There remains a remarkable stigma over mental health. Counseling is profoundly personal and incredibly effective when the chemistry is right between patient and counsellor.
One of the neat things about health coaches is that they can offer mental health counselling but also practical advice on motivation, behavior change, diet and exercise in relation to chronic disease.
It;s a great combination that expands the usefulness of a behaviorist working hand in glove with the family physician.
Direct Primary Care has the Coalition. Integrating Primary Care and Behavioral Health has no lobby group, although NIH supports the concept.
Well the longer you’ve been around, the more you realize everyone needs therapy. But for those where the posture is too much, realize that life coaches approach therapy from a really practical perspective, rather than the stereotype of a navel gazing, pipe smoking “shrink.” Also for those whose counselling needs are not very acute, we can always stand to improve ourselves, be more effective in relationships, health habits and goal achievement.
Low income individuals are often uninsured or under-insured, on medicaid or bouncing on-and-off. Generational poverty, substance abuse, environmental deprivation are all contributors to a profound psychosocial malfunctioning.
These bad decisions we see and urge people to take responsibility for are often beyond the capacity of the more unfortunate. Teaching adaptive behaviors goes a long way to enabling personal responsibility. Combining medical care, prevention, care coordination, behavioral counselling and connecting to the rest of the community as a hub connects to the spokes of community services is a fantastic way to lift people out of generational dysfunction… one person at a time.
Integrating Primary Care and behavioral counselling has been talked about for ages, but the models are becoming more mature. We think co-locating and working hand-in-glove is the best model.