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Emotional Dimensions of HealthcareDAV I D J . W O O D LO C KP R E S I D E N TW O O D LO C K & A S S O C I AT E SW O O D LO C K A S S O C I AT ES @ G M A I L . CO M9 1 7 - 2 4 4 - 4 221

https://www.emotionaldimensionsofhealthcare.com/

What is EDH?

Toxic stress is pervasive

Poverty – health disparities

College kids – 1950’s psychiatric inpatients

70% of primary care visits are for psychological and/or social issues

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What is EDH?

Despite innumerable efforts over many years, health disparities in many communities persist unabated.

The rates and persistence of chronic diseases are not only rising dramatically they are getting the better of us. Behavior is a major factor in chronic disease progression.

What is EDH?

Many innovative efforts to address this knowledge-behavior-chronic disease cycle have shown at best, minimal effectiveness.

This is NOT about more education.

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Compensatory Behaviors Work in the Short Run…

Despite overwhelming evidence and their own personal knowledge, people continue to engage in

behaviors that cause or contribute to their chronic diseases.

Drinking – Drugs – Smoking –Inadequate Sleep – Excessive

Caffeine – Excessive Carbohydrate Consumption – Sexually Risky

Behavior

University of Southern California economics professor Leandro Carvalho and colleagues

People with low-income were more “present-biased” after payday, worrying about the immediate more than the long-term effects of their decisions.

What is EDH?

Scarcity in one walk of life means we have less attention, ‘less mind,’

in the rest of life,” wrote Eldar Shafir and Sendhil Mullainathan,

Princeton and Harvard University professors who study behavioral

economics. They refer to scarcity as a “cognitive tax” that makes it hard for people to live healthy lives and make health-promoting choices.

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Primary Care

Emotional Dimensions of Health Across the Care Continuum

Health Promoting or

Health Interfering Behaviors

Primary Care

Emotional Dimensions of Health Across the Care Continuum

EDH Subset of SDOHLonelinessViolence

HomelessnessNegative Impact Social MediaHealth Promoting or

Health Interfering Behaviors

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Primary Care Behavioral Health

Emotional Dimensions of Health Across the Care Continuum

EDH Subset of SDOHLonelinessViolence

HomelessnessNegative Impact Social Media Chronic

Disease Management

Health Promoting or

Health Interfering Behaviors

Assess for Stress or HIB

Develop a Structured Coping Plan

HIB Daily Tracking Tool

Teach Adaptive Coping Strategies

Motivational Interviewing

EDH

EDH ToolsEDH Tools

Patient with Diabetes Meeting 

with PCP

Care as Usual

Does Screen Indicate Need for 

Action?

Is Chronic Disease 

Management Going Well?

Identify how stress or 

compensatory behavior 

interferring with their health?

What is PT doing to manage stress?

Identify specific 

compensatory behaviors and role they play for the PT

What is PT doing that is not supporting 

Chronic Disease 

Management

Talk wiith PT about options for building healthy 

compensatory behaviors which help 

them address stress AND promote health

Can the Stress or Health Promoting 

Compensatory Behavior be Addressed by the PCP

Care as UsualContinue to monitor/motivate.  

Try something new if not working

Refer Patient to EDH Partner

EDH Partner Engages PT, Assesses Stress and/or Health Interfering 

Compensatory Behaviors

EDH Partner and PT Develop Care Plan Using EDH Tools

Distress Tolerance 

Emotional Self Regulation Skills

Cognitive Reframing

Cognitive Behavioral Therapy

Harm Reduction Strategies

EDH Partner Monitors/Motivates

ReassessModify Plan as NeededCollaborate with PCP

Screen Regularly For Stress

(WMTY or Standard Screen)

NO

YES

YES

NO

YES

NO

Patient Engaged, Healthy Compensatory Behavior(s) Established

Chronic Disease Management Outcome Measures Improve

Emotional Dimensions of HealthcareRoadmap2019

© Woodlock & Associates

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East New York Health Hub

We’re in this together ‐Whichever door anyone comes in through, they can get 

their physical health needs, mental health needs, or substance abuse health needs, 

taken care of.

East New York health hub – a  collaboration between the  Institute for Community Living and Community Healthcare Network – aims to  combine services for physical and  mental  health issues with resources addressing issues such as  housing, jobs, and  food 

security.

https://www.emotionaldimensionsofhealthcare.com/

DAV I D J . W O O D LO C KP R E S I D E N TW O O D LO C K & A S S O C I AT E SW O O D LO C K A S S O C I AT ES @ G M A I L . CO M9 1 7 - 2 4 4 - 4 221