Real Behavior Change in Primary Care

Robinson, P.J., Gould, D. A., & Strosahl, K.D. (2011)
Oakland, CA: New Harbinger

Reader Targets

Physicians, Nurse Practitioners, Physician Assistants, Nurses, Social Workers, Psychologists, Counselors, Family Therapists

Description

Real Behavior Change in Primary CareReal Behavior Change in Primary Care has two main goals. The book provides health care providers with (1) fast, effective tools for working with both routine and challenging patients, and (2) tools to treat their own frustrations that are leading to burnout at  increasingly alarming rates. The book offers a template for providers to use to apply principles of contextual behavioral science (in particular, Acceptance and Commitment Therapy or ACT) and a pocket guide to assist with quick identification of brief techniques tailored to fit the typically short primary care visit.

A few more details . . . This is a small book with three sections: Part one provides an overview of the contextual behavior change model, part two provides case examples that illustrate application of the model and related tools to patients with a variety of problems (depression, anxiety, chronic pain, diabetes, trauma, substance abuse), and part three introduces a primary care stress checklist and illustrates use of techniques for pursuing a meaningful and workable medical practice in a case example. As a supplement to the book, there are two bonus chapters (Angry Patients . . . and Soft Eyes: Connecting with the Help Rejecting Patient; I’m Okay. But, You Won’t Be for Long: Addressing Health Risk Behaviors) and downloadable copies of clinical practice tools used in the book.

» Free online materials are available here

» Click here for free online materials from Real Behavior Change in Primary Care

About My Co-Authors

My co-authors include Debra A. Gould, MD, MPH, and Kirk Strosahl, PhD. Deb is a practicing physician, researcher, and University of Washington Family Practice residency faculty member. Her many areas of expertise include assessing, preventing, and intervening with medical provider burnout. Kirk is a co-founder of Acceptance and Commitment Therapy and a pioneer in the movement to bring behavioral health services into primary care clinics. Drs. Gould and Strosahl work together at Central Washington Family Health Clinic in Yakima, Washington.

Acknowledgements / Awards / Review

Real Behavior Change in Primary Care was one of the first books to sell out at the 2011 Contextual Behavioral Science Conference in Parma, Italy.

Table of Contents

Part 1: A New Model for Addressing Psychological Problems

Chapter 1 Beyond Mind as a Machine
Chapter 2 How People Get Stuck
Chapter 3 Creating a Context for Change
Chapter 4 Takin’ It to the Streets: Real Behavior Change Tools

Part 2: Promoting Real Behavior Change in Patient Care

Chapter 5 The Struggle: Engaging Patients with Chronic Disease
Chapter 6 The Solution that Becomes the Problem: Intervening with Alcohol and Substance Abuse
Chapter 7 Doc, This Pain is Killing Me: Addressing Chronic Pain with Compassion
Chapter 8 A Fresh Approach to the Daily Duo: Anxiety and Depression
Chapter 9 Living in the Past, Dying in the Present: Trauma and Violence

Part 3: Applying Real Behavior Change Tools to Daily Practice

Chapter 10 Better and Faster: The Risk of Burnout
Chapter 11 Provider Wellness: Preventing Burnout and Improving Job Satisfaction

Appendixes (Also Available Online)

Appendix A Acceptance and Action Questionnaire – 2 (AAQ-2)
Appendix B Primary Care Provider Acceptance and Action Questionnaire (PCP-AAQ)
Appendix C Primary Care Provider Stress Checklist (PCP-SC)
Appendix D Three Ts and Workability Questions
Appendix E Love, Work, Play, and Health Questions
Appendix F Six Core Processes: Flexibility
Appendix G Core Process Assessment Tool (CPAT)
Appendix H Real Behavior Change Pocket Guide
Appendix I Bull’s-Eye Worksheet
Appendix J Provider Tool: Retirement Party Worksheet
Appendix K Provider Tool: Bull’s-Eye Professional and Personal Values
Appendix L Provider Tool: Assessment Burnout Prevention and Recovery Plan
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