Psychosomatic in the USA: A Systemic Biopsychosocial Approach in Practice

This chapter describes the real-life implementation of two current innovations based on biopsychosocial, systemic theory at the University of Rochester. The first is an evidence-based approach to training child and adolescent psychiatry fellows and family medicine residents—the Biobehavioral Family Model (BBFM), and the next an inpatient clinical service and associated primary care practice for patients with medical and mental illness—Team-based Biopsychosocial Care of Medicine in Psychiatry (TBCMP). The BBFM provides biopsychosocial precision at the personal relationship and family level, and the TBCMP applies biopsychosocial precision to the organization of a collaborative medical service at the larger systems level. Both provide a specific, detailed structure, process, and procedures that are reliable and replicable and include case examples.