About the AuthorsJalie A. Tucker, PhD, MPH, is Professor and Chair of the Department of Health Behavior in the School of Public Health at the University of Alabama at Birmingham (UAB) and directs the UAB Addictive Behaviors and Health Studies group. She earned a doctorate in clinical psychology in 1979 (Vanderbilt University) and an MPH in health care organization and policy in 1998 (UAB). Dr. Tucker's research interests include the behavioral economics of substance misuse, help-seeking, and behavior change, including how positive change occurs with and without clinical treatment. Dr. Tucker has authored or coauthored numerous journal articles and book chapters and has been a coeditor of two books, including Changing Additive Behavior: Bridging Clinical and Public Health Strategies (1999). She is a past president of the Division on Addictions (50) of the American Psychological Association (APA), a past member and chair of the APA Board of Professional Affairs, and a four-term APA Council of Representatives member.Diane M. Grimley, PhD, is Professor in the Department of Health Behavior in the School of Public Health at the University of Alabama at Birmingham. She earned a doctorate in health psychology in 1994 (University of Rhode Island). Dr. Grimley's research interests include STD/HIV and other reproductive health issues, multiple health risk behaviors, and theory-based, technology-delivered behavioral interventions. Dr. Grimley has authored or coauthored numerous journal articles and has served on the editorial board of AIDS and Behavior. She is currently on the editorial board of Sexually Transmitted Diseases and the American Journal of Health Behavior. She also serves on the Advisory Board of Public Health Reports, published by the American Schools of Public Health (ASPH).

1 Description1.1 TerminologyClinical and Public Health Practice Models - Population Impact of Practice Approaches - Developing an Intervention Spectrum1.2 Definitions1.3 EpidemiologyBehavioral Health Problems in the General Population - Behavioral Health Problems in Medical Patients - Economic Impact1.4 Course and Prognosis1.5 Differential Diagnosis1.6 Comorbidities1.7 Diagnostic Procedures and Documentation2 Theories and Models of Behavior Change in Behavioral Health Practice2.1 Psychological TheoriesExpectancy-Value Therories - Transtheroretical Model of Change2.2 Contextual TheoriesSocial-Ecological Model - Behavioral Economics2.3 Health Communication2.4 Theoretical Themes and Implications for Behavioral Health Change3 Diagnosis and Treatment Indications3.1 Finding Opportunities for Intervention Delivery3.2 Assessing Consumer Needs and Preferences3.3 Effective Screening3.4 Assessing Motivation and Readiness to ChangeFinding and Using Teachable Moments - Stage of Change - Temporal Dynamics of Motivation and Change - Self-Efficacy and Contextual Factors3.5 Moving From Screening and Assessment to Intervention4 Treatment4.1 Using Media and Technology to Extend the Scope of Practice4.2 Methods of TreatmentPrint Interventions - Interactive Voice Response (IVR) Systems - Other Behavioral Health Cell Phone Applications - High-Technology Treatment Modalities4.3 Unresolved Issues and Future Directions5 Case Vignette6 Further Reading7 References8 Appendices: Tools and Resources

Essential public health techniques to make psychological and behavioral health practices more effective.Many people in need of behavioral health measures or psychotherapy do not seek clinical care and are simply not being "reached" by current practices and services. This book shows psychologists how to integrate public health tools into psychological practice - and so better meet today's demands for effective and cost-effective therapeutic and preventive care.Readers learn about intervention approaches, how they work and for what populations, and how clinical treatment fits into such a scheme. The goal is to complement and expand current clinical and psychotherapeutic approaches, reaching more people in need with services that vary in scope and intensity based on their needs and preferences. This "integrated behavioral health care" approach maintains a degree of individualization while finding "teachable moments" for behavior change interventions, enhancing motivation for change, and making use of print, telephone, and computer dissemination strategies.This clearly structured book provides practice suggestions and examples for incorporating a public health approach into clinical work, as well as useful appendices to help expand these applications. It is both compelling reading for those already in clinical practice and an ideal text for courses on behavioral health problems and strategies to promote behavior change.