Behavioral Consultation and Primary Care A Guide to Integrating Serv
“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
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Behavioral Consultation and Primary Care A Guide to Integrating Services Second Edition
Behavioral Consultation and Primary Care
Patricia J. Robinson • Jeffrey T. Reiter
Behavioral Consultation and Primary Care A Guide to Integrating Services Second Edition
Patricia J. Robinson Mountainview Consulting Group, Inc. Zillah, WA, USA
Jeffrey T. Reiter HealthPoint Seattle, WA, USA
ISBN 978-3-319-13953-1 ISBN 978-3-319-13954-8 DOI 10.1007/978-3-319-13954-8
(eBook)
Library of Congress Control Number: 2015944196 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
To Joanna May Robinson, ally in writing this book, and to hope and action for better health in our world. P. J. R. To the heroes I have known: My parents, my HealthPoint colleagues, and my patients. J. T. R.
Preface
I had seen Ms. Johnson before for a visit or two, though it had been several years. In the years since, she had apparently come to the clinic numerous times for a variety of problems, but always just to see her primary care physician. Today she was returning to me, at the urging of the physician, after just completing a visit with him. Stress was affecting how she was managing her diabetes; she had gained some weight and was depressed. She started our visit by apologizing for not having returned sooner to see me, stating she had often considered it, but never followed through. I reassured her that this happens for many people, and the important thing was that she was here now. We made our way through the visit, catching up on her life and devising a plan for improving her current situation. At the end of this seemingly routine visit, she suddenly broke into tears. “I just want to tell you,” she said, “that I appreciate you being here.” She continued, “Even though I hav
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