Skip to main content
Top
Published in: Journal of Clinical Psychology in Medical Settings 1/2009

01-03-2009

Psychologists and Primary Care Physicians: A Training Model for Creating Collaborative Relationships

Authors: Daniel Bluestein, Barbara Ann Cubic

Published in: Journal of Clinical Psychology in Medical Settings | Issue 1/2009

Login to get access

Abstract

For over a decade insurance reform, changes in health care delivery, reimbursement policies, and managed care have increased pressure on psychologists to diversify beyond traditional practices. Despite the negative impact of failing to make a transformation, most psychologists have not modified their practice and most training programs do not prepare psychologists to provide integrated care. The current paper describes the importance of primary care and psychology partnering to create integrated care models and makes the case that such partnerships are not only beneficial to patients but to both professions. The paper concludes with a description of a training model that has been implemented at the institution of the authors that provides opportunities for psychologists to learn how to practice in primary care settings.
Literature
go back to reference Areán, P. A., Alvidrez, J., Barrera, A., Robinson, G. S., & Hicks, S. (2002). Would older medical patients use psychological services? The Gerontologist, 42, 392–398.PubMed Areán, P. A., Alvidrez, J., Barrera, A., Robinson, G. S., & Hicks, S. (2002). Would older medical patients use psychological services? The Gerontologist, 42, 392–398.PubMed
go back to reference Baicker, K., & Chandra, A. (2004). Medicare spending, the physician workforce, and beneficiaries’ quality of care. Health Affairs, Supplemental Web Exclusive, W184–197. Baicker, K., & Chandra, A. (2004). Medicare spending, the physician workforce, and beneficiaries’ quality of care. Health Affairs, Supplemental Web Exclusive, W184–197.
go back to reference Bartels, S. J., Coakley, E. H., Zubritsky, C., Ware, J. H., Miles, K. M., Areán, P. A., et al. (2004). Improving access to geriatric mental health services: A randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. American Journal of Psychiatry, 161, 1455–1462. doi:10.1176/appi.ajp.161.8.1455.PubMedCrossRef Bartels, S. J., Coakley, E. H., Zubritsky, C., Ware, J. H., Miles, K. M., Areán, P. A., et al. (2004). Improving access to geriatric mental health services: A randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. American Journal of Psychiatry, 161, 1455–1462. doi:10.​1176/​appi.​ajp.​161.​8.​1455.PubMedCrossRef
go back to reference Bucholtz, J. R., Matheny, S. C., Pugno, P. A., David, A., Bliss, E. B., & Korin, E. C. (2004). Task Force report 2. Report of the task force of medical education. Annals of Family Medicine, 2, S51–S64. doi:10.1370/afm.135.CrossRef Bucholtz, J. R., Matheny, S. C., Pugno, P. A., David, A., Bliss, E. B., & Korin, E. C. (2004). Task Force report 2. Report of the task force of medical education. Annals of Family Medicine, 2, S51–S64. doi:10.​1370/​afm.​135.CrossRef
go back to reference Cooley, S., Deitch, I., Harper, M. S., Hinrichsen, G., Lopez, M., & Molinari, V. (1998). What practitioners should know about working with older adults. Professional Psychology: Research and Practice, 29, 413–427. doi:10.1037/0735-7028.29.5.413.CrossRef Cooley, S., Deitch, I., Harper, M. S., Hinrichsen, G., Lopez, M., & Molinari, V. (1998). What practitioners should know about working with older adults. Professional Psychology: Research and Practice, 29, 413–427. doi:10.​1037/​0735-7028.​29.​5.​413.CrossRef
go back to reference deGruy, F. (1996). Mental health care in the primary care setting. In M. S. Donaldson, K. D. Yordy, K. N. Lohr, & N. A. Vanselow (Eds.), Primary care: America’s health in a new era. Washington, DC: Institute of Medicine. deGruy, F. (1996). Mental health care in the primary care setting. In M. S. Donaldson, K. D. Yordy, K. N. Lohr, & N. A. Vanselow (Eds.), Primary care: America’s health in a new era. Washington, DC: Institute of Medicine.
go back to reference Donaldson, M. S., Yordy, K. D., Lohr, K. N., & Vanselow, N. A. (Eds.). (1996). Primary care: America’s health in a new era. Washington, DC: National Academy Press. Donaldson, M. S., Yordy, K. D., Lohr, K. N., & Vanselow, N. A. (Eds.). (1996). Primary care: America’s health in a new era. Washington, DC: National Academy Press.
go back to reference Franks, P., & Fiscella, K. (1998). Primary care physicians and specialists as personal physicians. Health care expenditures and mortality experience. Journal of Family Practice, 47, 105–109.PubMed Franks, P., & Fiscella, K. (1998). Primary care physicians and specialists as personal physicians. Health care expenditures and mortality experience. Journal of Family Practice, 47, 105–109.PubMed
go back to reference Future of Family Medicine Project Leadership Committee. (2004). The future of family medicine. A collaborative project of the family medicine community. Annals of Family Medicine, 2, S3–S32. doi:10.1370/afm.130.CrossRef Future of Family Medicine Project Leadership Committee. (2004). The future of family medicine. A collaborative project of the family medicine community. Annals of Family Medicine, 2, S3–S32. doi:10.​1370/​afm.​130.CrossRef
go back to reference Graham, R., Roberts, R. G., Ostergaard, D. J., Kahn, N. B., Jr, Pungo, P. A., & Green, L. A. (2002). Family practice in the United States: A status report. JAMA, 288, 1097–1101.PubMedCrossRef Graham, R., Roberts, R. G., Ostergaard, D. J., Kahn, N. B., Jr, Pungo, P. A., & Green, L. A. (2002). Family practice in the United States: A status report. JAMA, 288, 1097–1101.PubMedCrossRef
go back to reference Greenfield, S., Rogers, W., Mangotich, M., Carney, M., & Tarlov, A. (1995). Outcome of patients with hypertension and non-insulin dependent diabetes mellitus treated by different systems and specialities: Results for the medical outcomes study. JAMA, 274, 1436–1444. doi:10.1001/jama.274.18.1436.PubMedCrossRef Greenfield, S., Rogers, W., Mangotich, M., Carney, M., & Tarlov, A. (1995). Outcome of patients with hypertension and non-insulin dependent diabetes mellitus treated by different systems and specialities: Results for the medical outcomes study. JAMA, 274, 1436–1444. doi:10.​1001/​jama.​274.​18.​1436.PubMedCrossRef
go back to reference Hedrick, S. C., Chaney, E. F., Felker, B., Liu, C., Hasenberg, N., Heagerty, P., et al. (2003). Effectiveness of collaborative care depression treatment in Veterans’ Affairs primary care. Journal of Internal Medicine, 18, 9–16. Hedrick, S. C., Chaney, E. F., Felker, B., Liu, C., Hasenberg, N., Heagerty, P., et al. (2003). Effectiveness of collaborative care depression treatment in Veterans’ Affairs primary care. Journal of Internal Medicine, 18, 9–16.
go back to reference Holleman, W. I., Bray, J. H., Davis, L., & Holleman, M. C. (2004). Innovative ways to address the mental health and medical needs of marginalized patients: Collaborations between family physicians, family therapists, and family psychologists. American Journal of Orthopsychiatry, 74, 242–252. doi:10.1037/0002-9432.74.3.242.PubMedCrossRef Holleman, W. I., Bray, J. H., Davis, L., & Holleman, M. C. (2004). Innovative ways to address the mental health and medical needs of marginalized patients: Collaborations between family physicians, family therapists, and family psychologists. American Journal of Orthopsychiatry, 74, 242–252. doi:10.​1037/​0002-9432.​74.​3.​242.PubMedCrossRef
go back to reference Katon, W., Russo, J., Von Korff, M., Lin, E., Simon, G., Bush, T., et al. (2002). Long-term effects of a collaborative care intervention in persistently depressed primary care patients. Journal of Geriatric Internal Medicine, 17, 741–748. doi:10.1046/j.1525-1497.2002.11051.x.CrossRef Katon, W., Russo, J., Von Korff, M., Lin, E., Simon, G., Bush, T., et al. (2002). Long-term effects of a collaborative care intervention in persistently depressed primary care patients. Journal of Geriatric Internal Medicine, 17, 741–748. doi:10.​1046/​j.​1525-1497.​2002.​11051.​x.CrossRef
go back to reference Katon, W., Von Korff, M., Lin, E., Simon, G., Walker, E., Unutzer, J., et al. (1999). Stepped collaborative care for primary care patients with persistent symptoms of depression: A randomized trial. Archives of General Psychiatry, 56, 1109–1115. doi:10.1001/archpsyc.56.12.1109.PubMedCrossRef Katon, W., Von Korff, M., Lin, E., Simon, G., Walker, E., Unutzer, J., et al. (1999). Stepped collaborative care for primary care patients with persistent symptoms of depression: A randomized trial. Archives of General Psychiatry, 56, 1109–1115. doi:10.​1001/​archpsyc.​56.​12.​1109.PubMedCrossRef
go back to reference Leventhal, G., Baker, J., Archer, R. P., Cubic, B. A., & Hudson, B. O. (2004). Federal funds to train clinical psychologists for work with underserved population: The Bureau of Health Professions Graduate Psychology Education grants program. Journal of Clinical Psychology in Medical Settings, 11, 109–117. doi:10.1023/B:JOCS.0000025722.32323.49.CrossRef Leventhal, G., Baker, J., Archer, R. P., Cubic, B. A., & Hudson, B. O. (2004). Federal funds to train clinical psychologists for work with underserved population: The Bureau of Health Professions Graduate Psychology Education grants program. Journal of Clinical Psychology in Medical Settings, 11, 109–117. doi:10.​1023/​B:​JOCS.​0000025722.​32323.​49.CrossRef
go back to reference Liu, C. F., Cedrick, S. C., Chaney, E. F., Heagerty, P., Felker, B., Hasenberg, N., et al. (2003). Cost effectiveness of collaborative care for depression in a primary care veteran population. Psychiatric Services (Washington, D.C.), 54, 698–704. doi:10.1176/appi.ps.54.5.698. Liu, C. F., Cedrick, S. C., Chaney, E. F., Heagerty, P., Felker, B., Hasenberg, N., et al. (2003). Cost effectiveness of collaborative care for depression in a primary care veteran population. Psychiatric Services (Washington, D.C.), 54, 698–704. doi:10.​1176/​appi.​ps.​54.​5.​698.
go back to reference National Center for Health Statistics. (2002). Ambulatory health care data: National Ambulatory Medical Care Survey (NAMCS). Hyattsville, MD: US Public Health Service. National Center for Health Statistics. (2002). Ambulatory health care data: National Ambulatory Medical Care Survey (NAMCS). Hyattsville, MD: US Public Health Service.
go back to reference Ogedegbe, G., Cassells, A. N., Robinson, C. M., DuHamel, K., Tobin, J. N., Sox, C. H., et al. (2005). Perceptions of barriers and facilitators of cancer early detection among low income minority women in community health centers. Journal of the National Medical Association, 97, 162–170.PubMed Ogedegbe, G., Cassells, A. N., Robinson, C. M., DuHamel, K., Tobin, J. N., Sox, C. H., et al. (2005). Perceptions of barriers and facilitators of cancer early detection among low income minority women in community health centers. Journal of the National Medical Association, 97, 162–170.PubMed
go back to reference Ostbye, T., Yarnall, K. S., Krause, K. M., Pollak, K. I., Gradison, M., & Michener, J. L. (2005). Is there time for management of patients with chronic diseases in primary care? American Journal of Family Medicine, 3, 209–214. doi:10.1370/afm.310.CrossRef Ostbye, T., Yarnall, K. S., Krause, K. M., Pollak, K. I., Gradison, M., & Michener, J. L. (2005). Is there time for management of patients with chronic diseases in primary care? American Journal of Family Medicine, 3, 209–214. doi:10.​1370/​afm.​310.CrossRef
go back to reference Pasco, T., & Smart, D. (2003). Physician characteristics and distribution in the United States 2003–2004 Edition. Chicago: American Medical Association Press. Pasco, T., & Smart, D. (2003). Physician characteristics and distribution in the United States 2003–2004 Edition. Chicago: American Medical Association Press.
go back to reference Phelps, R., Eisman, E. J., & Kohut, J. (1998). Psychological practice and managed care: Results of the CAPP practitioner survey. Research and Practice, 29, 31–36. Phelps, R., Eisman, E. J., & Kohut, J. (1998). Psychological practice and managed care: Results of the CAPP practitioner survey. Research and Practice, 29, 31–36.
go back to reference Rollman, B. L., Belnap, B. H., Mazumdar, S., Houck, P. R., Zhu, F., Gardner, W., et al. (2005). A randomized trial to improve the quality of treatment for panic and generalized anxiety disorders in primary care. Archives of General Psychiatry, 62, 1332–1341. doi:10.1001/archpsyc.62.12.1332.PubMedCrossRef Rollman, B. L., Belnap, B. H., Mazumdar, S., Houck, P. R., Zhu, F., Gardner, W., et al. (2005). A randomized trial to improve the quality of treatment for panic and generalized anxiety disorders in primary care. Archives of General Psychiatry, 62, 1332–1341. doi:10.​1001/​archpsyc.​62.​12.​1332.PubMedCrossRef
go back to reference Thom, D. H., & Campbell, B. (1997). Patient physician trust: An exploratory study. Journal of Family Practice, 11, 169–176. Thom, D. H., & Campbell, B. (1997). Patient physician trust: An exploratory study. Journal of Family Practice, 11, 169–176.
go back to reference Twilling, L. L., Sockell, M. E., & Sommers, L. S. (2000). Collaborative practice in primary care: Integrated training for psychologists and physicians. Professional Psychology, Research and Practice, 31, 685–691. doi:10.1037/0735-7028.31.6.685.CrossRef Twilling, L. L., Sockell, M. E., & Sommers, L. S. (2000). Collaborative practice in primary care: Integrated training for psychologists and physicians. Professional Psychology, Research and Practice, 31, 685–691. doi:10.​1037/​0735-7028.​31.​6.​685.CrossRef
go back to reference Unützer, J., Katon, W., Callahan, C. M., Williams, J. W., Hunkeler, E., Harpole, L., et al. (2002). Collaborative care management of late-life depression in the primary care setting: A randomized controlled trial. JAMA, 288, 2836–2845. doi:10.1001/jama.288.22.2836.PubMedCrossRef Unützer, J., Katon, W., Callahan, C. M., Williams, J. W., Hunkeler, E., Harpole, L., et al. (2002). Collaborative care management of late-life depression in the primary care setting: A randomized controlled trial. JAMA, 288, 2836–2845. doi:10.​1001/​jama.​288.​22.​2836.PubMedCrossRef
go back to reference Zeiss, A. M., & Karlin, B. E. (2008). Integrating mental health and primary care services in the Department of Veterans Affairs health care system. Journal of Clinical Psychology in Medical Settings, 15, 73–78. doi:10.1007/s10880-008-9100-4.PubMedCrossRef Zeiss, A. M., & Karlin, B. E. (2008). Integrating mental health and primary care services in the Department of Veterans Affairs health care system. Journal of Clinical Psychology in Medical Settings, 15, 73–78. doi:10.​1007/​s10880-008-9100-4.PubMedCrossRef
Metadata
Title
Psychologists and Primary Care Physicians: A Training Model for Creating Collaborative Relationships
Authors
Daniel Bluestein
Barbara Ann Cubic
Publication date
01-03-2009
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 1/2009
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-009-9156-9

Other articles of this Issue 1/2009

Journal of Clinical Psychology in Medical Settings 1/2009 Go to the issue