A Systemic Approach to Behavioral Healthcare Integration

Nancy Ruddy, PhD, currently serves as an internal program quality and accreditation consultant to graduate medical training programs at Stanford Healthcare in Palo Alto, CA. Over the last 30 years, she has served in various roles in training both medical and mental health professionals to provide integrated behavioral health including medical residency faculty, psychology postdoctoral fellowship director, postgraduate training program faculty, and curriculum design expert. Dr. Ruddy is a licensed psychologist and medical family therapist, having obtained both clinical member and approved supervisor status in the American Association of Marriage and Family Therapy. Dr. Ruddy has served as the chair of the Integrated Primary Care Group in The Society for Health Psychology and is currently the past president of the Society as a whole. Dr. Ruddy was recognized for her contributions to the field of health psychology with the Timothy B. Jeffrey Memorial Award for Outstanding Contributions to Clinical Health Psychology in 2013. In addition, Dr. Ruddy has consulted to dozens of health care systems to facilitate the integration of behavioral health services into medical settings. Dr. Ruddy has published numerous book chapters and articles on integrated health care, as well as the 2008 APA book, The Collaborative Psychotherapist: Creating Reciprocal Relationships with Medical Professionals.   Susan H. McDaniel, PhD, ABPP, is the Dr. Laurie Sands distinguished professor of Families & Health and vice chair of the Department of Family Medicine at the University of Rochester Medical Center (URMC); in the Department of Psychiatry, she is the director of the Institute for the Family and the academic chief of the Division of Collaborative Care & Wellness. She is also director of the URMC Physician Communication Coaching Program. Dr. McDaniel's career is dedicated to integrating psychological and relational science and practice into health care. She has won many awards and is the author of well over 100 journal articles and 17 books, translated into 10 languages, including 5 by APA, including Medical Family Therapy and Integrated Care, Family Therapy, Primary Care Psychology, Integrating Family Therapy, and A Casebook for Integrating Family Therapy, as well as 2 special issues of the American Psychologist on psychology and primary care, and the science of teamwork. Dr. McDaniel served as coeditor, with Thomas Campbell, MD, of the Families, Systems & Health journal for 12 years, and as associate editor for the American Psychologist for 10 years. She is a frequent speaker at national and international medical and mental health meetings. Dr. McDaniel has served in many leadership positions in mental health and primary care. She was the 2016 president of the American Psychological Association.  

Foreword
Preface
Acknowledgements
Prologue
Introduction: Why a Systemic Lens Is Critical for Integrated Care             
Part 1: Overview: The Systemic Evolution of Integrated Care
Chapter 1: Models of Integrated Care and Beyond
Chapter 2: The Rise of Integrated Clinical Approaches
Chapter 3: Healthcare Reform and Emerging Models of Research
Part II: Overview: Systemic Integrated Care Implementation
Chapter 4: Healthcare Education, Financing, and Equity
Chapter 5: Organization and Practice Level Integration
Chapter 6: Shifting Practice Behaviors of Clinicals, Staff, and Administrators
Part III:  Overview: A Systemic Lens for Integrated Clinical Services
Chapter 7: Clinical Theory, Strategies, and Research
Chapter 8: The Developing Evidence Base for Systemic Interventions
Chapter 9: Adult Healthcare
Chapter 10: Pediatrics
Chapter 11: Women’s Health
Chapter 12: Conclusion: Envisioning an Integrated Healthcare Home
Epilogue
References
Index
About the Authors