10 minute read My husband, Fred Dowaliby, died of Parkinson’s Disease Dementia on Oct. 19, 2019 at the age of 77. Since his death, I have reflected on his journey of nearly a decade. Fred was an accomplished, talented man with a PhD. in educational psychology. As a researcher and statistician, he was known for […]
Choir Singing Taught Me How to Join an Integrated Care Team
7 minute read Healthcare today is a team activity. The rapid accumulation of specialized knowledge in healthcare has created a substantial need for partnerships between medical and mental health practitioners. Physicians, nurses, psychologists, pharmacists, and other health professionals must work together for patient-centered care to become a reality. These partnerships are best reflected in a […]
Behavioral Health Policy: Recent Congressional Meetings Signal a Focus on Healthcare Crises
Five minute read Most clinicians and managers are not involved in policy-making, a process often compared to sausage production. Yet, healthcare policy impacts all clinicians and other health professionals. Policy is essential for change at the highest levels in our society. Training programs, academic publications, and grant projects cannot hold a candle to the power […]
Charting a Better Approach to Rural Health Care: New Tools from AHRQ
3 minute read Integrated healthcare is most important for communities with limited access to medical and/or behavioral health services. By making those services available in one place and training a care team to collaborate, vulnerable patients are more likely to get the right treatment at the right time. According to a new report, integration makes […]
Toward High-Quality Primary Care: Bold Recommendations from a 2021 NASEM Report
3 minute read I am a little late to the game on this 2021 report from the National Academies of Sciences, Engineering, and Medicine. But my tardiness does not diminish the appeal of the ideas that jump off the 428-pages of this document. These ideas, if implemented, would terraform the primary care landscape. A reliable […]
Critical Investments in Behavioral Health and Crisis Care Services
2 minute read Government agencies are making large investments to make behavioral health and crisis care services more available to the public. Mental health treatment access is a major barrier for large parts of the United States, including my home state of Arizona, ranked near the bottom in treatment access. I will mention three recent […]
Can Artificial Intelligence Outperform the Human Brain?
2 minute read As the field of artificial intelligence advances, health care providers express concerns about whether computers will at some point outperform us. Although machine learning and particularly deep learning has produced some impressive achievements, the way that the human brain develops and acquires knowledge cannot at this point be replicated. This does not […]
Need Money for a Harm Reduction Approach? SAMHSA Wants Your Application
2 minute read New federal funding is available for organizations interested in creating new harm reduction programs for substance use or expanding existing ones. The size and focus of this funding is historic for the US. Eligible applicants are States; local, Tribal, and territorial governments; Tribal organizations; non-profit community-based organizations; and primary and behavioral health […]
Combating America’s Top-Killing Diseases: A Nutrition Solution
2 minute read Many Americans suffer from diseases that lead to a variety of health implications. Some of the top-killing diseases that Americans face include heart disease, hypertension, and type II diabetes.1 Health education on the importance of incorporating a healthy diet into their lifestyle helps with preventing and managing these chronic health problems. One […]
New Review on Couple and Family Interventions Pushes the Science Forward
2 minute read There has been little movement in the development of well-established couple and family interventions (in context of health) over the past 10 years, according to a 2021 article published by the Journal of Marital and Family Therapy. Although several interventions are approaching the level of being well-established, most have limited empirical support. […]
East Meets West: A Global Perspective on Healthcare Ethics
3 minute read Although there is consensus regarding importance of cultural competency in healthcare delivery (Hoge et al., 2014), our ethical framework is distinctly western. Beauchamp and Childress’ Principlism theory (2019), which forms the basis for this focuses on four concepts- respect for autonomy, beneficence, nonmaleficence and justice- all having cross-cultural relevance. However, the way […]
New Federal Health Workforce Strategic Plan: What does it mean for the integrated care field?
5 minute read The Department of Health and Human Services recently released their new health workforce strategic plan. There is a lot of good information here. I’ll share a few thoughts below. The plan is worth looking over and will undoubtedly inform future federal spending in workforce development. The new plan has four goals: expand […]
Are Mobile Phones the Newest Members of the Care Team?
3 minute read Mobile phones are ubiquitous, with data from GSMA Intelligence citing 5.27 billion unique mobile phone users around the world (Datareportal.com, 2021), and the number of users growing at a rate of 2.3% per year. This represents 66.9% of the population (Datareportal.com, 2021). According to a 2021 report by Statista, the United States […]
Research Review
If you’re looking for the hottest research, then swipe right here. This serial post covers several categories of research in integrated behavioral healthcare over the past 6-7 months. The top article on my list today is a report of strategies for integrating social care practices into primary care, an example of the expanding role of […]
Diseases and Deaths of Despair: The Great Divide
4 minute read It is no surprise that COVID-19 has wreaked havoc on the wellbeing of individuals and families. Overall stress and worry for all Americans increased from 47% in 2019 to 59% in 2020. Two in five individuals reported an adverse mental or behavioral health condition in June 2020 with many linking their symptoms […]
Evolving Roles for Behavioral Health in Precision Medicine
3 minute read There is no question that precision medicine, defined as the use of genetic, genomic, and epigenetic information to ‘personalize’ therapeutic strategies is creating unprecedented opportunities for improving health care delivery (Denny et al., 2021). As the cost of genomic sequencing decreases, the speed at which such technologies are transitioning from ‘bench-to-bedside’ has […]
Your Measurement System Analysis Results Are Now Ready
3 minute read Concentration is a scarce commodity in healthcare delivery. Although our systems are flush with data, we can only process a finite amount of information to make clinical decisions for engaging, treating, and monitoring patients in our catchment areas. We screen and triage patients as stewards of scarce resources using measures that we […]
The Beauty of Numbers: How Mathematics Drives Scientific Inquiry
2 minute read The Cambridge dictionary defines mathematics as a system for the study of numbers, shapes, and space (Cambridge.org, n.d.). While most of us conceptualize mathematics as a method for computing complex functions, the true beauty of numbers lies in their ability to transcend cultural and linguistic barriers. Simply put, mathematics is the universal […]

















