Monitor on Psychology - December 2011 - (Page 45)

educatIon leadershIp conFerence ‘new paradigm’ of A care A 12-year-old boy with stomach pains. A 50-yearold woman with fibromyalgia. A 40-year-old heart attack survivor who seems to run a meth lab. These aren’t the type of patients who usually show up in a psychologist’s office. But for those who work in community health centers, treating such patients — as well as those with standard mental health issues — is just part of a typical day’s work, said Dennis Freeman, PhD, chief executive officer of Cherokee Health Systems in Knoxville, Tenn. Freeman and others spoke about psychologists’ work as part of interdisciplinary teams at community health centers at APA’s 2011 Education Leadership Conference. In 1969, when Freeman began working in a community mental health center in Tennessee, such facilities played a key role in providing services to the underserved and training to psychologists. But today those roles are fading away, said Freeman, citing shifts in state and federal policies, budget reductions and waiting lists. Fortunately, “federally qualified health centers (FQHCs) are thriving,” he said. But while nearly three-quarters of FQHCs provide behavioral health services, only 112 of the 1,000-plus centers employ a psychologist and just 46 train psychologists. Cherokee is one that fulfills both missions. The organization, which began as a community mental health center, is now an FQHC as well, creating what Freeman “If we can really integrate behavioral health into primary care, that’s a game changer,” said Dr. Seiji Hayashi, chief medical officer in the Bureau of Primary Health Care at the U.S. Health resources and Services Administration. called “a hybrid safety net organization.” Behavioral health consultants — almost always psychologists — are an integral part of Cherokee’s primary-care teams and provide real-time assessments and brief interventions to address behavioral health issues related to asthma, diabetes, hypertension, mental disorders and other conditions. “This isn’t traditional psychotherapy co-located in a primary-care office,” Freeman emphasized. “It’s a new paradigm.” 45 DeceMber 2011 • Monitor on psychology

Table of Contents for the Digital Edition of Monitor on Psychology - December 2011

Monitor on Psychology - December 2011
President’s Column
From the CEO
Willpower Pioneer Wins $100,000 Grawemeyer Prize
Single-Sex Schooling Called Into Question by Prominent Researchers
Maternal Depression Stunts Childhood Growth, Research Suggests
For Boys, Sharing May Seem Like a Waste of Time
Good News for Postdoc Applicants
In Brief
Treatment Guideline Development Now Under Way
Government Relations Update
Psychologist Named Va Mental Health Chief
The Limits of Eyewitness Testimony
Judicial Notebook
Random Sample
Time Capsule
Deconstructing Suicide
A Focus on Interdisciplinarity
A Time of ‘Enormous Change’
The Science Behind Team Science
Good Science Requires Good Conflict
A New Paradigm of Care
Speaking of Education
Science Directions
New Labels, New Attitudes?
Psychologist Profile
Early Career Psychology
Unintended Consequences
Better Options for Troubled Teens
Saving Lives, One Organ at a Time
New Journal Editors
APA News
Division Spotlight
Guidelines for the Conduct of President-Elect Nominations and Elections
American Psychological Foundation

Monitor on Psychology - December 2011