© 2000 – Routledge
As managed care evolves, the movement toward the integration of behavioral healthcare services into primary medical practices has begun to gain momentum. Primary care providers, in general, are not professionally equipped to identify and monitor mental health and substance abuse problems. Thus, behavioral health care professionals have a new opportunity to make the skills and training they bring to primary care practitioners part of the solution of the health care crisis. Only recently has the value of the services they have been performing for decades and the need to make them available through formal programs been recognized.
Addressing opportunity, value, and need, this volume offers a comprehensive overview of the application of psychological screening and assessment instruments in primary care settings. It will be an indispensable reference for psychologists and trainees, as well as for primary care providers who may want to add to their professional armamentarium the techniques and instruments presented herein. The authors:
* provide a context for the use of psychological assessment instruments and consultation;
* discuss issues related to integrating psychological testing into primary care settings;
* describe in detail several brief, disease-specific, and general instruments that those practicing in an integrated delivery system should find useful;
* present three in-depth case studies of primary care organizations in which psychological assessment has been implemented; and
* take a look at how technology will likely affect and facilitate the use of psychological assessment instruments in primary care settings in the future.
Contents: M.E. Maruish, Preface. Part I:General Considerations. M.E. Maruish, Introduction. C.J. Peek, R. Heinrich, Integrating Behavioral Health and Primary Care. M. Evers-Szostak, Integration of Behavioral Health Care Services in Pediatric Primary Care Settings. L.R. Derogatis, L.L. Lynn, II, Screening and Monitoring Psychiatric Disorder in Primary Care Populations. C.L. Ofstead, D.S. Gorban, D.L. Lum, Integrating Behavioral Health Assessment With Primary Care Services. Part II:Assessment Instruments. S.R. Hahn, K. Kroenke, J.B.W. Williams, R.L. Spitzer, Evaluation of Mental Disorders With the PRIME-MD. G.R. Grissom, K.I. Howard, Directions and COMPASS-PC. J. Shedler, The Shedler QPD Panel (Quick PsychoDiagnostics Panel): A Psychiatric "Lab Test" for Primary Care. L.R. Derogatis, K.L. Savitz, The SCL-90-R and Brief Symptom Inventory (BSI) in Primary Care. M.E. Maruish, Applications of the Symptom Assessment-45 Questionnaire (SA-45) in Primary Care Settings. P.J. Brantley, S.K. Jeffries, Daily Stress Inventory (DSI) and Weekly Stress Inventory (WSI). P.J. Brantley. D.J. Mehan, Jr., J.L. Thomas, The Beck Depression Inventory (BDI) and the Center for Epidemiologic Studies Depression Scale (CES-D). K.A. Kobak, W.M. Reynolds, The Hamilton Depression Inventory. T.L. Kramer, G.R. Smith, Tools to Improve the Detection and Treatment of Depression in Primary Care. F. Scogin, N. Rohen, E. Bailey, Geriatric Depression Scale. R.J. Ferguson, Using the Beck Anxiety Inventory in Primary Care. L.J. Davis, Self-Administered Alcoholism Screening Test (SAAST). G.J. Demakis, M.G. Mercury, J.J. Sweet, Screening for Cognitive Impairments in Primary Care Settings. H.P. Wetzler, D.L. Lum, D.M. Bush, Using the SF-36 Health Survey in Primary Care. A. Murray, D.G. Safran, The Primary Care Assessment Survey: A Tool for Measuring, Monitoring, and Improving Primary Care. S.R. Hahn, The Difficult Doctor Patient Relationship Questionnaire. Part III:Primary and Behavioral Health Care Integration Projects. P. Robinson, K. Strosahl, Improving Care for a Primary Care Population: Depression as an Example. A. Beck, C. Nimmer, A Case Study: The Kaiser Permanente Integrated Care Project. L. Goldstein, B. Bershadsky, M.E. Maruish, The INOVA Primary Behavioral Health Care Pilot Project. Part IV:Future Directions. K.A. Kobak, J.C. Mundt, D.J. Katzelnick, Future Directions in Psychological Assessment and Treatment in Primary Care Settings.