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 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 |