Behavioral Approaches to Chronic Disease in Adolescence: A Guide to Integrative Care

Springer Science & Business Media
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Adolescence is typically fraught with problems, even under optimal conditions. And when chronic illness is added to the picture, medical and related social issues can complicate, and even disrupt, the course of development. The first text geared toward the integrated care setting, Behavioral Approaches to Chronic Disease in Adolescence offers clinicians an evidence-based guide to helping their young clients manage their chronic conditions and treating the psychosocial effects—from school problems and stigma to noncompliance and depression—that frequently follow diagnosis. Expert contributors present up-to-date information on epidemiology, symptoms, comorbid psychosocial problems, and treatment options for a variety of common illnesses, arranged to foster effective interventions for adolescents and efficient collaboration with other care providers in the team. Coverage is comprehensive, authoritative, and accessible, ensuring best practice while respecting each client’s individuality: Empirically-based treatment guidelines for illnesses commonly found in youth, including Type 1 and 2 diabetes, asthma, cancer, obesity, and chronic pain. Overview of the physiology of adolescence, particularly as it may be affected by medical conditions, and of adolescent brain development. Latest findings on the role of families in teens’ adjustment to illness and treatment. Cultural considerations affecting ethnically diverse clients and their families. Detailed discussions of ethical issues relevant to treating chronically ill young people, and of controversies involving pharmacotherapy with this population. Chapters contain useful handouts for clinicians and clients. Taking Care of the Practitioner” chapter with helpful strategies for avoiding burnout. Its emphasis on specific practical information makes Behavioral Approaches to Chronic Disease in Adolescence a “go-to” reference for health psychologists, child and adolescent mental health practitioners, pediatricians and family practitioners, and clinical social workers.
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About the author

William T. O’Donohue, Ph.D. is Professor in the Department of Psychology and Adjunct Professor in the Department of Psychiatry at the University of Nevada, Reno. From 1999 through 2005 he was Nicholas Cummings Professor of Organized Behavioral Healthcare Delivery at the same institution. In addition, he is Director of the Victims of Crimes Treatment Center and the Sexual Assault Prevention and Counseling Services at University of Nevada, Reno. He is a member of the Association for the Advancement of Behavior Therapy and since 1999 has served on the Advisory Board of the Cambridge Center for Behavioral Studies. His areas of specialization are mental health service delivery, forensic psychology, human sexuality (treatment of victims and offenders), management and administration, behavior therapy, and philosophy of psychology.
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Additional Information

Publisher
Springer Science & Business Media
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Published on
Jun 12, 2009
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Pages
341
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ISBN
9780387876870
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Language
English
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Genres
Medical / Family & General Practice
Medical / General
Medical / Practice Management & Reimbursement
Medical / Psychiatry / General
Psychology / Applied Psychology
Psychology / Developmental / Child
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Content Protection
This content is DRM protected.
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As fish must swim so must man drink and eat Titus Petronius Arbiter Examine thy customs of diet Francis Bacon For John eat & drank to drive away Loves pain But all he could do he grew thinner & thinner Tho he eat & drank as much as Ten men for dinner Some said he had a Wolf in his stomach day and night William Blake To paraphrase and cast in contemporary speech observations of the Gothic-era monk Bernard of Clairvaux, the eating disorders may be viewed as a corruption of the social process, a distortion of the body image, and a perversion of bodily processes. It is this multifactorial etiology that makes the diagnosis and treatment of dietary -disorders so difficult and frustrating. Because of social demands and a distorted (body) image, men and women have perverted the simple act of eating into always painful, sometimes tragic, and occasionally deadly outcomes. The eating disorders fall into three categories. There is obesity-the overconsumption of food, and its antithesis, anorexia-the act of vol untary starvation. In true Hegelian fashion, there follows the synthesis, bulimia-the voluntary purging of overconsumed amounts of food to produce an anorectic-like countenance. As the contributing authors em phasize in their chapters, these diseases are not unique to contemporary culture. Rather they are cultural artifacts, created by both men and women, since classical antiquity. The recognition of these diseases is dependent upon recognizing a disease actually exists: that there is a distortion of the eating process.
Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: 1) produce healthier patients; 2) produce medical savings; 3) produce higher patient satisfaction; 4) leverage the primary care physician’s time so that they can be more productive; and 5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President’s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.

Yet there are few resources to assist all those that are interested in moving toward integrated care. This has been a major impediment to more widespread adoption of integrated care. The two co-editors of this proposed volume have produced some of the key books in this area: Dr. James (along with co-editor Ray Folen) has recently produced The Primary Care Consultant which is a good resource that helps define the unfortunately usually misunderstood and neglected consultation liaison function of the integrated care behavioral provider. Dr. O’Donohue has co-written a book A Primer of Integrative Behavioral Care (Prometheus Press, in press) that is designed to serve as a general introduction to integrated case; as well as co-edited some more specific titles on medical cost offset, integrated care and substance abuse, and Behavioral Integrative Care (2005, Brunner Routledge). Please see our enclosed vitas for more information.

What these books fail to do is to provide very concrete practice guidelines and other associated practical tools for the practicing integrative care behavioral health professional. This book is designed to fill this important gap. All chapters will be designed to provide useful materials to understand this quite different mode of practice. None of the chapters will be academically oriented, although all information will be evidenced based. As such it will reach a wide audience and have no direct competitors. We believe because of the editors’ profile in this area, the excellent reputations of the chapter authors, and the practicality of this book it will sell very well.

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