Provider Training: Recognizing the Relevance of Behavioral Medicine and the Importance of Behavioral Health Consultation and Referral

  • Ronald R. O’DonnellEmail author


The clinical case for behavioral medicine as a critical component of primary care integrated health is firmly established (Fisher et al., 2011). Behavioral conditions such as depression, anxiety and substance use disorder, stress and adjustment disorders, and lifestyle habits such as smoking, overeating, and lack of exercise all contribute to worse outcomes and higher costs for patients with chronic medical conditions (Kathol et al., 2005). Behavioral conditions such as depression, anxiety, substance-related disorders, and trauma are highly comorbid with NCDs, representing more than 40% of patients seen in primary care (Wang et al., 2007). Behavioral treatments such as the Diabetes Prevention Program for prediabetes (Diabetes Prevention Program Research Group, 2011), the Primary Care Behavioral Health (PCBH) for behavioral conditions (Robinson & Reiter, 2016), and the Collaborative Care Model (CCM) for comorbid medical and behavioral chronic conditions (Ratzliff, Unutzer, Katon, & Stephens, 2016) have proven effective in improving medical (e.g., blood sugar, blood pressure) and patient-reported behavioral (e.g., depression, anxiety) clinical outcomes.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.College of Health SolutionsArizona State UniversityPhoenixUSA

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