Journal of Clinical Psychology in Medical Settings

, Volume 25, Issue 3, pp 267–277 | Cite as

Leadership Perspectives on Integrating Psychologists into Specialty Care Clinics: An Evolving Paradigm

  • Marwan Abouljoud
  • Michael Ryan
  • Anne Eshelman
  • Kelly Bryce
  • Michelle T. JesseEmail author


Integration of health psychologists into specialty care is a shift in the tertiary care construct that addresses all aspects of a patient’s presentation, including psychiatric/social history, psychological well-being, and behavioral contributions to the disease process, assuring both optimal health outcomes and cost-effectiveness in a financially challenging healthcare environment. In this paper, we discuss leadership perspectives (physician and psychologists) on the factors involved in integrating a health psychologist into a busy tertiary care environment. Ultimately, we hope that this information provides a primer on how to frame a proposal for an integrated health psychologist emphasizing the elements important to senior medical leadership and administration. First, we briefly discuss the current payer framework, providing support for integration emphasizing costs and other metrics. Second, we introduce organizational structure models and strategies for integration. Lastly, we will discuss the unique skillset psychologists possess, and additional skills necessary, to be effective in the changing landscape of healthcare. We think this information is important both for leaders attempting to integrate a health psychologist into specialty care and for the early career health psychologist embarking on his/her first senior staff position.


Integrated health psychologist Tertiary care Specialty care Leadership perspectives 


Compliance with Ethical Standards

Conflict of interest

The authors Marwan Abouljoud, Michael Ryan, Anne Eshelman, Kelly Bryce, and Michelle T. Jesse declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human participants performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Transplant InstituteHenry Ford Health SystemDetroitUSA
  2. 2.Division of Transplant and Hepatobiliary Surgery, Department of SurgeryHenry Ford Health SystemDetroitUSA
  3. 3.Henry Ford Cancer InstituteHenry Ford Health SystemDetroitUSA
  4. 4.Psychosomatic Medicine, Behavioral HealthHenry Ford Health SystemDetroitUSA
  5. 5.Center for Health Policy & Health Services ResearchHenry Ford Health SystemDetroitUSA

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