5 minute read Most of us have some intuitive sense of consciousness as a state of awakeness or awareness of internal or external mileius (APA, n.d.). Yet the ‘hard problem’ of consciousness as proposed by Australian cognitive scientist, David Chalmers, remains intractable. That question is: What makes a physical state conscious rather than unconscious, and […]
5 minute read “Welcome to day one of your integrated care practicum. The first step you’ll take is to purchase two books and begin reading them right away. OK, let’s talk about Centricity!” Fall semester of 2009. I am a new student in the Medical Family Therapy doctoral program at East Carolina University (ECU). My […]
5 minute read It is curious that so many individuals are wary of artificial intelligence, given its widespread use. Most of us wouldn’t think twice about asking Siri for advice, yet ChatGPT is an entirely different story. Why do people feel perfectly comfortable keeping company with a virtual personal assistant, but not with a natural […]
5 minute read The behavioral health field is failing to fulfill one of its essential social roles. Our main function is to help people resolve behavioral health issues, but our longstanding inability to make care accessible diminishes our social value. This is an issue of equity. People should be able to access behavioral care as […]
3 minute read Having recently completed the coursework for a doctoral degree in behavioral health, I find myself reflecting on what that means, beyond any benefits to career advancement. Life is the greatest ocean of unknowns any of us will experience. We are thrust into it, unprepared except for the guidance of our parents, and […]
5 minute read Is the Healthcare System Ready? Our current integrated care models break down silos between physical and behavioral health, allowing for comprehensive screening, warm handoffs, care coordination, and streamlined referrals. Many patients, though, have unmet social, material, AND behavioral health needs. Here are some examples. • A 40-year-old man experiencing homelessness struggles to […]
5 minute read The following post will include some slight navel gazing and somewhat excessive contemplation of one particular license group. I hope the reader will indulge me. I am a licensed marriage and family therapist (LMFT). My doctoral training is in medical family therapy. I graduated from the same master’s program as my dad, […]
Original post available here. One day, while working as a clinical psychologist in a primary care practice, I was asked by the family doctor scheduled to meet that morning with Lisa, a 72-year-old woman with moderate dementia, to stop by and see her 75-year-old husband, Dennis, for counseling for possible depression. Within the hour, I […]
5 minute read A Provocative Question Recently, I attended a session on healthcare workforce development at the Arizona State of Reform conference in Phoenix. The State of Reform is a national organization that facilitates healthcare policy meetings across the country. This session focused on problems and opportunities related to healthcare workforce in Arizona. During the […]
5 minute read Most people wouldn’t think of CVS, Kroger, Walgreens, Walmart or Costco as their primary care home. Even fewer would consider these retailers as their behavioral health provider location. However, each of these retail giants is reaching for larger portions of the health care marketplace to supplement their core business. Consumers, frustrated […]
7 minute read The panel discussion took place on Thursday 19 October 2023 at the CFHA Annual Conference in Phoenix, Arizona. The following questions were given by the moderator, Sentari Minor (EvolvedMD). Other panelists included Pedro Cons (CEO, Adelante Healthcare), Gabriel Jaramillo (Vitalyst Foundation), and Crystal Heiligenthal (Physician Assistant, HonorHealth). I am including only my […]
3 minute read Bipolar Disorder is as difficult for the patient as it is a challenge for their family. Just when you believe everything is going well, you encounter a “bump in the road” and you are off in a different direction. You as the caregiver must understand that these changes in behavior are biological […]
3 minute read In the ongoing gun debate, one side sees guns as tools for self-defense, while the other sees them as instruments of harm. Both perspectives hold truths, but as gun-related incidents continue to rise, this discussion has reached a fevered pitch. Increasingly, mental illness is proposed as the root cause of gun violence […]
4 minute read In our first blog post on March 3rd, 2023, we reported on efforts by the Primary Care Behavioral Health Special Interest Group (PCBH SIG) to advance the understanding of screening and outcome measurement in demonstrating the value of the integrated model of service delivery. Since that time a Measurement-Based Care (MBC) workgroup […]
4 minute read When it comes to health insurance, we often forget about the importance of mental health coverage. But the reality is that accessing mental health services can be a daunting task. Limited coverage and difficulty reaching behavioral health care services can leave people feeling helpless and trapped in a cycle of poor mental […]
5 minute read Just when you think things are going well for you and your loved one, your partner enters a manic phase, and the rug is pulled out from underneath both of you; your worlds are upside down. An Unpredictable World As someone living with a significant other with bipolar, not only is it […]
5 minute read On July 13, 2023, Health Federation of Philadelphia (HFP) announced a new investment in integrated care by the Philadelphia Department of Behavioral Health and Intellectual Disability Services (DBHIDS), which will allow HFP to hire a Director of Behavioral Health Integration position. The new Director will be responsible for leading all training and […]
4 minute read Whole person care means that people have access to both physical and behavioral healthcare. Unfortunately, there is no parity for such treatments by payers here in the United States. Payers intentionally limit their coverage of behavioral healthcare. But now the Biden administration wants to see that change. Yesterday, the Biden administration proposed […]
