Psychologists and other providers also rely heavily on Crossover’s internal referral system to optimize care. For example, to treat imposter syndrome, Nelson helps patients challenge negative beliefs and distorted thoughts (such as “Others think I’m a fraud” or “I’ll never be successful”) using cognitive strategies including David Burns’ externalization of voices framework, the role-playing exercise that identifies distortions and encourages behavioral strategies such as self-disclosure. Practitioners use a combination of cognitive- behavioral therapy, acceptance and commitment therapy, dialectical behavioral therapy and mindfulness-based interventions in their work. To meet those needs, Crossover hires and trains psychologists to treat workplace stress and anxiety, relationship conflict, workaholism, achievement addiction and imposter syndrome. “There are also some specific stressors that come up around working for tech companies, like a lot of pressure to perform and perfectionism,” says Nina Kalus, PsyD, clinical psychologist at one of Crossover’s shared clinics in Mountain View, California. The group’s behavioral and mental health offerings are tailored to the needs of these employees, whose top concerns include anxiety, depression, occupational stress and relational conflict. Crossover also delivers behavioral health services virtually when employees can’t get to the clinic. Patients book appointments, message providers and monitor health scores such as depression and anxiety assessment results using the medical group’s online portal. In another effort to meet the needs of its tech-savvy patients, Crossover has woven technology into each step of its operations. LinkedIn and Facebook, for example, have custom-built Crossover clinics on campus, while other companies’ employees go to nearby clinics via free Lyft rides provided by Crossover Health. In 2015, a New York Times exposé of Amazon revealed a highly competitive company culture, and in a subsequent survey of tech workers by Open Sourcing Mental Illness, a nonprofit dedicated to raising awareness about mental wellness in the industry, 71 percent of respondents said their productivity is affected by a mental health issue.Ĭrossover caters to the needs of this fast-paced community by making care more accessible. It’s no secret that employees of technology companies often work long hours and experience stress on the job. “But in the way our physical space and our sessions are designed, we actively facilitate, encourage and promote that collaborative piece to occur every day, all day.” Homing in on employee stress “Many groups say they have an integrated model, but the providers are all housed separately,” says Leslie Gerber, RN, a market practice manager who oversees nine Crossover clinics in the Bay Area. Providers at Crossover Health say their integrated approach takes care to a new level. The company now has 19 clinics in the Bay Area, Texas, Idaho, Seattle, New York and Boston and several more opening in 2019. It doesn’t get much more patient-centered than that.”įounded in 2010 by Scott Shreeve, MD, Rich Patragnoni, MD, and Nate Murray, Crossover Health provides comprehensive health-care services to employees of large technology companies in Silicon Valley-including Apple, Facebook and LinkedIn-on or near their campuses. “It’s a special opportunity to collaborate-literally elbow to elbow-with a really diverse team of providers. “The bullpen is where a lot of the magic of integration happens,” says Nelson, the behavioral health program manager at Crossover Health, based in Northern California. When they aren’t with patients, the team spends the rest of the day working in a large, open-concept “bullpen,” trading notes about individuals and treatment plans. Together, they discuss patients’ physical and mental health needs and exchange their knowledge about such conditions as depression, stress, vitamin D deficiency and lower back pain. To kick off his workday at Crossover Health, clinical psychologist Ross Nelson, PsyD, huddles with seven other health-care providers at the integrated medical group: a primary-care physician, nurse, physical therapist, health coach, chiropractor, acupuncturist and optometrist.
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