Behavioral Medicine and Integrated Care

Melanie Duckworth, Ph.D is an associate professor and director of psychological services at the University of Nevada, Reno. She received her doctoral degree in clinical psychology at the University of Georgia and completed her pre-doctoral internship and post-doctoral fellowship in behavioral medicine at Brown University School of Medicine. Her clinical and research interests and activities are in the areas of posttraumatic stress and coping consequent to psychological and physical injury. William T. O'Donohue, Ph.D. is professor and chairman of the Department of Psychology at the University of Nevada, Reno. For the past 16 years Dr. O'Donohue has directed a free clinic supported by a National Institute of Justice grant which assesses and treats sexually abused children. He has published over 70 books, and 150 journal articles and book chapters. He holds advanced degrees both in philosophy and psychology. For the past 14 years, he has been director of a free clinic that treats children who have been sexually abused and adults who have been sexually assaulted.

Behavioral Medicine and Integrated Care.- Introduction.- The Intersecting Impacts of Behavioral Medicine and Integrated Care.- The Epidemiology of Medical Diseases and Associated Behavioral Risk Factors.- Medically Underserved Populations.- Key Problems in Healthcare Service Delivery.- Provider Training: Recognizing the Relevance of Behavioral Medicine and the Importance of Behavioral Health Consultations and Referrals.- Patient Screening: Identifying Behavioral Health Risks to Prevent and Reduce Disease Burden.- Assessment: Identifying, Conceptualizing and Communicating the Interacting Impacts of Physical and Psychological Conditions.- Evidence-Based Treatments: Adapting Behavioral Medicine Change Strategies to Meet the Needs of Integrated Care...With an Appreciation of Culture.- Key Challenges to Care Integration.-  Electronic Patient Health Record.- Care Costs and Billing: Pay Now or Pay Later .- Quality Improvement: Ensuring the Effectiveness of Care andReducing Healthcare Overutilization.- Health Risk and Care Delivery Factors that Are Key to Healthcare Cost Containment.- Surgical Preparation.- Prescribing and Dispensing Medication.- Chronic Disease Management: Motivating and Supporting Self-Management of Health Risk Behaviors.- Chronic Disease Management: Increasing Patient Self-Efficacy and Treatment Adherence.- Chronic Disease Management: Meeting the Care Needs of Patients with Multiple Medical Conditions .- Exercise.- Smoking.- Sleep.- Stress.- Step-by-Step Guide to "Doing" Behavioral Health in the Context of Integrated Care.- COPD.- Cancer.- Cardiovascular Disease.- Chronic Pain.- Dementia.- Diabetes.- The Way Forward.- Conclusions and Future Directions