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This chapter describes behavior change basics for primary care. Methods for changing behavior must engage patients challenged by medical and psychological problems and support the mission of primary care. The goal of primary care behavioral health services at the population level is flourishing. In positive psychology, flourishing includes five dimensions: positive emotions, engagement in life, healthy relationships, a strong sense of meaning, and a sense of accomplishment. People face many barriers to flourishing, including social determinants of health. The term experiential avoidance (from Focused Acceptance and Commitment Therapy, a contextual behavioral science) offers a conceptual framework for understanding human vulnerabilities that may hamper flourishing, particularly during stressful periods in life. The methods of functional assessment and functional intervention offer strategies for addressing these vulnerabilities, as well as an alternative to the focusing on symptoms of psychiatric disorders and symptom elimination. This chapter concludes with a checklist of recommended strategies for readers seeking a new perspective on behavior change in primary care. |
