Primary care
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Mental health and primary care delivery systems have evolved to operate differently. For example, attention to multiple medical issues, health maintenance, and structured diagnostic procedures are standard elements of primary care rarely incorporated into mental health care. ⋯ Advances in treatments for mental health disorders and increased knowledge of the integral link between mental health and physical health encourage mental health disorder treatment in primary care settings, which reach the most patients. Effective integration of mental health care into primary care requires systematic and pragmatic change that builds on the strengths of both mental health and primary care.
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Unhealthy behaviors lead to significant preventable morbidity and mortality in the United States. Primary care providers are in a unique position to address these issues with patients. Despite the importance and opportunity for health behavior counseling in primary care, reported rates are low. This article presents a practical model for health behavior counseling in everyday clinical practice.