Updated September 23, 2024
3. Neuropsychological assessment and integrated report writing 4. Providing feedback of test results and recommendations to staff, patient, family 5. Behavioral assessment to identify factors associated with non-adherence to medical regimens, behavioral medicine problems (e.g., smoking, sleep, pain) 6. Assessment of caregiver stress 7. Capacity evaluations to inform team’s understanding of patient’s level of comprehension of his/her medical care or ability to manage their personal/financial matters
Treatment**
1. Provide effective individual psychotherapy for a variety of problems (e.g., depression, anxiety, PTSD, grief and loss, adjustment reactions, caregiver burden) 2. Provide intervention for such things as smoking cessation, insomnia, dietary control/weight loss, poor adherence to medical regimens, pain management 3. Work collaboratively with team members to enhance adherence to medical regimens 4. Provide intervention with caregivers to reduce emotional stress, enhance understanding of the patient’s strengths and limitations, communicate effectively with other care providers 5. Provide effective interventions with couples or families to relieve relationship difficulties and/or promote collaboration with HBPC team. **EBP’s are always encouraged if applicable and desired by the patient. However, due to the unique characteristics of the HBPC patient population, interns are more likely to be challenged to practice cultural sensitivity and to experience, firsthand, translating clinical research into clinical practice by having to adapt EBP protocols and/or creatively apply EBT techniques during psychotherapy or behavioral medicine interventions.
Team Functioning
1. Communicate effectively with members of the interdisciplinary treatment team, both during team meetings and with individual staff members, about patients’ mental health issues 2. Attend and actively participate in weekly patient care plan meetings: patient case review, presentation of patients from psychological perspective, incorporation of information presented by other team members and provide education and recommendations as necessary for identified patients 3. Assist team members in understanding psychological information and helping them enhance the effectiveness of their interventions with patients. 4. Present at least one in-service to the team 5. Identify and intervene appropriately in team process issues 6. Assist team members, as needed, in managing their own emotional responses and stress with respect to issues such as patients’ deaths, conflict with patients or their families. Cultural Competence Training: In HBPC, trainees will work with Veterans mostly from the WWII, Korea, and Vietnam War eras. Trainees on this rotation will become familiar with special considerations in working with older adults with complex chronic medical issues and with their families/social support network. Trainees will increase their awareness and sensitivity on how
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