Collaborative Medicine Case Studies: Evidence in Practice

✍ Scribed by Rodger Kessler Ph.D, Dale Stafford M.D (auth.), Rodger Kessler Ph.D, Dale Stafford M.D (eds.)

• Publisher: Springer-Verlag New York
• Year: 2008
• Tongue: English
• Leaves: 428
• Edition: 1
• Category: Library

✦ Synopsis

Collaborative Medicine Case Studies

Evidence in Practice

Edited by Rodger Kessler and Dale Stafford, Berlin Family Health, Montpelier, Vermont and Department of Family Medicine University of Vermont College of Medicine

Just as the mind and body collaborate in maintaining one’s health, collaboration between primary and behavioral health care can bring patients more efficacious treatment and better long-term results, from better compliance with or less dependence on medication to more effective use of health care services.

Collaborative Medicine Case Studies shows physicians and mental health practitioners working together across a variety of settings to assess and treat entrenched illnesses, combined physical and psychological conditions (back pain/panic attacks, diabetes/bipolar disorder), and cases that defy straightforward diagnosis. At the same time, the cases reflect the economic and financial realities of contemporary health care.

The cases discussed generate creative solutions using different levels of collaboration depending on patient need and site variables, but all share important similarities: close communication, careful follow-up by physician and behavioral health collaborators, and patients who would not have been treated as effectively without collaborative care. Blending research evidence, clinical insight, welcome humor, and realistic optimism, these cases demonstrate impressive successes, instructive setbacks, and comparative viewpoints while shedding light on the logistical, financial, and training challenges of integrative practice.

A sampling of the three dozen cases:

• The head and the brain: migraines, orofacial pain, tinnitus.
• Comorbid PTSD and persistent pain.
• Individuals and couples with complex medical/emotional problems.
• Chronic illnesses: obesity, spina bifida, cardiovascular disease.
• A Hmong woman’s post-immigration depression.
• A physician with anorexia
• Burn patients who keep coming back without treatment success.

Collaborative Medicine Case Studies is a blueprint for a vanguard in care, not only for physicians and psychologists but also for professionals and graduate students in health psychology and health care administration and finance.

✦ Table of Contents

Front Matter....Pages i-xix
Introduction....Pages 3-8
Primary Care Is the De Facto Mental Health System....Pages 9-21
Planning Care in the Clinical, Operational, and Financial Worlds....Pages 25-38
How I Learned About Integrated Care by Failing Miserably: The Deadly Sins of Integration....Pages 39-50
Tailoring Collaborative Care to Fit the Need: Two Contrasting Case Studies....Pages 51-57
Managing Chronic Pain Through Collaborative Care: Two Patients, Two Programs, Two Dramatically Different Outcomes....Pages 59-70
Integrating Mental Health Services into Primary Care: The Hamilton FHT Mental Health Program....Pages 71-82
The Primary Care Behavioral Health Model: Applications to Prevention, Acute Care and Chronic Condition Management....Pages 85-95
A Collaborative Approach to Somatization....Pages 97-104
Improved Health Status and Decreased Utilization of an Anxious Phobic Man....Pages 105-113
The Train Wreck: Assessment and Management of a Complex Medical Patient....Pages 115-125
Collaborative Medical and Behavioral Health Treatment of Patients with Migraine Headache....Pages 127-141
Collaborative Care for an Immigrant Couple....Pages 143-152
Assessment and Management of Somatoform and Conversion Symptoms....Pages 153-166
Chronic Pelvic Pain: A Case for an Interdisciplinary Evaluation and Treatment Approach....Pages 169-175
Biobehavioral Management of Hot Flashes in a 48-Year-Old Breast Cancer Survivor....Pages 177-185
Preserving a Life and a Career: How a Partnership Between Medicine and Psychology Saved a Physician with Anorexia Nervosa....Pages 187-201
Collaborative Care to Heal Gender Relations Across Generations: A Couple of Trainees Watch a Couple of Experts Treat a Couple of Couples....Pages 203-213
The Complex Orofacial Pain Patient: A Case for Collaboration Between the Orofacial Pain Dentist and the Clinical Health Psychologist....Pages 217-254
Integrated Care in a Cardiac Rehabilitation Program: Benefits and Challenges....Pages 255-266
Collaborative Treatment in Behavioral Medicine: Treatment of a Young Single Mother with Psoriasis and Generalized Anxiety Disorder....Pages 267-273
Hypnotic Amplification–Attenuation Technique for Tinnitus Management....Pages 275-284
An Integrative Approach to Treating Obesity and Comorbid Medical Disorders....Pages 287-297
A Case of Medically Unexplained Chronic Cough....Pages 299-307
Walking the Tightrope Without a Net: Integrated Care for the Patient with Diabetes, Cardiovascular Disease, and Bipolar Disorder…and No Insurance....Pages 309-317
Healing Through Relationships: The Impact of Collaborative Care on a Patient with Spina Bifida....Pages 319-323
Overcoming Depression in a Strange Land: A Hmong Woman’s Journey in the World of Western Medicine....Pages 327-340
Seven Years in a Young Man’s Life: Collaborative Care in Rural Vermont....Pages 341-350
Bringing the Family into Focus: Collaborative Inpatient Psychiatric Care....Pages 351-363
Complexity and Collaboration....Pages 367-374
A Bad Situation Made Worse....Pages 375-386
Innovations in the Treatment of Comorbid Persistent Pain and Posttraumatic Stress Disorder....Pages 387-398
What Goes Up Must Come Down: The Complexity of Managing Chronic Pain and Bipolar Disorder....Pages 399-407
Pediatric Burns: They Are Not Always What They Appear....Pages 409-413
A Man with Chronic Back Pain and Panic Attacks: A Collaborative Multisystem Intervention....Pages 415-419
Summary....Pages 423-429
Back Matter....Pages 431-440

✦ Subjects

Health Psychology; Health Administration; Internal Medicine; General Practice / Family Medicine