Abstract
All BHCs will face difficult moments both early on and after years of PCBH practice. These occur in interactions with PCPs, patients, and with the primary care system itself. Challenges with PCPs may involve problems getting referrals from PCPs who are inclined toward the biomedical perspective or from those who feel self-sufficient with providing psychosocial care. Challenging patient situations include psychiatric emergencies, requests for court-ordered care, and advocating for services from various organizations, managing patients who don’t improve, patients who are disruptive, and patients who want the BHC to procure certain types of help from the PCP. Systems challenges may include the subtleties of working well with colocated mental health departments and pressing forward with system transformation. In this chapter, each of these challenging situations is discussed in detail, along with suggested strategies for overcoming the challenges.
“But that’s the challenge—to change the system more than it changes you.”
Michael Pollan
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© 2016 Springer International Publishing Switzerland
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Robinson, P.J., Reiter, J.T. (2016). Challenging Moments: Provider, Patient, and System. In: Behavioral Consultation and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-13954-8_15
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DOI: https://doi.org/10.1007/978-3-319-13954-8_15
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-13953-1
Online ISBN: 978-3-319-13954-8
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