavioral Health in Primary Care
“This book is a tremendous resource to primary care providers and providers of behavioral health in primary care. Readers can expect greater satisfaction in seeing their patients reach positive health outcomes. Our organization is appreciative to the authors for enhancing both the career satisfaction of our providers and the quality of care our patients receive.”
—Bill Rosenfeld, LPC, director of integrated behavioral health at Mountain Park Health Center
“ Real Behavior Change in Primary Care is succinct, practical, and easy to read. It provides the primary care clinician with a fresh view of the complex patient and an array of tools that are easy to implement in a busy clinic, even without a psychotherapy background. The techniques offered can help primary care providers improve management of the complex patient while also healing themselves of the frustration and stress that can accompany a caseload of challenging patients. The authors’ values-driven approach to care is neither paternalistic nor unrealistic. Rather, it supports providers and patients in developing activities congruent with personal values and life directions. I enjoyed reading the book and will be using the techniques illustrated with my patients, my medical and psychology trainees, and myself!”
—Jeannie A. Sperry, PhD, associate professor and director of behavior science education at West Virginia University Department of Family Medicine
“The authors have adapted the latest advances in evidence-based behavioral and cognitive therapies for use in the fast-paced primary care environment. The straightforward explanations, rich array of resources, and practical handouts are immediately beneficial for helping patients live life in a way that is more consistent with their values. Many primary care providers may particularly appreciate the authors’ discussion of how to self-apply ACT interventions to reduce burnout and become reinvigorated with patient care and other valued life activities. This book is an essential resource for any primary care provider working to help patients change what they do and how they think.”
—Jeffrey L. Goodie, PhD, ABPP, clinical health psychologist at Uniformed Services University of Health Sciences in Bethesda, MD, and coauthor of Integrated Behavioral Health in Primary Care
Improving patient outcomes and increasing job satisfaction
Patricia J. Robinson, Debra A. Gould, Kirk D. Strosahl
New Harbinger Publications, Inc. -->
Publisher’s Note
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional services. If expert assistance or counseling is needed, the services of a competent professional should be sought.
Distributed in Canada by Raincoast Books
Copyright © 2010 by Patricia J. Robinson, Debra A. Gould, & Kirk D. Strosahl
New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
Cover design by Amy Shoup
Text design by Tracy Marie Carlson
Acquired by Catharine Sutker
Edited by Nelda Street
All rights reserved
Epub ISBN: 978-1-60882-206-5
___________
The Library of Congress has cataloged the print edition as:
Robinson, Patricia J.
Real behavior change in primary care : improving patient outcomes and increasing job satisfaction / Patricia J. Robinson, Debra A. Gould, and Kirk D. Strosahl.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-57224-832-8 (pbk.) -- ISBN 978-1-57224-833-5 (pdf ebook) 1. Clinical health psychology. 2. Acceptance and commitment therapy. 3. Health behavior. 4. Primary care (Medicine) I. Gould, Debra A. II. Strosahl, Kirk, 1950- III. Title.
[DNLM: 1. Cognitive Therapy--methods. 2. Burnout, Professional--prevention & control. 3. Patient Compliance--psychology. 4. Patients--psychology. 5. Physicians, Family--psychology. 6. Primary Health Care--trends. WM 425.5.C6]
R726.7.R625 2010
616.001’9--dc22
2010043965
To Dr. Kay Funk, who encouraged me to write this book; to Dr. Mark Sauerwein, who encouraged me to teach; and to all the other wise people I have known who committed their lives to providing primary care.
—Patti
To Michael Joseph Aquilino for his unconditional love and support in making all of this possible, to ZaChoeje Rinpoche for his brilliance, to Leslie Gray for starting me on this path, and to my mother Vera Rock Gould, who always told me that if I could read a book, I could learn how to do anything.
—Deb
To my brother (and Patti’s brother-in-law), Mark Strosahl; we wish you were here to read this book, as with the other books. We miss you, buddy—every day, in every way.
—Kirk (and Patti)
Contents
A Note to eBook Readers
Acknowledgments
Introduction
Part 1: A New Model for Addressing Psychological Problems
1. Beyond Mind as a Machine
2. How People Get Stuck
3. Creating a Context for Change
4. Takin’ It to the Streets: Real Behavior Change Tools
Part 2: Promoting Real Behavior Change in Patient Care
5. The Struggle: Engaging Patients with Chronic Disease
6. The Solution That Becomes the Problem: Intervening with Alcohol and Substance Abuse
7. “Doc, This Pain Is Killing Me”: Addressing Chronic Pain with Compassion
8. A Fresh Approach to the Daily Duo: Anxiety and Depression
9. Living in the Past, Dying in the Present: Trauma and Violence
Part 3: Applying Real Behavior Change Tools in Daily Practice
10. Better and Faster: The Risk of Burnout
11. Provider Wellness: Preventing Burnout and Improving Job Satisfaction
Appendix A. Acceptance and Action Questionnaire (AAQ-II)
Appendix B. Primary Care Provider Acceptance and Action Questionnaire (PCP-AAQ)
Appendix C. Primary Care Provider Stress Checklist (PCP-SC)
Appendix D. Real Behavior Change Interviewing—The Three-T and Workability Questions
Appendix E. Real Behavior Change Interviewing— The Love, Work, Play, and Health Questions
Appendix F. Six Core Processes—Psychological Flexibility
Appendix G. Core Process Assessment Tool (CPAT)
Appendix H. Real Behavior Change Pocket Guide
Appendix I. Patient Education—Bull’s-Eye Worksheet
Appendix J. Provider Tool—Retirement Party Worksheet
Appendix K. Provider Tool—Bull’s-Eye Professional and Personal Values Assessment
Appendix L. Burnout Prevention and Recovery Plan
References
A Note to Ebook Readers
There is additional material for this book available online, including two bonus chapters and PDF versions of the worksheets in the appedices.
To access this material on your web-enable e-reading device, please click here.
If your device is not web-enable, you can still access the materials from your computer. Direct your browser to nhpubs.com/22065
Acknowledgments
We would like to express our appreciation for New Harbinger’s willingness to make a bold move in publishing a book for primary care providers. We would also like to thank our clinical and research colleagues at Group Health Cooperative of Seattle, for supporting our initial exploration of primary care behavioral health integration. Coworkers at Yakima Valley Farm Workers Clinics (Patti) and Central Washington Family Medicine (Kirk) have contributed in numerous ways to the creation of this work. Of special mention, of course, is Deb Gould, who has worked tenaciously to help us translate the newest cognitive and behavioral interventions into a language and format for primary care. Dozens of other primary care providers in community health centers throughout the United States and in military medical treatment facilities around the world have also shaped our thinking. Physicians and nurses in the Veteran’s Administration medical system, numerous health maintenance organization (HMO) systems, and providers in individual medical practices have also listened to us and evaluated and refined our thinking. Most recently, we’ve had the privilege of working with many capable primary care providers in San Francisco Department of Public Health clinics. We offer gratitude beyond words to all of these physicians, midlevel providers, nurses, and their primary care behavioral health colleagues. Last (and maybe they should have been first), we acknowledge the thousands of primary care patients who have been our daily teachers over the past thirty-five years. Patients, we thank you for your transparency, your patience, your trust, and your willingness to engage in behavior change and pursuit of a more meaningful life!
—Patti and Kirk
I would like to thank Patti and Kirk for their patience and willingness to teach me how to apply ACT in my daily practice and to include me in this wonderful project. I would also like to thank the faculty, staff, and colleagues at Highland Hospital/University of Rochester Family Medicine Residency for the excellent training in psychosocial and e