Abstract：
:Recent literature, public policy, and funding opportunities call attention to the need for better increased integration of health and mental health care services in primary care settings so as to best meet the needs of children and families. There are many benefits to such integration, but pediatric primary care providers (PCPs) face multiple barriers to identifying and managing patients with mental health difficulties. One way to address this problem is through the integration of psychologists into primary care settings who can collaborate with PCPs to provide integrated behavioral health care to youth and families. However, there are challenges to collaboration, which include differences in training, professional cultures, and expectations held by professionals from various disciplines. Effective communication is a key component in supporting interprofessional collaboration between primary care providers and psychologists working in primary care settings. This paper reviews aspects of pediatric medicine culture, critical components of communication, and strategies to improve communication. Three case examples are presented in which some of these challenges have been successfully addressed. Implications and future directions are discussed.
journal_name
J Clin Psychol Med Settingsjournal_title
Journal of clinical psychology in medical settingsauthors
Pidano AE,Arora P,Gipson PY,Hudson BO,Schellinger KBdoi
10.1007/s10880-017-9522-ysubject
Has Abstractpub_date
2018-03-01 00:00:00pages
32-42issue
1eissn
1068-9583issn
1573-3572pii
10.1007/s10880-017-9522-yjournal_volume
25pub_type
杂志文章,评审abstract：:Some of the largest health care disparities are those related to services for American Indians and Alaska Natives (AI/ANs), who show significantly greater prevalence for diabetes, coronary heart disease, smoking, obesity, heavy alcohol use, depression, and PTSD than the general population. Given the recognition of the...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-012-9351-y
更新日期：2012-12-01 00:00:00
abstract：:The current study examined the link between immune functioning (CD4 count) and physical symptoms, as well as the moderating role of optimism and depressive symptoms, in a sample of 99 low income, inner city African American women with HIV. Although there was no main effect of CD4 count on physical symptoms, depressive...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-008-9133-8
更新日期：2008-12-01 00:00:00
abstract：:Medication non-adherence is common and a primary reason for poor medical outcomes among individuals with heart failure (HF). This study's aims were to determine whether depression, hostility, and the personality-based Millon Behavioral Medicine Diagnostic (MBMD) Medication Abuse scale were associated with medication a...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-010-9217-0
更新日期：2011-03-01 00:00:00
abstract：:Individuals living with HIV show moderate decision-making deficits, though no prior studies have evaluated the ability to make optimal health-related decisions across the HIV healthcare continuum. Forty-three HIV+ individuals with HIV-associated neurocognitive disorders (HAND+), 50 HIV+ individuals without HAND (HAND-...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-016-9455-x
更新日期：2016-06-01 00:00:00
abstract：:The aim of the current study is to evaluate internalized stigma in individuals diagnosed with an eosinophilic gastrointestinal disorder (EGID) and its impact on psychosocial and health-related outcomes. The final study sample consisted of 149 patients with a self-reported EGID diagnosis for at least 6 months. Particip...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09605-7
更新日期：2020-03-01 00:00:00
abstract：:As part of this special issue on psychology in primary care settings, we describe the Department of Veterans Affairs' (VA's) new approach to education for practice in the primary care setting and we concurrently address some general issues related to the education of clinical psychologists for practice in this setting...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/BF01988630
更新日期：1995-03-01 00:00:00
abstract：:Noting a lack of such a resource, the authors developed a primer summarizing key concepts for career development and promotion for psychologists working in an academic health center. The present article presents a brief summary of the primer; however, the full version is available as an APAHC membership benefit (or fo...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-012-9334-z
更新日期：2012-12-01 00:00:00
abstract：:Urinary Incontinence (UI) affects 200 million people worldwide with annual direct costs in the US alone estimated at $16.3 billion. Those with UI have reported a decrease in general quality of life with symptoms of depression, anxiety, low self-esteem, poor body image, and social stigmatization. The purpose of this st...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9361-4
更新日期：2013-09-01 00:00:00
abstract：INTRODUCTION:Physical activity is believed to prevent cognitive decline and may enhance frontal lobe activity. METHODS:Subjects were 91 healthy adults enrolled in a wellness center. Over a 10 week intervention, controls were aerobically active 0-2 days per week. Half the intervention group was active 3-4 days/week and...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10880-009-9159-6
更新日期：2009-06-01 00:00:00
abstract：:The present study examined the role of social support and rumination (deliberate vs. intrusive) in posttraumatic growth (PTG), psychological distress (PD), and psychological well-being (PWB) among women with ovarian cancer. Sixty-seven women who had experienced ovarian cancer were recruited through social media and ca...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-016-9482-7
更新日期：2017-03-01 00:00:00
abstract：:Sexual minorities experience higher rates of several physical health problems compared to their heterosexual counterparts. The present study uses Meyer's Minority Stress Model (Psychological Bulletin, 129(5): 674-697, 2003) to examine physical health indicators among 250 adults who identified as sexual minorities. Stu...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-017-9504-0
更新日期：2017-12-01 00:00:00
abstract：:An acute leukemia diagnosis can be an extremely stressful experience for most patients. Posttraumatic growth (PTG) is positive psychological change experienced following a struggle with highly challenging life circumstances. The current study is the first longitudinal investigation of predictors of PTG and distress in...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-012-9304-5
更新日期：2013-03-01 00:00:00
abstract：:With the expansion of integrated primary care and the increased focus on fiscal sustainability, it is critical for clinical managers of these innovative systems to have practical methods for measuring administrative outcomes. Administrative outcomes will assist leadership in the development of efficient, streamlined c...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-015-9442-7
更新日期：2015-12-01 00:00:00
abstract：:Parent reported behavioral difficulties in young children are relatively common. Without adequate intervention, some children will later present with more severe problem behaviors. Parent management training is one of the best methods of treatment for behavior problems; however, existing treatments can be lengthy and ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 临床试验,杂志文章
doi：10.1007/s10880-009-9166-7
更新日期：2009-09-01 00:00:00
abstract：:The comorbidity of psychological disorders with end-stage renal disease (ESRD) presents challenges for renal transplantation, including increased likelihood of medication noncompliance and poorer quality of life. Estimates of rates and severity of affective and anxiety disorders have varied significantly across studie...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-011-9249-0
更新日期：2011-09-01 00:00:00
abstract：:Posttraumatic Stress Disorder (PTSD) is common among primary care patients and is associated with significant functional impairment, physical health concerns, and mental health comorbidities. Significant barriers to receiving adequate treatment often exist for primary care patients with PTSD. Mental health professiona...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-011-9237-4
更新日期：2011-09-01 00:00:00
abstract：:Early identification and treatment of depression during adolescence can contribute to healthier outcomes across the lifespan, yet adolescent depression has been underidentified and undertreated. The American Academy of Pediatrics' (AAP) Guidelines for Adolescent Depression in Primary Care (GLAD-PC) were created to enh...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09680-w
更新日期：2019-11-20 00:00:00
abstract：:Low rates of adherence to medical treatments and adverse emotional states are a widespread problem in advanced chronic kidney disease (ACKD). Motivational interviewing using the stages of change model is an effective combination in promoting behavior modifications. The objective of the present study was to determine t...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-013-9383-y
更新日期：2014-03-01 00:00:00
abstract：:Antenatal and postpartum depression has been associated with maternal, child and family-unit complications. Our aim was to assess the impact of a depression screening and intervention program on perinatal complications. This study included 2042 women. They were screened on the Edinburgh Postnatal Depression Scale (EPD...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09632-4
更新日期：2020-03-01 00:00:00
abstract：:This study examined the interaction of race/ethnicity and income to health-related hindrance (HRH) of personal goals of adolescents with cancer. Adolescents (N = 94) receiving treatment for cancer completed a measure of HRH, (including identification of personal goals, rating the impact of health on goal pursuit, and ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-014-9390-7
更新日期：2014-06-01 00:00:00
abstract：:One of the reasons integrated care has not become a dominant service delivery model is the unmet training agenda. This article argues that the typical mental health professional is not trained to adequately address the challenges of integrated care. To insure competency both a macro and clinical training agenda are ne...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-008-9138-3
更新日期：2009-03-01 00:00:00
abstract：:Recognizing the impact of healthcare professional (HCP) burnout has led to vigorous interest from organizations and individuals regarding how to most effectively promote HCP well-being. The present paper reviews the literature on HCP well-being and describes factors that impact well-being at various levels (i.e., syst...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-018-9541-3
更新日期：2018-09-01 00:00:00
abstract：:The PHQ-9 is a brief, 9-item, self-administered screening tool widely used in primary care medical settings to assess the potential presence of Major Depressive Disorder (MDD). Most published research on the PHQ-9 has focused on sensitivity and specificity with regard to the DSM-IV (American Psychiatric Association, i...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09629-z
更新日期：2020-03-01 00:00:00
abstract：:Quality Improvement (QI) is a health care interprofessional team activity wherein psychology as a field and individual psychologists in health care settings can and should adopt a more robust presence. The current article makes the argument for why psychology's participation in QI is good for health care, is good for ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章,评审
doi：10.1007/s10880-018-9542-2
更新日期：2018-09-01 00:00:00
abstract：:Chronic gastrointestinal disorders are disruptive to patients physically and psychologically, and benefit from multidisciplinary care, including targeted psychological interventions. This case study details a case of a 42-year-old Caucasian female with idiopathic eructation, who was identified as having psychological ...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-020-09697-6
更新日期：2020-09-01 00:00:00
abstract：:People suffering from mental illness experience poor physical health outcomes, including an average life expectancy of 25 years less than the rest of the population. Stigma is a frequent barrier to accessing behavioral health services. Health equity refers to the opportunity for all people to experience optimal health...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-016-9465-8
更新日期：2017-12-01 00:00:00
abstract：:Although many persons with spinal cord injuries (SCI) are at risk for preventable complications, very little research has examined the health behaviors of these individuals. In this study, we examined self-reported health behaviors of persons with recent-onset SCI. We also studied the association between health behavi...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1023/B:JOCS.0000016265.62022.82
更新日期：2004-01-01 00:00:00
abstract：:Psychological distress states have been related to rate of disease progression among HIV-positive individuals. However, the measures that have been used in this research as well as the treatment context of the populations studied are highly variable, making it challenging for clinicians to incorporate such measures in...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-011-9231-x
更新日期：2011-03-01 00:00:00
abstract：:The purpose of this study was to assess the effect of tailored cognitive behavioral therapy (CBT) on depression and anxiety symptoms present in Mexican terminal cancer patients. A non-concurrent multiple baseline design was used across individuals. Nine patients participated in the study, each receiving four to six th...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-019-09620-8
更新日期：2020-03-01 00:00:00
abstract：:Romantic attachment rejection (RAR) is a highly prevalent phenomenon among young adults. Rejection by a romantic attachment figure can be a painful and incapacitating experience with lasting negative mental health sequelae, yet the underlying neurobiology of RAR is not well characterized. We systematically reviewed fu...
journal_title：Journal of clinical psychology in medical settings
pub_type： 杂志文章
doi：10.1007/s10880-020-09757-x
更新日期：2021-01-03 00:00:00
