Main description:

Many people in need of behavioral health measures or psychotherapy do not seek clinical care and are simply not being "reached" by current practices and services. This book shows psychologists how to integrate public health tools into psychological practice - and so better meet today's demands for effective and cost-effective therapeutic and preventive care. Readers learn about intervention approaches, how they work and for what populations, and how clinical treatment fits into such a scheme. The goal is to complement and expand current clinical and psychotherapeutic approaches, reaching more people in need with services that vary in scope and intensity based on their needs and preferences. This "integrated behavioral health care" approach maintains a degree of individualization while finding "teachable moments" for behavior change interventions, enhancing motivation for change, and making use of print, telephone, and computer dissemination strategies. This clearly structured book provides practice suggestions and examples for incorporating a public health approach into clinical work, as well as useful appendices to help expand these applications.
It is both compelling reading for those already in clinical practice and an ideal text for courses on behavioral health problems and strategies to promote behavior change.

Contents:

Table of Contents Preface ... v Acknowledgments... vi Dedication... vi Introduction: The Changing Practice Environment... vii 1 Description ... 1 1.1 Terminology... 1 1.1.1 Clinical and Public Health Practice Models ... 1 1.1.2 Population Impact of Practice Approaches... 1 1.1.3 Developing an Intervention Spectrum ... 3 1.2 Definitions ... 5 1.3 Epidemiology... 7 1.3.1 Behavioral Health Problems in the General Population... 7 1.3.2 Behavioral Health Problems in Medical Patients... 7 1.3.3 Economic Impact ... 8 1.4 Course and Prognosis... 8 1.5 Differential Diagnosis... 9 1.6 Comorbidities... 9 1.7 Diagnostic Procedures and Documentation... 9 2 Theories and Models of Behavior Change in Behavioral Health Practice... 11 2.1 Psychological Theories ... 12 2.1.1 Expectancy-Value Theories ... 12 2.1.2 Transtheoretical Model of Change... 14 2.2 Contextual Theories... 16 2.2.1 Social-Ecological Model ... 17 2.2.2 Behavioral Economics ... 18 2.3 Health Communication ... 21 2.4 Theoretical Themes and Implications for Behavioral Health Change ... 23 3 Diagnosis and Treatment Indications... 26 3.1 Finding Opportunities for Intervention Delivery... 27 3.2 Assessing Consumer Needs and Preferences... 28 3.3 Effective Screening... 30 3.4 Assessing Motivation and Readiness to Change... 32 3.4.1 Finding and Using Teachable Moments ... 33 3.4.2 Stage of Change ... 34 3.4.3 Temporal Dynamics of Motivation and Change ... 35 3.4.4 Self-Efficacy and Contextual Factors ... 35 3.5 Moving From Screening and Assessment to Intervention... 36 Advances in Psychotherapy: xii Public Health Tools for Practicing Psychologists 4 Treatment ... 37 4.1 Using Media and Technology to Extend the Scope of Practice ... 37 4.2 Methods of Treatment... 38 4.2.1 Print Interventions ... 38 4.2.2 Interactive Voice Response (IVR) Systems ... 41 4.2.3 Other Behavioral Health Cell Phone Applications ... 47 4.2.4 High-Technology Treatment Modalities... 49 4.3 Unresolved Issues and Future Directions ... 57 5 Case Vignette ... 59 6 Further Reading... 64 7 References... 66 8 Appendices: Tools and Resources... 73