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Salus Populi

Link to Recent CollaboBlog Posts:
August 17, 2012
Mindful Ruminations of a Triathlon Tourist

I write this post in a minivan while driving from Boulder to Grand Junction after my first attempt to complete an Ironman 70.3 race. It includes my internal dialogue during the race, flashbacks, wisdom from the thumping music in the transition area, and announcements from the P.A. system. I hope to convey insights about collaborative care without being too explicit or corny....Click Here to Read More.

July 19, 2012
Build Your Cathedral

Long ago, there was a traveler who came upon three men working with stone. Curious as to their labors, the traveler approached the first worker and asked, "What are you doing with these stones?” Without halting, the worker responded, "I am a stonecutter and I am cutting stones.”

Not satisfied with this answer, the traveler approached the second and asked, "What are you doing with these stones?” The worker paused for a moment, wiped his brow, met the traveler’s eyes, and stated "I am a stonecutter and I am making money to support my family.”

Having two different answers to the same question, the traveler made his way to the third and asked, "What are you doing with these stones?” The worker thought, laid the chisel on the stone, engaged the traveler with his eyes and smile, and declared, "I am a stonecutter and I am building a cathedral that will bless my family, friends, and townsfolk for generations.”... Click Here to Read More.

June 25, 2012
The Big Books of Unhappiness

In his controversial work, Warning: Psychiatry may be Hazardous to Your Mental Health, William Glasser states: "A more accurate title for the DSM-4 would be the ‘Big Red Book of Unhappiness’”. In nowhere is this more evident than in collaborative care.

Each October the American Medical Association releases a new edition of Current Procedural Terminology. Because most insurances bill based on this book, it is highly influential in the maintenance of a fee-for-service system and in setting the fees for the services. A fee-for-service system based on CPT billing will always leave collaborative clinicians unhappy.

Why do we have no love for the DSM and CPT? Because, simply put, these volumes are endemic of why collaborative care has made little progress in the for-profit mainstream of healthcare. And, if left unchecked, a CPT and DSM approach to healthcare will eventually bankrupt the entire system... Click Here to Read More.

June 12, 2012
Five Questions with Larry Mauksch
  1. What experience in your professional or personal life was most influential in your development as a medical family therapist?
  2. What do you consider your most important contribution to the MedFT field?
  3. What does the field of MedFT most need to move into the mainstream of healthcare?
  4. Early career academics can feel intimidated in their attempts to promote family-based care within large university settings. What was your key to success within the University of Washington School of Medicine?
  5. Your kids are graduating from college and you seem to be re-adjusting the work/life balance toward "life". What else do you have planned for both work and life in the next decade?   Click Here to Read Larry's Responses.
May 10, 2012
Mother's Day Edition: The PHQ-9-Inch Circular Saw

This Sunday marks my tenth Mother’s Day married to the dynamic Ana Reitz. Thus, it is also the tenth anniversary of when I gave her a 9-inch circular saw as a Mother’s Day gift. Now, please save your maternalistic eye rolls for another blog post. She asked for the saw and even picked out the model for purchase... Click Here to Read More.
April 26, 2012
Narrative Means to Disastrous Ends

As a relative neophyte in family medicine education, I look back weeks, rather than years, to re-experience my foibles. A recent experience with my physician faculty colleagues is still poignant. My residency program director has tasked me with building a culture of introspection and feedback sharing among the faculty. Additionally, I have been introducing the physician faculty to the same therapy models that I teach residents. This led to a faculty development session during which I presented the basic concepts of narrative therapy to my colleagues

It was a complete disaster...Click here to read more.
March 29, 2012
Trauma History: ACE in the hole or Futile Fact?

Part 5 of the CFHA Blog "Point / Counter-Point" series, co-written with Leslie Lieberman.

At this point in my education I am not easily awed, much less shocked. Discovering the Adverse Childhood Experience research was a shock and awe campaign to my clinical sensibilities....Click here to read more.
March 16, 2012
A KISS to Make it Better: A Two-Step Model of Behavior Change

Part 3 of the CFHA Blog "Point / Counter-Point" series, co-written with Peter Fifield.

Click here to read more
March 8, 2012
Biopsychosocial Collaborative Care: Innocent Until Proven Guildy

Part 2 of the CFHA Blog "Point / Counter-Point" series, co-written with Elizabeth Horevitz.

Click here to read more

January 3, 2012
Real-Time MedFT Case Consultation: What Would You Do Next Week?

Natalia and Norberto* attended my clinic's diabetes group medical appointment for the first time. They are both immigrants from a Spanish-speaking country who reside in a small town in western Colorado. Natalia has very limited English ability and Norberto knows just enough English to speak for her and to correct the interpreter. Both of them are 5'3” tall. His BMI is 41; hers is 55. Both have diabetes, chronic pain, and numerous other chronic conditions that are caused by or exacerbated by their weights ....Click here to read more.
December 12, 2011
Growing MedFT and Growing Pains

I had the great fortune of having Wendy Watson as my doctoral chair at BYU. She and her Canadian colleagues formulated Systemic Belief Therapy. SBT was one of the first family therapy approaches specifically targeted to medical family therapy (although the Canadian nurse triumvirate just cringed at my MedFT reference)....Click here to read more.
November 18, 2011
Open Letter to a Student

Dear New Collaborator, I open this letter on an airplane flying westward across our fare land—from Philadelphia to Grand Junction. I’m leaving the CFHA conference where it was announced that CFHA had hired my successor as executive director, the fantastic Polly Kurtz. So, the mood of my flight from the bustle of the CFHA conference and back to my day job at the St Mary’s Family Medicine Residency is frankly nostalgic....Click here to read more.
September 1, 2011

The Collaborative Care Sorting Hat: Gryffindor or Slytherin?

A tangent to get us started. I'm one of the few people I know who is just getting started with Harry Potter. I read the first book about 7 years ago and loved it so much, that I knew that I would want to read the series with my, then, newborn daughter. We tried to start reading them during our bedtime reading when she turned 6, but even the more vanilla "Sorcerer Stone” proved too intense for her. About 7 months ago we tried again and it has since consumed much of our daddy/daughter time. We started out with her reading 1 paragraph per page and me picking up the rest. We're now starting Year 5 with a combination of shared and individual reading....Click here to read more.
June 30, 2011
CFHA: Heed the Prophet; Clinician: Corrupt Thyself

Like religions, academic fields are led by both prophets and administrators. Collaborative care’s prophet is undoubtedly CJ Peek. His prophetic bona fides include his Yoda-like gravitas, his universal devotion from our movement’s founders, his unmatched ability to distill arcane doctrines into teachable articles of faith, and his usage of language that is equally inspirational and apocalyptic....Click here to read more.
April 14, 2011
It's not compulsive if it's helpful, Right?

"OK, true confessions. When engaged to marry as an undergrad at Brigham Young University (at BYU you’re either married, engaged, or actively pursuing engagement) I took a course titled "preparation for marriage”. The class content was outstanding, and included a mixture of communication training, family-of-origin orienting, sexuality awareness raising, and expectation lowering....Click here to read more.
February 10, 2011
Family, Friends, and Faith

Nancy and Paul--Back in 1970, Paul and Nancy were a great young couple. Paul had just finished an accounting degree and an MBA at the University of Utah. Nancy taught piano and cut hair in their apartment living room while raising their 1 year old boy, Robert. Their second son, Randy, was born shortly after they moved from Salt Lake City to San Francisco to accept Paul’s first job as a CPA. Six months later Nancy was expecting again, but this child was born 3 months early and didn’t survive. Paul began to struggle with a skin condition on his right foot. The Doctor told him it was a fungus like athletes foot. In addition, within weeks Paul lost his job and the family returned to Salt Lake City to be closer to family....Click here to read more.
July 27, 2010
Collaboration Haiku

As the CFHA Conference in Louisville fast approaches, the collaborators of the world are abuzz with creative energy. What better way to channel that enthusiasm than by writing a short Japanese poem? You loved haiku in 4th grade, now that you've finished grad school, you are a Haiku MASTER....Click here to read more.

January 31, 2010
Collaboration in an EMR Environment

If you're reading this blog post, you probably already know that an EMR is an "Electronic Medical Record"--or a computer-based patient chart. Describing an EMR environment is a moving target because our current healthcare system boasts 400+ different EMRs and each brand is constantly upgrading with new components....Click here to read more.
November 24, 2009
Three Articles

Imagine, if you will, that you were transformed into Sandy Blount for a day. You are to teach a one-day "intro to collaborative care" seminar to physicians. Before the workshop you email the participating physicians 3 articles or book chapters to give them an overview of collaborative care and to build enthusiasm for the seminar. Which 3 publications would you choose, and why? Out of the box answers are encouraged....Click here to read more.
October 9, 2009
Promotion of Community Collaboration through the Creation of a White Paper

Mesa County, Colorado is a unique healthcare community. We benefit from an investment of $1 million donated from the local physician's group with $1.5 million offered by the local health insurance company that self-started a regional health information organization (RHIO). This technical collaboration unites the health records of our entire community....Click here to read more.
September 9, 2009
Thank You Mentor, Thank You Collaborator

Some names in our field naturally go together: Mac Baird and Bill Doherty, Donald Bloch and Nathan Ackerman, Susan McDaniel and Thomas Campbell. By its name and nature, collaborative care is a team sport. Without our collaborators, integrated care services are as effective as one hand clapping....Click here to read more.
August 31, 2009
Collaborative Care Needs a Theme Song

Music amplifies and animates our experience. Who can think of Rocky without hearing the theme song Gonna Fly Now? Tom Cruise and Kelly McGillis’ horizontal silhouettes from Top Gun will forever excite my mind with Take My Breathe Away beat-beating in the background. An Irish rock band provided healing to my American heart after 9/11....Click here to read more.
Salus Populi Suprema Lex Esto--Let the Health of the People Be the Highest Law
This blog brings together Randall Reitz's abstractions
on the cultural-context of collaboration,

including family, religion, and politics.

Randall Reitz PhD is the Director of Social Media of CFHA and
The Behavioral Science Faculty of St. Mary's FMR in Grand Junction, CO.
Follow him on twitter at @ReitzRandall.

Blog Disclaimer

The view expressed in the blogs and comments should be understood as the personal opinions of the author and do not necessarily reflect the opinions and views of the Collaborative Family Healthcare Association (CFHA). No information on this blog will be understood as official. CFHA offers this blog site for individuals to express their personal and professional opinions regarding their own independent activities and interests.

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CFHA is a member-based, 501(c)(3) non-profit organization dedicated to making integrated behavioral and physical health the standard of care nationally. CFHA achieves this by organizing the integrated care community, providing expert technical assistance and producing educational content.