Behavioral Medicine
Depression
Depressive Disorder
Depressive Disorder, Major
Psychotherapy
Nondirective Therapy
Cognitive Therapy
A framework for assessing the effectiveness, efficiency, and equity of behavioral healthcare. (1/58)
OBJECTIVE: To evaluate the effectiveness, efficiency, and equity of behavioral healthcare and to guide an assessment of the current state of the art of behavioral health-oriented health services research. STUDY DESIGN: The framework is grounded in previous conceptual work by the authors in defining a prevention- and outcomes-oriented continuum of healthcare and in identifying and integrating the concepts and methods of health services research and policy analysis for assessing healthcare system performance. PATIENTS AND METHODS: The defining assumptions are that (1) the denominator for behavioral healthcare services must encompass a look at the population, not just the patients, who manifest behavioral health risks; and (2) the delivery system to address these needs must extend beyond acute, treatment-oriented services to include both primary prevention and aftercare services for chronic relapsing conditions. RESULTS: Current policy and practice in behavioral healthcare reveal the absence of a comprehensive, coordinated continuum of care; substantial variation in policy and financial incentives to encourage such development; and poorly defined or articulated outcome goals and objectives. The current state of the art of research in this area reflects considerable imprecision in conceptualizing and measuring the effectiveness, efficiency, and equity criteria. Further, these 3 criteria have not been examined together in evaluating system performance. CONCLUSIONS: The first era of behavioral healthcare focused on cost savings in managed care alternatives; the second is focusing on quality and outcomes; a third must consider the issues of equity and access to behavioral healthcare, especially for the most seriously ill and vulnerable, in an increasingly managed care-dominated public and private policy environment. (+info)Use of performance standards in behavioral health carve-out contracts among Fortune 500 firms. (2/58)
OBJECTIVE: To determine the prevalence and nature of performance standards in specialty managed behavioral healthcare contracts among Fortune 500 companies. STUDY DESIGN: This was a cross-sectional survey of all companies listed on the Fortune 500 during 1994, 1995, or both. METHODS: From April 1997 to May 1998 we conducted a mailed survey with phone follow-up. Of the 68% of firms that responded, over one third reported carve-out contracts. The survey focused on whether companies had behavioral health carve-out contracts with specialty vendors and characteristics of these contracts, including the use of performance standards. RESULTS: More than three quarters of the Fortune 500 companies reporting specialty behavioral healthcare contracts used at least one performance standard. Most common were administrative standards (70.2%) and customer service standards (69.4%). About half of the companies used quality standards, whereas only a third used provider-related standards. Most (58.8%) companies using performance standards also specified financial consequences. Larger Fortune 500 firms were significantly more likely to use performance standards. Risk contracts and contracts that included all covered employees were also more likely to include some categories of standards. CONCLUSIONS: Administrative and customer service standards may be most common because companies find it easier to specify those standards, especially compared with clinical quality measures. To the extent that employers want to obtain the most value from their behavioral healthcare purchasing, we expect that more will begin to adopt quality standards in their contracts, especially as performance measures become more refined. Reliance on accreditation, however, is an alternative approach for employers. (+info)Community effects on access to behavioral health care. (3/58)
OBJECTIVE: To explore the effects of community-level factors on access to any behavioral health care and specialty behavioral health care. DATA: Healthcare for Communities household survey data, merged to supplemental data from the 1990 Census Area Resource File, 1995 U.S. Census Bureau Small Area Estimates, and 1994 HMO enrollment data. STUDY DESIGN: We use a random intercept model to estimate the influences of community-level factors on access to any outpatient care, any behavioral health care conditional on having received outpatient care, and any specialty behavioral health care conditional on having received behavioral health care. DATA COLLECTION: HCC data were collected in 1997 from about 10,000 households nationwide but clustered in 60 sites. PRINCIPAL FINDINGS: Individuals in areas with greater HMO presence have better overall access to care, which in turn affects access to behavioral health care; individuals in poorer communities have less access to specialty care compared to individuals in wealthier communities. CONCLUSIONS: Our findings of lower access to specialty care among those in poor communities raises concerns about the appropriateness and quality of the behavioral health care they are receiving. More generally, the findings suggest the importance of considering the current status and expected evolution of HMO penetration and the income level in a community when devising health care policy. (+info)The role of behavioral and psychosocial science in reducing cancer morbidity and mortality. (4/58)
Behavioral and psychosocial science has the potential to contribute much to the overall effort to reduce cancer morbidity and mortality and to improve the quality of life for cancer patients and their families. However, for a variety of reasons, including a lack of sustained funding for research and training and a lack of confidence by some in the potential payoff for investments in the area, this potential has not only not been realized but also not been adequately explored. A special subcommittee of "The March" Research Task Force studied research in this area and issued a report making several recommendations for future funding for psychosocial and behavioral research in cancer. This article reports those recommendations and the reasons the committee supported them. (+info)Setting rates for Medicaid managed behavioral health care: lessons learned. (5/58)
This paper reviews Tennessee's experience setting, monitoring, and updating capitation rates for Medicaid managed behavioral health care, and draws lessons from those experiences for other states. Our review of assumptions about four components of Tennessee's rate-setting process--data, benefit design, savings expectations, and processes for monitoring and updating rates--suggests that the initial rate established by Tennessee was inadequate, and its inadequacy resulted primarily from the way available information was used to set the rate, rather than from the method of rate setting selected. Tennessee's experiences illustrate how difficult rate setting is and illuminate several key lessons about the rate-setting process. (+info)Managed behavioral health care: an instrument to characterize critical elements of public sector programs. (6/58)
OBJECTIVE: To develop an instrument to characterize public sector managed behavioral health care arrangements to capture key differences between managed and "unmanaged" care and among managed care arrangements. STUDY DESIGN: The instrument was developed by a multi-institutional group of collaborators with participation of an expert panel. Included are six domains predicted to have an impact on access, service utilization, costs, and quality. The domains are: characteristics of the managed care plan, enrolled population, benefit design, payment and risk arrangements, composition of provider networks, and accountability. Data are collected at three levels: managed care organization, subcontractor, and network of service providers. DATA COLLECTION METHODS: Data are collected through contract abstraction and key informant interviews. A multilevel coding scheme is used to organize the data into a matrix along key domains, which is then reviewed and verified by the key informants. PRINCIPAL FINDINGS: This instrument can usefully differentiate between and among Medicaid fee-for-service programs and Medicaid managed care plans along key domains of interest. Beyond documenting basic features of the plans and providing contextual information, these data will support the refinement and testing of hypotheses about the impact of public sector managed care on access, quality, costs, and outcomes of care. CONCLUSIONS: If managed behavioral health care research is to advance beyond simple case study comparisons, a well-conceptualized set of instruments is necessary. (+info)Health psychology: a new form of psychotherapy? (7/58)
Psychotherapy in its traditional form is being challenged due to managed care pressures. Psychotherapy using the model of health psychology can adapt well in a managed care environment. Differences between traditional psychotherapy and the psychotherapeutic approach of health psychology are discussed in this article, with a focus on an overview of health psychology and its applications to primary care, and the concept of single-session therapy. A case example of a sample treatment emphasizing the model of brief health psychology treatment is illustrated. (+info)Quality of life theory III. Maslow revisited. (8/58)
In 1962, Abraham Maslow published his book Towards a Psychology of Being, and established a theory of quality of life, which still is considered a consistent theory of quality of life. Maslow based his theory for development towards happiness and true being on the concept of human needs. He described his approach as an existentialistic psychology of self-actualization, based on personal growth. When we take more responsibility for our own life, we take more of the good qualities that we have into use, and we become more free, powerful, happy, and healthy. It seems that Maslow's concept of self-actualization can play an important role in modern medicine. As most chronic diseases often do not disappear in spite of the best biomedical treatments, it might be that the real change our patients have for betterment is understanding and living the noble path of personal development. The hidden potential for improving life really lies in helping the patient to acknowledge that his or her lust for life, his or her needs, and his or her wish to contribute, is really deep down in human existence one and the same. But you will only find this hidden meaning of life if you scrutinize your own life and existence closely enough, to come to know your innermost self. (+info)The exact cause of depressive disorder is not fully understood, but it is believed to involve a combination of genetic, environmental, and psychological factors. Some common risk factors for developing depressive disorder include:
* Family history of depression
* Traumatic events, such as abuse or loss
* Chronic stress
* Substance abuse
* Chronic illness or chronic pain
There are several different types of depressive disorders, including:
* Major depressive disorder (MDD): This is the most common type of depression, characterized by one or more major depressive episodes in a person's lifetime.
* Persistent depressive disorder (PDD): This type of depression is characterized by persistent, low-grade symptoms that last for two years or more.
* Bipolar disorder: This is a mood disorder that involves periods of both depression and mania or hypomania.
* Postpartum depression (PPD): This is a type of depression that occurs in women after childbirth.
* Severe depression: This is a severe and debilitating form of depression that can interfere with daily life and relationships.
Treatment for depressive disorder typically involves a combination of medication and therapy, such as antidepressant medications and cognitive-behavioral therapy (CBT). Other forms of therapy, such as psychodynamic therapy or interpersonal therapy, may also be effective. Lifestyle changes, such as regular exercise, healthy eating, and getting enough sleep, can also help manage symptoms.
It's important to seek professional help if you or someone you know is experiencing symptoms of depressive disorder. With proper treatment, many people are able to recover from depression and lead fulfilling lives.
The exact cause of MDD is not known, but it is believed to involve a combination of genetic, environmental, and psychological factors. Some risk factors for developing MDD include:
* Family history of depression or other mental health conditions
* History of trauma or stressful life events
* Chronic illness or chronic pain
* Substance abuse or addiction
* Personality traits such as low self-esteem or perfectionism
Symptoms of MDD can vary from person to person, but typically include:
* Persistent feelings of sadness, emptiness, or hopelessness
* Loss of interest in activities that were once enjoyed
* Changes in appetite or sleep patterns
* Fatigue or loss of energy
* Difficulty concentrating or making decisions
* Thoughts of death or suicide
MDD can be diagnosed by a mental health professional, such as a psychiatrist or psychologist, based on the symptoms and their duration. Treatment typically involves a combination of medication and therapy, and may include:
* Antidepressant medications to relieve symptoms of depression
* Psychotherapy, such as cognitive-behavioral therapy (CBT), to help identify and change negative thought patterns and behaviors
* Interpersonal therapy (IPT) to improve communication skills and relationships with others
* Other forms of therapy, such as mindfulness-based therapies or relaxation techniques
It is important to seek professional help if symptoms of depression are severe or persistent, as MDD can have a significant impact on daily life and can increase the risk of suicide. With appropriate treatment, however, many people with MDD are able to manage their symptoms and improve their quality of life.
Behavioral medicine
Translational Behavioral Medicine
Behavioral sleep medicine
Behavioral Medicine (journal)
Journal of Behavioral Medicine
Society of Behavioral Medicine
Annals of Behavioral Medicine
International Journal of Behavioral Medicine
President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research
Primary care behavioral health
Behavioral activation
Sleep hygiene
Memory and trauma
Locus of control
Smoking cessation
Dexter R. Voisin
Temporomandibular joint dysfunction
Vaginismus
Hegar dilators
Sexual violence in Finland
Ramani Durvasula
Amplification (psychology)
Start school later movement
Light therapy
Bedtime procrastination
Thomas Budzynski
Bedtime
Robert Kerns (academic)
Headshaking
Insomnia
Guineesine
Judith Vaitukaitis
Rural health clinic
Donald Kennedy
Flexibility (personality)
Mass shootings in the United States
Rehabilitation psychology
List of Hamilton College people
Childbirth
Elisabeth Binder
Karl Rosengren
Cushing's syndrome
Diseases of poverty
Andrew Wakefield
National Comprehensive Cancer Network
Language intensity
David D. Burns
Medieval cuisine
Yang Yongxin
Daniel J. Bauer
Migrant worker
Pre-Bötzinger complex
Zinc deficiency
Northeastern University Bouvé College of Health Sciences
Michael D. Cohen (academic)
Medicaid
Psychological stress and sleep
Multiple site entry technique
ELAN software
George P. Chrousos
Browsing Journal Articles by Subject "Behavioral Medicine"
Behavioral medicine. - NLM Catalog - NCBI
Full Article | Society of Behavioral Medicine (SBM)
Physical Activity and Behavioral Medicine by James F. Sallis (ebook)
Tim Moran, Ph.D., Professor of Psychiatry and Behavioral Sciences | Johns Hopkins Medicine
Department of Psychiatry and Behavioral Sciences | Department of Psychiatry and Behavioral Sciences | Stanford Medicine
GI Behavioral Appointments and Team | Michigan Medicine
Sitemap | PAH Outpatient Behavioral Health Clinic | Perelman School of Medicine at the University of Pennsylvania
NIH VideoCast - Applied Social and Behavioral Research in the Era of Genomic Medicine
Combination of behavioral therapy and varenicline for smokin... : Journal of Family Medicine and Primary Care
Developmental Behavioral Pediatrics Team - Stanford Medicine Children's Health
No Surprises Act | St. Louis Behavioral Medicine Institute
Kuhlman wins Academy of Behavioral Medicine Research Award | School of Social Ecology
Society of Behavioral Medicine (SBM) 2022 | National Institute on Drug Abuse (NIDA)
Psychiatry and Behavioral Health | Kirk Kerkorian School of Medicine at UNLV | University of Nevada, Las Vegas
Picture4 - The Behavioral Medicine Research and Training Foundation
Treating Subthreshold Depression in Primary Care: A Randomized Controlled Trial of Behavioral Activation With Mindfulness |...
Northwestern Medicine Behavioral Health Palos Heights | Northwestern Medicine
Neuro Psychology and Cognitive Behavioral Neurology Program - Keck Medicine of USC
Subjects: Behavioral Symptoms -- therapy - Digital Collections - National Library of Medicine Search Results
Behavioral Science | UAMS Department of Family and Preventive Medicine
Details for:
Behavioral medicine :
› WHO HQ Library catalog
Behavioral and Social Sciences and the HIV/AIDS Epidemic (Thirteenth Interim Report) - Digital Collections - National Library...
Altmetric - Encyclopedia of Behavioral Medicine
Society of Behavioral Sleep Medicine Blog
Behavioral Medicine Research Laboratory | Staff | Rachel Brenowitz
Family Medicine & Behavioral Health | NOCO Family Health
Behavioral Sleep Medicine Volume 20 Issue 5 | DeepDyve
Dog & Cat Sick Care Weddington | Internal & Behavioral Medicine
Psychiatry and Behavioral Sciences1
- The Department of Psychiatry and Behavioral Sciences of Stanford Medicine has a great tradition of fundamental science, translational and clinical research, subspecialty expertise, multidisciplinary education, and influential leadership. (stanford.edu)
Cognitive and behavioral1
- The Neuropsychology Program at Keck Medical Center of USC in Los Angeles addresses cognitive and behavioral changes. (keckmedicine.org)
Sciences3
- This award is intended to support schools of medicine and osteopathy at various stages of involvement in behavioral and social sciences curricula. (nih.gov)
- The programmatic priorities are set to ensure that a diverse set of schools are funded with regard to educational approach, size, and maturity of existing curriculum in the behavioral and social sciences. (nih.gov)
- The first objective of the Curriculum Development Award in Behavioral and Social Sciences in Medical Schools is the development of enhanced courses, curricula and education designed to increase medical students' knowledge and skills in the behavioral and social sciences related to health. (nih.gov)
Symptoms4
- Focuses of treatment include decreasing the intensity and frequency of GI symptoms, adjustment to living with a chronic medical condition, health behavior change including behavioral changes for sleep, and improving quality of life. (uofmhealth.org)
- Does Daylength Affect Sleep and Mental Health Symptoms during Behavioral Interventions for Insomnia? (sagepub.com)
- When pets show symptoms of behavioral difficulties, it is important to involve your veterinarian to help identify the cause and rule out any underlying medical issues. (weddingtonanimalhospital.com)
- The provider will decide which medicine is right, based on the person's symptoms and needs. (medlineplus.gov)
Laboratory1
- Smith, the director of the Behavioral Medicine Research Laboratory at Johns Hopkins University in Baltimore, is recruiting healthy adults to endure restless nights and painful stimuli. (medscape.com)
Neurology1
- Then in 2019, she began working at The Johns Hopkins School of Medicine in the Neurology/PM&R Division focusing primarily on stroke research. (hopkinsbmrl.com)
Insomnia2
- Objective This pilot trial aimed to provide evidence for whether the integration of a wearable device with digital behavioral therapy for insomnia (dBTi) improves treatment outcomes and engagement. (sagepub.com)
- The program includes remote exercise coaching and an automated 6-week course of digital cognitive-behavioral therapy for insomnia (CBT-I). Whibley's hypothesis is that addressing sleep disturbances will help patients stay engaged with the physical activity component of the program and help with pain management. (medscape.com)
Preventive Medicine1
- Preventive Medicine. (cdc.gov)
Developmental4
- Our Developmental-Behavioral Pediatrics care team members are certified by the American Board of Pediatrics in developmental behavioral pediatrics, and teach at the Stanford University School of Medicine . (stanfordchildrens.org)
- Heidi Feldman, MD, PhD , is the Developmental-Behavioral Pediatrics Service Chief and Medical Director. (stanfordchildrens.org)
- She is board certified in Developmental-Behavioral Pediatrics. (stanfordchildrens.org)
- David Ansel, MD, FAAP , is board certified in Developmental-Behavioral Pediatrics. (stanfordchildrens.org)
Professor2
- Kate Ryan Kuhlman , assistant professor of psychological science, has been selected to receive the Academy of Behavioral Medicine Early Stage Investigator Award for being an exceptional early career scientist. (uci.edu)
- Patients are "essentially living in this perpetually undesirable, at best, situation where both of these features are playing out in their lives," said Whibley, a research assistant professor of physical medicine and rehabilitation at the University of Michigan in Ann Arbor. (medscape.com)
Year's1
- This year's program committee, led by Dr. Eric Zhou, has prepared an incredible line up of invited speaker presentations, symposia, workshops, and poster presentations covering a variety of behavioral sleep medicine topics. (behavioralsleep.org)
Gastroenterology1
- Christina Jagielski, Ph.D., MPH , is a clinical health psychologist in the Division of Gastroenterology at Michigan Medicine. (uofmhealth.org)
Physical activity1
- To ensure equitable access to physical activity opportunities, the American College of Sports Medicine, among other researchers, has proposed to improve access to public parks and green spaces and to create built environments in close proximity to all but primarily vulnerable populations. (sbm.org)
Primary Care2
- Thought you might appreciate this item(s) I saw in Journal of Family Medicine and Primary Care. (lww.com)
- Our primary care providers are supported by a team of Behavioral Health/Substance Use, Care Coordination, and Chronic Disease specialists to support you in achieving wellness. (nocofamilyhealth.org)
Disorders1
- Animals are prone to behavioral issues such as separation anxiety, obsessive disorders, and excessive excitability. (weddingtonanimalhospital.com)
Clinical2
- Megan Riehl, Psy.D., AGAF, is the Clinical Program Director of the Michigan Medicine GI Behavioral Health Program. (uofmhealth.org)
- I encourage you to take part in these conferences as they provide unique opportunities for learning about cutting edge science, clinical practice, and advocacy in behavioral sleep medicine. (behavioralsleep.org)
School of Medic3
- Welcome to the Department of Psychiatry and Behavioral Health at the Kirk Kerkorian School of Medicine at UNLV. (unlv.edu)
- The Kirk Kerkorian School of Medicine at UNLV Department of Psychiatry and Behavioral Health encompasses hospital and clinic-based mental health services and educational programs in psychiatry, child and adolescent psychiatry, forensic psychiatry, and couple and family therapy. (unlv.edu)
- Eligible institutions include those that have a domestic school of medicine or osteopathy. (nih.gov)
Center3
- To schedule an appointment with a Michigan Medicine gastroenterologist or for existing patients who need to reschedule or cancel an appointment, call the GI Call Center at 1-888-229-7408. (uofmhealth.org)
- Behavioral health staff offer behavioral health services at NCFHC's main campus in Watertown and at its Health and Wellness Center on the campus of Jefferson Community College. (nocofamilyhealth.org)
- Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health. (nih.gov)
Veterinary medicine1
- Internal medicine is a large proponent of sick care in veterinary medicine. (weddingtonanimalhospital.com)
Expertise1
- The principal investigator should possess the research and training expertise, and leadership and administrative capabilities required to develop, and implement or enhance a curriculum of behavioral and social science for use in medical schools. (nih.gov)
Approaches10
- Dr. Jagielski utilizes evidence-based treatment approaches for a range of gastrointestinal conditions including cognitive behavioral therapy, relaxation training and gut-directed hypnosis. (uofmhealth.org)
- The SBSM through our COVID-19 task force, led by Dr. Chuck Crew has been at the forefront of promoting the importance of sleep as a foundational health behavior and providing key education regarding the behavioral approaches that can improve sleep and support healthy immune functioning and better coping with anxiety, stress, and depression. (behavioralsleep.org)
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Therapy7
- She uses evidence-based treatment modalities including cognitive behavioral therapy, acceptance and commitment therapy, and gut-directed relaxation. (uofmhealth.org)
- Combination of behavioral therapy and varenicline for smokin. (lww.com)
- His habit reduced to half in few days, and finally he completely quitted smoking with the help of behavioral therapy and pharmacotherapy. (lww.com)
- Erica Freeman, LCSW-R, is a certified EMDR Clinician and Consultant-in-Training and has taken the lead on introducing this therapy to other behavioral health staff at NCFHC. (nocofamilyhealth.org)
- Start medicine or talk therapy, or both. (medlineplus.gov)
- A common type of ADHD therapy is called behavioral therapy. (medlineplus.gov)
- For mild ADHD, behavioral therapy alone (without medicine) may be effective. (medlineplus.gov)
Department1
- As part of the UCLA Department of Family Medicine, CBAM works at the intersection of academia and community with a focus on treating addictions and preventing the spread of HIV. (uclacbam.org)
Research3
- Applied social and behavioral research in the era of genomic medicine / National Human Genome Research Institute. (nih.gov)
- Her research focuses on the role of stress during development in shaping trajectories of health and disease, as well as the modifiable psychological and behavioral factors that can be leveraged to mitigate disease risk and promote resilience. (uci.edu)
- This past year has also seen the Society of Behavioral Sleep Medicine's continued focus on the public health crisis that sleep health disparities represent and the urgent need for more research in that area as reflected in the establishment of our diversity and inclusivity committee lead by Dr. Fiona Barwick in collaboration with the Science and Research Committee. (behavioralsleep.org)
Disciplines1
- Your responses will help us to learn more about the provision of behavioral sleep medicine (Who is providing such services, what disciplines do they represent, and what settings are they practicing in? (behavioralsleep.org)
Hospital1
- Weddington Animal Hospital takes pride in our family-oriented medicine and vows to treat each of our patients like they are our own pet. (weddingtonanimalhospital.com)
Society2
- Summer is finally here, and the Society of Behavioral Sleep Medicine's 3rd annual scientific conference takes place in Nashville in just over two months - September 16th -19th! (behavioralsleep.org)
- Keep checking the Society of Behavioral Sleep Medicine website, behavioralsleep.org for the latest conference updates! (behavioralsleep.org)
Providers2
- Many insurance providers cover the cost of GI behavioral health services. (uofmhealth.org)
- At the beginning of my presidency, I established several work groups to address key issues facing our field and the SBSM, namely digital therapeutics, better understanding of behavioral sleep medicine providers, and societal position papers. (behavioralsleep.org)
Committee1
- Institute of Medicine (US) Committee on Health Insurance Status and Its Consequences. (cdc.gov)
Science1
- Our goal is for the SBSM to produce position papers that reflect current and cutting-edge topics in behavioral sleep science and practice. (behavioralsleep.org)
Program2
- At this time, adult patients (18 years and older) must be under the care of a Michigan Medicine gastroenterologist who would be happy to place a referral to the GI Behavioral Health Program. (uofmhealth.org)
- After being referred, a new patient in the GI Behavioral Health Program participates in a comprehensive consultation with a psychologist. (uofmhealth.org)
Medical1
- Northwestern Medicine Regional Medical Group psychiatrists and licensed mental health professionals deliver care for mental health and substance use conditions. (nm.org)
Issue1
- Occasionally, pets will begin to act abnormally due to a behavioral issue rather than a physical ailment. (weddingtonanimalhospital.com)