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Full-Text Articles in Psychology

A Program Evaluation Of Physician Medical Clinic’S Approach To Chronic Pain, William Summers May 2019

A Program Evaluation Of Physician Medical Clinic’S Approach To Chronic Pain, William Summers

Doctor of Psychology (PsyD)

Chronic pain costs up to $635 billion dollars annually and impacts 25.3 million adult U.S. citizens (Nahin, 2015). Treatment options have typically included opioid medications, which potentially causes harm with long-term use and has contributed to an epidemic of opioid misuse. Treatment has expanded beyond monotherapy to include holistic approaches to health, such as occupational therapy and mental health therapy. The present study sought to evaluate the effectiveness of group therapy as it is conducted in a rural Oregon clinic using the Quadruple Aim to measure treatment outcomes (Bodenheimer, & Sinsky, 2014). Participants diagnosed with chronic pain and placed on …


Behavioral Health Consultants In Rural Integrated Healthcare: A Systematic Replication And Program Evaluation, Laurie M. Meguro Sep 2018

Behavioral Health Consultants In Rural Integrated Healthcare: A Systematic Replication And Program Evaluation, Laurie M. Meguro

Doctor of Psychology (PsyD)

As the healthcare demand in the United States increases, the strain on available healthcare resources becomes more evident, marked by limited access to services and physician shortages. To meet growing patient demands, the Primary Care Behavioral Health (PCBH) model focuses on improving clinical outcomes, fiscal expenses, patient satisfaction, and provider satisfaction in primary care settings through the integration of behavioral health consultants (BHCs; Sandoval, Bell, Khatri, & Robinson, 2018). The present study was a systematic replication of a previously conducted program evaluation examining the impact of BHC services within a primary care practice in a rural Oregon county, focusing on …


Treating Chronic Pain At A Federally Qualified Health Center: Staff Perspectives, Nathan K. Goins May 2016

Treating Chronic Pain At A Federally Qualified Health Center: Staff Perspectives, Nathan K. Goins

Doctor of Psychology (PsyD)

Although half of all patients with chronic pain seek treatment with their primary care practitioner, many physicians report being overburdened, with limited confidence in their training in the treatment of chronic pain. Opiate monotherapy remains the most common treatment utilized, despite strong correlations with addiction issues and increased distrust between patients and providers. In response to these issues, multidisciplinary stepped-care approaches utilizing psychoeducation, cognitive therapies, movement-based therapy, pharmaceutical treatment, yoga, and acupuncture have been developed. However, treatment within Federally Qualified Health Centers (FQHC) are complicated by financial constraints and high complexity in patient populations. This study examined the perspectives of …


Depression And Spiritual Predictors Of Wellness In Family Caregivers Of Individuals With Alzheimer’S Disease, Christine Green May 2015

Depression And Spiritual Predictors Of Wellness In Family Caregivers Of Individuals With Alzheimer’S Disease, Christine Green

Doctor of Psychology (PsyD)

This study investigated the role of spirituality in family caregivers of individuals with Alzheimer’s disease as a means of lessening the development of depressive symptomology arising through caregiver burden. For this study, there were 41 caregiver participants taking care of a family member with Alzheimer’s disease. The population was obtained through various divisions of the Alzheimer’s Association of the United States of America. Participants completed a basic demographic survey, the General Well-Being Schedule, the Patient Health Questionnaire- 9, and the Spiritual Experience Index. Two groups, religious and non-religious, had their mental health functioning compared. Results from the 41 surveys suggest …