Abstract
Training and education in integrated primary care is limited. We see a need for addressing the looming workforce shortage as behavioral health services in primary care become more widely implemented. Bringing mental health clinicians straight from specialty mental health settings into primary care often results in program failure due to poor skills fit, assumptions about services needed, and routines of practice these clinicians bring from their specialty settings. Health psychology graduate programs tend to prepare graduates for specialty research and practice in medical settings rather than preparing them for the pace, culture and broad spectrum of needs in primary care. Family medicine residency programs provide an underutilized resource for training primary care psychologists and family physicians together. Even if comprehensive graduate training programs in integrated primary care were developed, they could not begin to meet the need for behavioral health clinicians in primary care that the present expansion will require. In response to the demand for mental health providers in primary care, new initiatives have emerged which attempt to provide training for the preexisting mental health workforce to enable their successful integration into primary care settings.
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References
Belar, C. D. (2006). Graduate education in clinical psychology: We’re not in Kansas anymore. Training and Education in Professional Psychology, 5, 69–79.
Belar, C. D., & Deardorff, W. W. (1995). Clinical health psychology in medical settings. Washington DC: American Psychological Association.
Blount, A. (Ed.). (1998). Integrated primary care: The future of medical and mental health collaboration. New York: Norton.
Bray, J. H. (2004). Training primary care psychologists. Journal of Clinical Psychology in Medical Settings, 11, 101–107.
Bray, J. H., Frank, R. G., McDaniel, S. H., & Heldring, M. (2004). Education, practice, and research opportunities for psychologists in primary care. In R. G. Frank, S. H. McDaniel, J. H. Bray, & M. Heldring (Eds.), Primary care psychology. Washington DC: American Psychological Association.
Bridges, K., Goldberg, D., Evans, B., & Sharpe, T. (1991). Determinants of somatization in primary-care. Psychological Medicine, 21, 473–483.
Brody, D. S., Khaliq, A. A., & Thompson, T. L. (1997). Patients’ perspectives on the management of emotional distress in primary care settings. Journal of Internal Medicine, 12, 403–406.
Cummings, N. A. (1991). Arguments for the financial efficacy of psychological services in health care settings. In J. J. Sweet, R. H. Rozensky, & S. M. Tovian (Eds.), Handbook of clinical health psychology in medical settings. New York: Plenum.
D’Eon, M., Sadownick, L., Harrison, A., & Nation, J. (2008). Using self-assessments to detect workshop success: Do they work? American Journal of Evaluation, 29, 92–98.
Fildes, R., & Cooper, B. (2003). Preparing for change: Social workers in primary health care. Canadian Association of Social Workers. http://www.casw-acts.ca/advocacy/primary_health_e.pdf.
Gatchel, R. J., & Oordt, M. S. (2003). Clinical health psychology and primary care: Practical advice and clinical guidance for successful collaboration. Washington DC: American Psychological Association.
Haley, W. E., McDaniel, S. H., Bray, J. H., Frank, R. G., Heldring, M., & Johnson, S. B. (2004). Psychological practice in primary care settings: Practical tips for clinicians. In R. G. Frank, S. H. McDaniel, J. H. Bray, M. Heldring, et al. (Eds.), Primary Care Psychology. Washington DC: American Psychological Association.
Hemmings, A. (2000). A systematic review of the effectiveness of brief psychotherapies in primary health care. Families, Systems and Health, 18, 279–313.
Levant, R. F. (2005). Psychological approaches to the management of health and disease: Health care for the whole person. In N. A. Cummings, W. T. O’Donohue, & E. V. Naylor (Eds.), Psychological approaches to chronic disease management. Reno: Context Press.
McDaniel, S. H. (1995). Collaboration between psychologists and family physicians: Implementing the biopsychosocial model. Professional Psychology: Research and Practice, 26, 117–122.
McDaniel, S. H., Belar, C. D., Schroeder, C., Hargrove, D. S., & Freeman, E. L. (2002). A training curriculum for professional psychologists in primary care. Professional Psychology: Research and Practice, 33, 65–72.
Olbrisch, M. E., Weiss, S. M., Stone, G. C., & Schwartz, G. E. (1985). Report of the national working conference on education and training in health psychology. American Psychologist, 40, 1038–1041.
Reiger, D. A., Narrow, W. E., Rac, D. S., Manderscheid, R. W., Locke, B., & Goodwin, F. (1993). The de facto US mental health and addictive disorders service system: Epidemiologic Catchment Area prospective. Archives of General Psychiatry, 50, 85–94.
Shi, L., Starfield, B., Kennedy, B., & Kawachi, I. (1999). Income inequality, primary care, and health indicators. Journal of Family Practice, 48, 275–284.
Smith, T. W., Kendall, P. C., & Keefe, F. J. (2002). Behavioral medicine and clinical health psychology: Introduction to the Special issue, a view from the decade of behavior. Journal of Consulting and Clinical Psychology, 70, 459–462.
Starfield, B. (1998). Primary care: Balancing health needs, services, and technology. New York: Oxford University Press.
Starfield, B. (2001). New paradigms for quality in primary care. British Journal of General Practice, 51, 303–309.
Talen, M. R., Fraser, J. S., & Cauley, K. (2002). From soup to nuts: Integrating clinical psychology training into primary healthcare settings. Families, Systems and Health, 20, 419–429.
Tovian, S. M. (2006). Interdisciplinary collaboration in outpatient practice. Professional Psychology: Research and Practice, 37, 268–272.
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A description of this fellowship appeared first in: Blount, A., DeGirolamo, S., & Mariani, K. (2006). Training the collaborative care practitioners of the future. Families, Systems and Health, 24, 111–119.
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Blount, F.A., Miller, B.F. Addressing the Workforce Crisis in Integrated Primary Care. J Clin Psychol Med Settings 16, 113–119 (2009). https://doi.org/10.1007/s10880-008-9142-7
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DOI: https://doi.org/10.1007/s10880-008-9142-7