Primary Care Prescribing Psychologists in the Indian Health Service
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Some of the largest health care disparities are those related to services for American Indians and Alaska Natives (AI/ANs), who show significantly greater prevalence for diabetes, coronary heart disease, smoking, obesity, heavy alcohol use, depression, and PTSD than the general population. Given the recognition of the behavioral components of all of these conditions, the Indian Health Service, the federal agency responsible for providing comprehensive health care services to AI/ANs, has been focusing on increasing the integration of behavior health and primary care. One innovation has been to hire prescribing psychologists on primary care teams. This paper describes the role of a prescribing psychologist on three treatment teams at an IHS facility in Montana. Prescribing psychologists in the Indian Health Service can serve as valuable members of comprehensive care teams, providing exceptional wrap-around care for some of our most vulnerable and underserved citizens. This model could be an example of how a prescribing psychologist could contribute to primary care clinics in a variety of other settings.
- Barnes, P. M., Adams, P. F., & Powell-Griner, E. (2010). Health characteristics of the American Indian or Alaska Native adult population of the United States, 2004–2008. National health statistics reports, number 20. Washington, DC: US Department of Health and Human Services.
- Beals, J, Manson, SM, Whitesell, NR, Spicer, P, Novins, DK, Mitchell, CM (2005) Prevalence of DSM-IV disorders and attendant help-seeking in 2 American Indian reservation populations. Archives of General Psychiatry 62: pp. 99-108 CrossRef
- Centers for Disease Control and Prevention, HHS. (2009). WISQARS database. www.cdc.gov/injury/wisqars/index.html.
- Cunningham, PJ (2009) Beyond parity: Primary care physicians’ perspectives on access to mental health care. Health Affairs 28: pp. 490-501 CrossRef
- De Hert M., Correll C. U., Bobes J., Cetkovich-Bakmas M., Cohen D., Asai I., et al. (2011). Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry, 10, 52–77. www.ncbi.nlm.nih.gov/pubmed/21379357.
- Druss B. G. & Walker E. R (2011). Mental disorders and medical comorbidity. Robert Wood Johnson Foundation, Research synthesis report no. 21, February 2011. www.policysynthesis.org.
- Forlich, C, Jacobi, F, Wittchen, H (2006) DSM-IV pain disorder in the general population: An exploration of the structure and threshold of medically unexplained pain symptoms. European Archives of Psychiatry and Clinical Neuroscience 256: pp. 187-196 CrossRef
- Gatchel, R. J., & Oordt, M. S. (2003). Clinical health psychology and primary care: Practice advice and clinical guidance for successful collaboration. Washington DC: American Psychological Association.
- Gonder-Frederick, LA, Cox, DJ, Ritterband, LM (2001) Diabetes and behavioral medicine. Journal of Consulting and Clinical Psychology 70: pp. 611-625 CrossRef
- Gone, JP, Trimble, JE (2012) American Indian and Alaska Native mental health: Diverse perspectives on enduring disparities. Annual Review of Clinical Psychology 8: pp. 131-160 CrossRef
- Holm, J. E., Vogeltanz-Holm, N., Poltavski, D., & McDonald, L. (2010). Assessing health status, behavioral risks, and health disparities in American Indians living on the northern plains of the U.S. Public Health Reports, 125, 68–78.
- Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2009). Integrated behavioral primary care: Step-by-step guidance for assessment and intervention. Washington DC: American Psychological Association.
- Indian Health Service. (2011a). IHS year 2011 profile, July 15. Rockville, MD: Indian Health Service. http://www.ihs.gov/PublicAffairs/IHSBrochure/Profile2011.asp.
- Indian Health Service. (2011b). Fiscal year 2012: Justification of estimates for appropriation committees, July 26. Rockville, MD: Indian Health Service. http://www.ihs.gov/nonmedicalprograms/budgetformulation/documents/FY%202012%20budget%20J.ustification.pdf.
- Katon, WJ, Lin, EH, Korff, M, Ciechanowski, P, Ludman, E, Young, B, McCulloch, D (2010) Collaborative care for patients with depression and chronic illnesses. New England Journal of Medicine 363: pp. 2611-2620 CrossRef
- Kessler, R, Stafford, D Primary care is the de facto mental health system. In: Kessler, R, Stafford, D eds. (2008) Collaborative medicine case studies: Evidence in practice. Springer, New York, pp. 9-21 CrossRef
- National Center for Health Statistics, DHHS. (2007). Health, United States, 2007, with Chartbook on trends in health of Americans (Table 61). www.cdc.gov/nchs/data/hus07.pdf.
- Olfson, M, Blanco, C, Linxu, L, Moreno, C, Laje, G (2006) National trends in the outpatient treatment of children and adolescents with antipsychotic drugs. Archives of General Psychiatry 63: pp. 679-685 CrossRef
- Surgeon General, HHS. (2001). Mental health: Culture, race, and ethnicity, a supplement to mental health: A report of the surgeon general. Washington, D.C.: Department of Health and Human Services. http://www.ncbi.nlm.nih.gov/books/NBK44242/.
- Thomas, KC, Ellis, AR, Konrad, TR, Holzer, CE, Morrissey, JP (2009) County-level estimates of mental health professional shortages in the United States. Psychiatric Services 60: pp. 1323-1328 CrossRef
- Vogel, M. E., Kirkpatrick, H. A., Collings, A. S., Cederna-Meko, C. L., & Grey, M. J. (2012). Integrated care: Maturing the relationship between psychology and primary care. Professional Psychology: Research and Practice, 43, 271–280.
- Williams, MM, Clouse, RE, Lustman, P (2006) Treating depression to prevent diabetes and its complications: Understanding depression as a medical risk factor. Clinical Diabetes 24: pp. 79-86 CrossRef
- Primary Care Prescribing Psychologists in the Indian Health Service
Journal of Clinical Psychology in Medical Settings
Volume 19, Issue 4 , pp 441-445
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Prescribing psychologist
- Primary care
- Indian Health Service
- Behavioral health
- Integrated care