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Anne C. Dobmeyer

Bio: Anne C. Dobmeyer is an academic researcher from Defense Health Agency. The author has contributed to research in topics: Primary Care Behavioral health & Health care. The author has an hindex of 9, co-authored 19 publications receiving 447 citations. Previous affiliations of Anne C. Dobmeyer include United States Public Health Service.

Papers
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Book
15 Jan 2009
TL;DR: This comprehensive book belongs on the bookshelf of a range of clinicians including psychologists and social workers, as well as family physicians, physician assistants, nurses, and health care educators.
Abstract: As many as 70 per cent of primary care visits in the United States are related to behavioral health needs. And many common medical problems seen in primary care involve poor health habits that may have initiated or exacerbated the symptoms, yet medical providers often lack the training or time to help patients manage these behaviors. The authors of this book draw on years of experience to provide practical information for behavioral care practitioners who wish to work effectively in this fast-paced setting.Interwoven through each chapter are practical tips for success and traps to avoid. The book includes a rich array of reproducible assessment questions, patient handouts, and sample scripts. All of these help the clinician condense the traditional 50-minute session into the 30-minute consultations typical of managed care. Each chapter addresses a single clinical topic or content area following the 5A's model of assessment and intervention: Assess, Advise, Agree, Assist and Arrange. Detailed guidance is provided for these common health problems: generalized anxiety disorder, panic disorder, posttraumatic stress disorder, depression, tobacco use, weight issues, sleep problems, diabetes, asthma, irritable bowel syndrome, cardiovascular disorders, pain disorders, sexual problems, and health anxiety. Special chapters cover cultural competency, special concerns for older adults, women's health, and 'health anxiety'.This comprehensive book belongs on the bookshelf of a range of clinicians including psychologists and social workers, as well as family physicians, physician assistants, nurses, and health care educators.

188 citations

Journal ArticleDOI
TL;DR: The article provides a description of the key components and strategies used in the model, the rationale for those strategies, a brief comparison of this model to other integration approaches, a focused summary of PCBH model outcomes, and an overview of common challenges to implementing the model.
Abstract: The Primary Care Behavioral Health (PCBH) model is a prominent approach to the integration of behavioral health services into primary care settings. Implementation of the PCBH model has grown over the past two decades, yet research and training efforts have been slowed by inconsistent terminology and lack of a concise, operationalized definition of the model and its key components. This article provides the first concise operationalized definition of the PCBH model, developed from examination of multiple published resources and consultation with nationally recognized PCBH model experts. The definition frames the model as a team-based approach to managing biopsychosocial issues that present in primary care, with the over-arching goal of improving primary care in general. The article provides a description of the key components and strategies used in the model, the rationale for those strategies, a brief comparison of this model to other integration approaches, a focused summary of PCBH model outcomes, and an overview of common challenges to implementing the model.

119 citations

Journal ArticleDOI
TL;DR: The results support the effectiveness of a collaborative model of mental health care for reducing symptoms in patients seen in a primary care setting and healthcare utilization in the short term was largely unaffected.
Abstract: Background: The effectiveness of a collaborative model of mental health treatment under conditions of routine care in a primary care setting has received limited evaluation. Potential effects include reduced symptoms and decreased healthcare utilization. Methods: The present study describes treatment outcome for 234 patients seen by a mental health professional in a primary care clinic using a collaborative model of care. Patients were seen for one session (n = 120), two sessions (n = 59), three sessions (n = 29), or four or more sessions (n = 26). Patients completed the Outcome Questionnaire-45 (OQ45) at every session. Results: OQ-45 total scores for patients seen for more than one appointment showed statistically significant reductions in psychological distress from first to last session for all groups. Pre-treatment health care utilization was unrelated to level of psychological distress at the first session. A comparison of health care utilization for the six month period before and after the first session showed a small but statistically significant increase in total number of medical visits. Conclusions: The results support the effectiveness of a collaborative model of mental health care for reducing symptoms in patients seen in a primary care setting. Patient’s overall healthcare utilization in the short term was largely unaffected.

33 citations

Journal ArticleDOI
TL;DR: The authors discuss the rationale for integrating mental health into primary care and the need for additional training programs at the predoctoral internship level and advocate for a relatively intensive training program to address these areas.
Abstract: This article describes a training program for primary behavioral health care (PBHC) for clinical psychology interns The authors discuss the rationale for integrating mental health into primary care and the need for additional training programs at the predoctoral internship level A review of relevant literature suggests that effective functioning in primary care requires competence in (a) generalist psychology, (b) health psychology, (c) interdisciplinary team functioning, and (d) skills specific to primary care The authors advocate for a relatively intensive training program to address these areas Common intern training difficulties observed during 3 years of program implementation are discussed Practical, lessons-learned recommendations that address these problem areas provide guidance for others seeking to develop a PBHC training program A growing body of literature recognizes the potential value of integrating behavioral health services into the primary care arena Researchers have found that approximately 60% of primary care visits involve some behavioral health need (Cummings, Cummings, & Johnson, 1997) Furthermore, epidemiological research suggests that although 28% of Americans in any given year meet diagnostic criteria for a mental disorder, half of these individuals do not receive any form of treatment Of those who are treated, approximately half receive specialized mental health treatment, whereas the remaining half receive services solely through their general medical providers (Narrow, Regier, Rae, Manderscheid, & Locke, 1993; Regier et al, 1993) Thus, the existing mental health system provides specialized, intensive services to a minority of individuals with behavioral health problems The rest receive treatment solely from their physician or receive no behavioral health services whatsoever Traditional models of mental health care cannot adequately provide services to the large numbers of individuals presenting to primary care clinics with a host of biopsychosocial problems Consequently, innovative service delivery models capable of providing more comprehensive behavioral health interventions to primary care populations have been developed (Blount, 1998;

32 citations

Journal ArticleDOI
TL;DR: Data demonstrated that there are many similarities between the VHA and USAF BHPs and practices, and many elements of the PCBH model were implemented in a manner consistent with the model, although some variability exists within both settings.
Abstract: The goals of this study were to identify characteristics of both behavioral health providers (BHPs) and the patients seen in a primary care behavioral health (PCBH) model of service delivery using prospective data obtained from BHPs. A secondary objective was to explore similarities and differences between these variables within the Veterans Health Administration (VHA) and United States Air Force (USAF) primary care clinics. A total of 159 VHA and 23 USAF BHPs, representing almost every state in the United States, completed the study, yielding data from 403 patient appointments. BHPs completed a web-based questionnaire that assessed BHP and setting characteristics, and a separate questionnaire after each patient seen on one day of clinical service. Data demonstrated that there are many similarities between the VHA and USAF BHPs and practices. Both systems tend to use well-trained psychologists as BHPs, had systems that support the BHP being in close proximity to the primary care providers, and have seamless operational elements (i.e., shared record, one waiting room, same-day appointments, and administrative support for BHPs). Comorbid anxiety and depression was the most common presenting problem in both systems, but overall rates were higher in VHA clinics, and patients were significantly more likely to meet diagnostic criteria for mental health conditions. This study provides the first systematic, prospective examination of BHPs and practices within a PCBH model of service delivery in two large health systems with well over 5 years of experience with behavioral health integration. Many elements of the PCBH model were implemented in a manner consistent with the model, although some variability exists within both settings. These data can help guide future implementation and training efforts.

31 citations


Cited by
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Book ChapterDOI
01 Jul 2013
TL;DR: In this article, the authors discuss conflicts between ethics and law, regulations, or other governing legal authority, and present an informal resolution of these conflicts. But they do not address the problem of unfair discrimination.
Abstract: 1. Resolving Ethical Issues 1.01 Misuse of Psychologists’ Work 1.02 Conflicts Between Ethics and Law, Regulations, or Other Governing Legal Authority 1.03 Conflicts Between Ethics and Organizational Demands 1.04 Informal Resolution of Ethical Violations 1.05 Reporting Ethical Violations 1.06 Cooperating With Ethics Committees 1.07 Improper Complaints 1.08 Unfair Discrimination Against Complainants and Respondents

1,310 citations

Journal ArticleDOI
TL;DR: Nonsusceptibility to first-line antibiotics is associated with decreased survival in GNBSIs and DTR is a simple bedside prognostic measure of treatment-limiting coresistance.
Abstract: Background Resistance to all first-line antibiotics necessitates the use of less effective or more toxic “reserve” agents Gram-negative bloodstream infections (GNBSIs) harboring such difficult-to-treat resistance (DTR) may have higher mortality than phenotypes that allow for ≥1 active first-line antibiotic

269 citations

Journal ArticleDOI
TL;DR: To meet the needs of the aging population, psychologists need to increase awareness of competencies for geropsychology practice and knowledge regarding dementia diagnosis, screening, and services and opportunities for psychological practice are anticipated to grow.
Abstract: Until relatively recently, most psychologists have had limited professional involvement with older adults. With the baby boomers starting to turn 65 years old in 2011, sheer numbers of older adults will continue to increase. About 1 in 5 older adults has a mental disorder, such as dementia. Their needs for mental and behavioral health services are not now adequately met, and the decade ahead will require an approximate doubling of the current level of psychologists' time with older adults. Public policy in the coming decade will face tensions between cost containment and facilitation of integrated models of care. Most older adults who access mental health services do so in primary care settings, where interdisciplinary, collaborative models of care have been found to be quite effective. To meet the needs of the aging population, psychologists need to increase awareness of competencies for geropsychology practice and knowledge regarding dementia diagnosis, screening, and services. Opportunities for psychological practice are anticipated to grow in primary care, dementia and family caregiving services, decision-making-capacity evaluation, and end-of-life care. Aging is an aspect of diversity that can be integrated into psychology education across levels of training. Policy advocacy for geropsychology clinical services, education, and research remains critical. Psychologists have much to offer an aging society.

187 citations

BookDOI
21 Apr 2017
TL;DR: In this article, Maruish et al. discuss the use of the Symptom Assessment-45 Questionnaire (SA-45) in primary care settings and the integration of behavioral health assessment with primary care services.
Abstract: 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.

164 citations