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Factors leading to patient disengagement for unknown reasons in virtual collaborative care. Families, Systems, & Health (IF 1.2) Pub Date : 2024-08-22 Chase Walker,Robyn Carter-Pendleton,Jian Joyner,Brandn Green,Virna Little
INTRODUCTION Collaborative care (CoCM) has been utilized as one strategy for improving access to behavioral health treatment through the primary care setting. However, despite the increased prevalence rates, need for services, and expansion of behavioral health into primary care, there are patients who initiate treatment but disengage for unknown reasons and without communication with their care team
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Patient perspectives on primary care behavioral health integration in an urban mental health professional shortage area: Benefits, facilitators, and barriers. Families, Systems, & Health (IF 1.2) Pub Date : 2024-08-22 Anya Agrawal,Erin M Staab,Fabiana S Araújo,Daily Desenberg,Neda Laiteerapong
INTRODUCTION While studies have described the benefits of integrating behavioral health (BH) into primary care (PC), few have examined patients' perspectives, especially in large, urban health systems. In 2015, the University of Chicago Medicine launched the Primary Care Behavioral Health Integration Program, located in a mental health professional shortage area. METHOD In 2021, semistructured interviews
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Establishing an accountability benchmark for equity, diversity, and inclusion: A 10-year scoping review of Families, Systems, & Health. Families, Systems, & Health (IF 1.2) Pub Date : 2024-08-22 Brittany H Eghaneyan,Katherine Sanchez,Cante Nakanishi,Tai J Mendenhall
INTRODUCTION In 2022, Families, Systems, & Health (FSH) issued a statement of purpose to equity, diversity, and inclusion (EDI) and developed a strategic plan for promoting EDI in scientific communication and publishing. The purpose of this review was to evaluate a decade of research published in FSH prior to the journal's initiatives to improve EDI. METHOD We utilized a scoping review to broadly review
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The development and early success of the South Carolina two-generation community of practice to support family-serving professionals. Families, Systems, & Health (IF 1.2) Pub Date : 2024-08-22 Lauren Workman,Doug Taylor,Megan Austin,Maria McClam,Pamela Gillam,Joey Dockery
INTRODUCTION System-level initiatives are key to promoting health and well-being among young families, yet agencies and organizations who support those families often do not coordinate their delivery of supportive services and resources. We describe the South Carolina (SC) two-generation (2Gen) community of practice (CoP) and its early efforts to foster statewide adoption of "whole family" centered
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Degree of primary care integration predicts job satisfaction and emotional exhaustion among rural medical and behavioral healthcare providers. Families, Systems, & Health (IF 1.2) Pub Date : 2024-07-25 Ivie English,Julia J Cameron,Duncan G Campbell
INTRODUCTION Minimal research on integrated primary care (IPC) or integrated behavioral health (IBH) has examined clinics in rural communities. The relationships between provider burnout, job satisfaction, and IBH/IPC practices remain understudied, particularly in rural settings. METHOD We employed an online survey of 147 medical and behavioral health care providers in primary care settings throughout
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Life of a Type 1 diabetic. Families, Systems, & Health (IF 1.2) Pub Date : 2024-07-25 Audrey Kilbreath
This article discusses the life of a Type 1 diabetic. Everything is a danger. Stress, flu, infection, or a common cold could all lead to a hospital stay. There are many negative long-term effects: blindness, loss of a limb, heart attacks, etc. Every day is an effort to keep on top of things. The diabetes cannot be forgotten or ignored. The cost of living with diabetes is atrocious, between the devices
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Longitudinal associations of diabetes-specific family conflict and diabetes management in adolescents with type 1 diabetes. Families, Systems, & Health (IF 1.2) Pub Date : 2024-06-17 MaryJane S Campbell,Qinxin Shi,Jonathan Butner,Deborah J Wiebe,Cynthia A Berg
INTRODUCTION Diabetes-specific family conflict is a risk factor for diabetes indicators (e.g., higher hemoglobin A1c (HbA1c), lower adherence), but little longitudinal data are available to understand associations across time. To better inform targets and timing of interventions, we examined (a) whether fluctuations in conflict covary with diabetes indicators within adolescents across time; (b) whether
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Diversity, equity, and inclusion: Evolving into belonging, dignity, and justice. Families, Systems, & Health (IF 1.2) Pub Date : 2024-06-01 Deepu George,Jason Herndon
The authors want to invite the integrated care community to reflect with us on an evolutionary shift in how we approach matters of justice and equity: from a diversity, equity, and inclusion (DEI) framework to a perspective that centers the relational concepts of belonging, dignity, and justice (BDJ) for a more just world (Davis, 2021). Our desire to reflect, question, and pivot is inspired by the
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Review of Connections in the clinic: Relational narratives from team-based primary care. Families, Systems, & Health (IF 1.2) Pub Date : 2024-06-01 William B Gunn
Reviews the book, Connections in the Clinic: Relational Narratives from Team-Based Primary Care edited by Randall Reitz, Laura E. Sudano, and Mark P. Knudson (2021). This book is an edited collection of poems and stories reflecting the personal nature of the mission, vision, and practice of integrated primary care. This collection reflects the biopsychosocial model, which has been growing steadily
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Brief behavioral intervention for chronic pain in integrated primary care: What are we waiting for? Families, Systems, & Health (IF 1.2) Pub Date : 2024-06-01 Gregory P Beehler,Michael Verile,Mandy Conrad,Dezarie Moskal
Despite high rates of pain-related concerns among primary care patients and associated increases in health care costs (Gore et al., 2012; Mills et al., 2016), psychological or behavioral treatments that are well suited for use in integrated primary care (IPC) settings remain sparsely implemented. Psychological treatment for chronic pain has been recommended for many years (Darnall, 2021; Institute
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Back to the basics: Addressing our individual and societal despair. Families, Systems, & Health (IF 1.2) Pub Date : 2024-06-01 Jessica Kenny,Sarah Kassabian,Sarah Hemeida,Maura Gissen
It started with a simple question on social media, "How is everybody doing?" (Elmo [@elmo], 2024). With this basic check-in from one of our most beloved Sesame Street characters, Elmo was able to reach millions of people and elicit responses that gave words to the feelings that the authors have been personally experiencing and noticing within my behavioral health (BH) colleagues and patients for some
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Clinician commentary on addressing suicidality safety risk in students through a hospital-school-community telepartnership program. Families, Systems, & Health (IF 1.2) Pub Date : 2024-06-01 Eve-Lynn Nelson
Comments on the article by Shaidullah, et al. (see record 2024-13778-001). Shahidullah and team describe the utilization of the hospital-school-community telepartnership (HSCT), a telehealth program aimed to increase rapid crisis response and interagency care coordination for students with suicidality safety risk. The HSCT team followed both crisis mental health (SAFE-T) and telebehavioral health best
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Social connectedness and diabetes self-management across the COVID-19 pandemic: A mixed methods study. Families, Systems, & Health (IF 1.2) Pub Date : 2024-05-02 Zachary Harrison,Dean A Seehusen,Christy J W Ledford
INTRODUCTION Structural social connectedness is the structure and size of a person's social network, including whether persons live with or have regular contact with others. The COVID-19 pandemic disrupted structures that facilitate social connectedness. This study investigated how a person's structural social connectedness influenced diabetes self-management strategies through the COVID-19 pandemic
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Parenting dimensions and views on adolescent decision making in health care: A cross-national study of Belgian and Dutch parents. Families, Systems, & Health (IF 1.2) Pub Date : 2024-04-25 David De Coninck,Charlotte Devillé,Jan Van Bavel,Peter de Winter,Jaan Toelen,Karla Van Leeuwen
BACKGROUND The aim of this study was to investigate the link between parenting and parents' perspectives on health-related decision making for adolescents. During adolescence, there is a gradual increase in responsibility and autonomy, which influences parenting behavior and child development. Understanding how parenting is associated with parents' views on medical decision making is crucial in the
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Understanding rural social networks addressing adverse childhood experiences: A case study of the San Luis Valley. Families, Systems, & Health (IF 1.2) Pub Date : 2024-04-11 Jennifer A Lawlor,Jini Puma,Jamie Powers,Marlayna Martinez,Danielle Varda,Jenn A Leiferman
INTRODUCTION The purpose of this study is to assess a cross-sector, interorganizational network addressing adverse childhood experiences (ACEs) in a rural Colorado community. We characterize the organizations in the network, assess their awareness of ACEs, and evaluate how they participate in the network. We also assess the network health. METHOD Employing a social network analysis approach, we collected
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Facilitating coordination between medical and educational systems to improve access to pediatric therapies for preschool children with developmental delays and disabilities. Families, Systems, & Health (IF 1.2) Pub Date : 2024-04-11 Reshma Shah,Giovanna Elena Savastano,Monica Fehrenbach,Kruti Acharya
INTRODUCTION A large portion of preschool-age children with developmental delays and disabilities (PCw/DD) do not receive recommended therapeutic services, including legally mandated school-based therapies. This study examines the feasibility of a community-clinical linkage using virtual patient navigation and a medical-educational care plan called Preschool and Me (PreM) to connect clinical settings
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A qualitative study of supporters of adults following a suicide-related psychiatric emergency. Families, Systems, & Health (IF 1.2) Pub Date : 2024-04-04 Jessica Dodge,Karlin Stern,Tayla Smith,Christina S Magness,James Garlick,Sean Garland,Paul N Pfeiffer,Cynthia Ewell Foster
INTRODUCTION Family, friends, and romantic partners (i.e., supporters) play a key role in the implementation of safety and support measures for loved ones with elevated risk for suicide; yet despite the link between interpersonal factors and suicide risk, few supporter-focused interventions exist. METHOD This qualitative study to inform intervention development was conducted from September 2021 to
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"Integrated behavioral health plus": The best of the worlds of collaborative care management, primary care behavioral health, and primary care. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-28 Gene A Kallenberg,William J Sieber
INTRODUCTION Discussions comparing the components and virtues of models of integrated behavioral health (IBH), that is, collaborative care management and primary care behavioral health, have been ongoing. In this conceptual article, we recommend shifting the focus to a broader set of components we have found essential to serve the needs of our patients, and hopefully the broader aims of dissemination
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Increasing access to behavioral health care: Examples of task shifting in two U.S. government health care systems. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-18 Kathryn E Kanzler,Mark E Kunik,Chase A Aycock
INTRODUCTION Addressing U.S. health disparities in behavioral health care requires innovative solutions to expand access beyond the traditional specialty behavioral health (BH) service model. One evidence-based strategy to increase access is task shifting, whereby tasks usually reserved for licensed clinicians are delegated to less specialized but uniquely capable health workers. Health care systems
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A descriptive examination of international family/shared meals: Prevalence, meal types, media at meals, and emotional well-being. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-07 Jerica M Berge,William J Doherty,Kristen C Klemenhagen,Derek Hersch,Tai J Mendenhall,Christine Danner
INTRODUCTION Studies in the United States have shown associations between family/shared meal frequency and child health and well-being. Less is known about family/shared meal characteristics (e.g., frequency, meal type, meal activities) in adults and international samples and whether there are protective associations between family/shared meal frequency and emotional well-being. Also unknown, is whether
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Contemplating on the end of integrated care-part II: Living the questions to foster adaptability. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-01 Deepu George,Parinda Khatri
This article extends the use of the ecocycle planning framework to describe challenges ahead for the integrated care and Collaborative Family Healthcare Association (CFHA). The authors make the case that to remain agile and adaptable, there are contextual, ecological, and moral challenges that integrated care and CFHA should keep in the forefront as they navigate the future of an inequitable health
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Making it "EASI" for pediatricians to determine when toddler tantrums are "more than the terrible twos": Proof-of-concept for primary care screening with the Multidimensional Assessment Profiles-Early Assessment Screener for Irritability (MAPS-EASI). Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-01 Lauren S Wakschlag,Allison J Carroll,Susan Friedland,John Walkup,Jillian L Wiggins,Nivedita Mohanty,Ellen Papacek,Sacha Bridi,Ryan Carroll,David Drelicharz,Zeba Hasan,Tara Kotagal,Matthew M Davis,Justin D Smith
BACKGROUND Up to 20% of youth have impairing mental health problems as early as age 3. Early identification and intervention of mental health risks in pediatric primary care could mitigate this crisis via prevention prior to disease onset. The purpose of this study was to establish the feasibility and acceptability of implementing a brief transdiagnostic screening instrument in pediatric primary care
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It's time to stop using "stepchild" as a pejorative term in science. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-01 Todd M Jensen
Despite their ubiquity, stepfamilies generally hold a stigmatized status. The scientific community at large has not been immune to the influence of stepfamily stigmatization. Misusing the term "stepchild" in science is unnecessary on several fronts. "Stepchild" is often intended to denote neglect, oversight, or mistreatment. Scholars should consider using more direct and precise language, especially
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Addressing mental health, earlier in pediatric primary care: Introduction to the special section. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-01 Ashley M Butler,Sara M George
Leading national health organizations have declared pediatric mental health an urgent public health issue. Pediatric primary care is an ideal setting to improve mental health in young children; however, various existing barriers limit the effective identification of social-emotional risk among toddlers. This special section of Families, Systems, & Health includes four articles that identify multilevel
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Potential parental determinants of the pace of evidence-based practice change in children's mental health care. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-01 Matthew M Davis,Marie E Heffernan,Lucy A Bilaver,Lauren S Wakschlag,Neil Jordan,Justin D Smith
BACKGROUND Strength of evidence is key to advancing children's mental health care but may be inadequate for driving practice change. The Designing for Accelerated Translation (DART) framework proposes a multifaceted approach: pace of implementation as a function of evidence of effectiveness, demand for the intervention, sum of risks, and costs. To inform empirical applications of DART, we solicited
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Possible unintended consequences of pediatric clinician strategies for communicating about social-emotional and developmental concerns in diverse young children. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-01 Courtney L Scherr,Hannah Getachew-Smith,Sydney Moe,Ashley A Knapp,Allison J Carroll,Nivedita Mohanty,Seema Shah,Andrea E Spencer,Rinad S Beidas,Lauren S Wakschlag,Justin D Smith
INTRODUCTION Screening to promote social-emotional well-being in toddlers has positive effects on long-term health and functioning. Communication about social-emotional well-being can be challenging for primary care clinicians for various reasons including lack of time, training and expertise, resource constraints, and cognitive burden. Therefore, we explored clinicians' perspectives on identifying
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A vision for implementing equitable early mental health and resilience support in pediatric primary care: A transdiagnostic, developmental approach. Families, Systems, & Health (IF 1.2) Pub Date : 2024-03-01 Lauren S Wakschlag,Matthew M Davis,Justin D Smith
INTRODUCTION Primary care is at the forefront of addressing the pediatric mental health (MH) crisis due to its broad reach to young children and prevention and health promotion orientation. However, the promise of the delivery system for population impact remains unrealized due to several barriers, including pragmatic screening, decisional uncertainty, and limited access to evidence-based services
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Children's behavioral and mental health in primary care settings: A survey of self-reported comfort levels and practice patterns among pediatricians. Families, Systems, & Health (IF 1.2) Pub Date : 2024-01-22 Anne Elizabeth Brisendine,Elizabeth Taylor,Susan Griffin,Jane Duer
INTRODUCTION Despite the well-documented youth mental health crisis, there has been a lag in the development of a specialized workforce to meet needs of young people experiencing these challenges. Little is known about the comfort of primary care pediatricians when faced with children and adolescents with mental health care concerns. METHOD A brief online survey was conducted to assess patterns of
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Family-focused practice and policy recommendations to improve the inpatient experience for patients undergoing a stem cell transplant. Families, Systems, & Health (IF 1.2) Pub Date : 2024-01-22 Lyndsey J Wallace,Maria M Olex,Natalie S McAndrew
INTRODUCTION Hematopoietic stem cell transplantation (HCT) greatly impacts the social, emotional, and physical well-being of the patient and their family. The transplant process imposes significant lifestyle restrictions that result in patient and family isolation, which has been further amplified during the COVID-19 pandemic era. While hospital systems recognize the importance of family engagement
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Can the electronic medical record provide reliable indicators of primary care behavioral health fidelity? Comparison of accessibility and productivity indicators assessed through observational coding. Families, Systems, & Health (IF 1.2) Pub Date : 2023-12-21 Aubrey R Dueweke,Allen Archer,Matthew Tolliver,Jodi Polaha
INTRODUCTION The primary care behavioral health (PCBH) model is one of the most widely implemented integrated care approaches. However, research on the model has been limited by inconsistent measurement and reporting of model fidelity. One way of making measurement of PCBH model fidelity more routine is to incorporate fidelity indicators into the electronic medical record (EMR), though research regarding
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Centering family voice during a public health crisis: Challenge and opportunity for health collaborations and community systems of care. Families, Systems, & Health (IF 1.2) Pub Date : 2023-12-07 Angeline K Spain,Angela Garza,Julie S McCrae
INTRODUCTION Evidence is lacking about how to integrate family and community voice into systems of care. This is particularly relevant in public health crises when reducing barriers to health care and resources is critical for everyone, but especially community members who typically experience more barriers to care. Addressing this gap, this study investigated the voice strategies used by systems of
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Enhancing access to early intervention by including parent navigators with lived experience in a pediatric medical home. Families, Systems, & Health (IF 1.2) Pub Date : 2023-12-07 Christine B Mirzaian,Olga Solomon,Helen Setaghiyan,Sharon Hudson,Fran Goldfarb,Guadalupe Lorena Eaton,Rita Vasquez,Lucia Babb,Larry Yin
INTRODUCTION A growing number of children have developmental delay (DD) or intellectual and developmental disabilities (IDD), and early intervention (EI) can improve their developmental trajectory. However, access to EI is fraught with disparities. This article describes the development of Parent Navigator (PN) program that placed three parents with lived experience in a pediatric medical home to serve
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Contemplating on the end of integrated care-Part I: Anticipating creative destruction. Families, Systems, & Health (IF 1.2) Pub Date : 2023-12-01 Deepu George
In this article, the author frames the development of integrated care and the Collaborative Family Healthcare Association (CFHA) through the ecocycle planning model. With four distinct stages of development and renewal-gestation, birth, maturity, and creative destruction-the ecocycle planning model encourages organizations to consider ways to ask questions to avoid a rigidity trap, which in the model
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Review of The empathy exams: Essays. Families, Systems, & Health (IF 1.2) Pub Date : 2023-12-01 Julia H Miao
Reviews the book The empathy exams: Essays. Empathy is a universally important aspect of both life and medicine that helps cultivate a therapeutic relationship between healthcare professionals and patients, family and loved ones, community members and friends, and beyond. As the times have evolved, empathy has become increasingly essential in not only elevating the quality of patient-centered care
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Applying an intersectionality framework to health services research. Families, Systems, & Health (IF 1.2) Pub Date : 2023-12-01 Darnell N Motley,Jordan Victorian,Kaylah Denis,Byron D Brooks
Intersectionality is a transformative analytic tool for identifying and challenging how intersecting, systemic power relations generate differential outcomes in quality of life (P. Collins, 2019; Crenshaw, 1989). Intersectionality identifies how varied forms of power relations are interconnected and mutually constituted: simultaneously influencing and influenced by one another. As these power relations
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In pursuit of high-quality primary care: A call to action to implement the objectives of the 2021 NASEM report. Families, Systems, & Health (IF 1.2) Pub Date : 2023-12-01 Lauren S Hughes,Eboni C Winford
A seminal National Academies of Sciences, Engineering, and Medicine consensus report released in May 2021-Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care-emphasizes the importance of ensuring that high-quality primary care is accessible to all people, regardless of whether they have paid for it and in spite of its limited availability. This report outlines five recommendations
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To achieve equitable, integrated care for children, family-centered work must focus on systems. Families, Systems, & Health (IF 1.2) Pub Date : 2023-12-01 Lindsay Rosenfeld,Jonathan S Litt
Child health inequities are largely the result of entrenched, structural barriers created by racism, sexism, xenophobia, classism, and ableism that generally persist across the life course (Braveman & Gottlieb, 2014). The impact of such inequities may be magnified for those with complex needs who face considerable challenges in adulthood (Bethell et al., 2014), such as preterm infants, who experience
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Ultra-brief cognitive-behavioral therapy (for routine primary care visits: Feasibility and acceptability of a brief provider training workshop. Families, Systems, & Health (IF 1.2) Pub Date : 2023-11-30 Julia M Terman,Kelly J Rohan,Raquel Castillo Cruz,Emily Greenberger
INTRODUCTION Most Americans with symptoms of depression and anxiety receive treatment exclusively from their primary care providers (PCPs). Existing primary care interventions typically do not occur within the initial patient interaction, rely on delivery by mental health specialists, and have lengthy training programs. This study evaluated the feasibility and acceptability of the training workshop
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Pediatric psychosocial preventative health model: Achieving equitable psychosocial care for children and families. Families, Systems, & Health (IF 1.2) Pub Date : 2023-11-27 Anne E Kazak,Michele Scialla,Janet A Deatrick,Lamia P Barakat
OBJECTIVE The Pediatric Psychosocial Preventative Health Model (PPPHM) is a three-tier model of family psychosocial risk used to guide intervention approaches in pediatric healthcare settings. Screening all families to determine levels of risk supports equitable care. We review evidence from papers using the Psychosocial Assessment Tool (PAT), a brief caregiver-report measure of family psychosocial
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Cultural expectations and perceptions of risk communication among Afro-Caribbean mothers and daughters in the United States. Families, Systems, & Health (IF 1.2) Pub Date : 2023-11-27 Bertranna A Muruthi,Carolyn M Shivers,J Maria Bermudez,Jessica M Cronce
INTRODUCTION Mothers are key influencers in daughters' decision making about risk behaviors. Much research on parent-child relationships and communication has been conducted among predominantly White, nonimmigrant families. However, parent-child relationships and communications about risk behaviors may significantly differ for Black immigrant families. In particular, transnational behaviors that serve
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Engaging primary care clinicians in the selection of implementation strategies for toddler social-emotional health promotion in community health centers. Families, Systems, & Health (IF 1.2) Pub Date : 2023-11-13 Allison J Carroll,Ashley A Knapp,Juan A Villamar,Nivedita Mohanty,Elaine Coldren,Tania Hossain,Dhanya Limaye,Daniel Mendoza,Mark Minier,Michael Sethi,C Hendricks Brown,Patricia D Franklin,Matthew M Davis,Lauren S Wakschlag,Justin D Smith
BACKGROUND Social-emotional risk for subsequent behavioral health problems can be identified at toddler age, a period where prevention has a heightened impact. This study aimed to meaningfully engage pediatric clinicians, given the emphasis on health promotion and broad reach of primary care, to prepare an Implementation Research Logic Model to guide the implementation of a screening and referral process
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Patient experiences with a primary care medical home tailored for people with serious mental illness. Families, Systems, & Health (IF 1.2) Pub Date : 2023-11-13 Alicia A Bergman,Evelyn T Chang,Amy N Cohen,Sona Hovsepian,Rebecca S Oberman,Merlyn Vinzon,Alexander S Young
INTRODUCTION People with serious mental illness (SMI) have low rates of primary care (PC) use and die years prematurely, mostly because of medical illnesses such as cardiovascular disease or cancer. To meet the needs of these individuals, a novel, specialized patient-centered medical home with care coordination ("SMI PACT") was developed and implemented in PC. This study qualitatively examined patients'
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Communal coping and glycemic control: Daily patterns among young adult couples with type 1 diabetes. Families, Systems, & Health (IF 1.2) Pub Date : 2023-11-13 Jeremy B Yorgason,Naomi M Noorda,Danielle Steeger,Jennifer Saylor,Cynthia Berg,Adam Davey,Susannah Rellaford,Daylee Kirkham,James Saunders,Evangeline Taylor
INTRODUCTION Young adulthood is a time when persons with Type 1 diabetes (T1D) become more fully responsible for diabetes management. Establishing healthy diabetes routines during this period is foundational for successful management across adulthood. Although partner support is generally considered helpful in T1D management, less is known about specific partner behaviors that could benefit glucose
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Exploring human papillomavirus vaccination decision making through mother and adolescent dyad interviews. Families, Systems, & Health (IF 1.2) Pub Date : 2023-10-23 Spring Chenoa Cooper,Andrew Porter,Raz G Edwards,Julia Keegan,Jennifer Gallo,Kirsten McCaffery,S Rachel Skinner
INTRODUCTION The purpose of our research was to explore how parents and their adolescent children make decisions about the human papillomavirus (HPV) vaccine, and to inform future interventions that aim to facilitate inclusive decision-making processes. METHOD Purposive and snowball sampling strategies targeted parents and their adolescent children (ages = 11-13) in a large city in Australia. We conducted
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Associations between parent-adolescent health-related conversations and mealtime media use among Hispanic families. Families, Systems, & Health (IF 1.2) Pub Date : 2023-10-23 Gabriela M Martinez,Sonia Vega-López,Stephanie Ayers,Anaid Gonzalvez,Meg Bruening,Beatriz Vega-Luna,Flavio F Marsiglia
INTRODUCTION Whereas parents play an important role in shaping the home environment, it is unknown whether health-related parent-adolescent conversations may be associated with different health-promoting parenting practices, such as limiting adolescent mealtime media use in Hispanic families. METHOD For this cross-sectional analysis, Hispanic parents (n = 344; 40.4 ± 6.6 years; 89.2% female) of sixth-
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Addressing suicidality safety risk in students through a hospital-school-community telepartnership program. Families, Systems, & Health (IF 1.2) Pub Date : 2023-10-05 Jeffrey D Shahidullah,Claire Selinger,Cara Dahlhausen,Oscar Widales-Benitez,Nithya Mani,Puja Patel
OBJECTIVE We (a) describe the development of a hospital-school-community telepartnership (HSCT) program targeting suicidality crisis response implemented in the immediate aftermath of the COVID-19 pandemic, (b) report on service utilization outcomes from the first year and half of program implementation, and (c) share early lessons learned and implications for future directions. METHOD Using program
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Predictors of referrals and depression outcomes among obstetrics and gynecology patients with positive depression screens. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-28 Ellen Poleshuck,Marika Toscano,Keisha Bell,Tziporah Rosenberg,Ellen Tourtelot,Daniel Maeng
INTRODUCTION Little is known about the care provided following positive depression screens in obstetrics and gynecology (Ob/Gyn) patients. METHOD This study evaluated documented care plans and outcomes for 445 Ob/Gyn patients with positive depression screens between January 2018 and December 2020. Logistic regression models were estimated to identify predictors of changes in documented care plans and
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Examining the use of psychiatric collaborative care and behavioral health integration codes at federally qualified health centers: A mixed-methods study. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-28 Brianna M Lombardi,Catherine Greeno,Lisa de Saxe Zerden
INTRODUCTION Despite evidence to support the integration of behavioral health and physical health care, the adoption of Integrated Behavioral Health (IBH) has been stymied by a lack of reliable and sustainable financing mechanisms. This study aimed to provide information on the use of Psychiatric Collaborative Care Model (CoCM) and behavioral health integration (BHI) codes and the implementation of
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Family functioning before kidney transplantation from living-related donors: Perspectives of donors and recipients in Japan. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-11 Rumiko Kamba,Sayaka Kobayashi,Rie Akaho,Kosuke Takano,Junko Tsutsui,Satoko Ito,Hidehiro Oshibuchi,Katsuji Nishimura
INTRODUCTION In Japan, approximately 90% of kidney transplantations involve living donors who are relatives. Selection of a living donor from potential family member donors could affect the entire family. However, reports focusing on preliving-related kidney transplant (LRKT) family functioning are lacking. Family functioning comprises ways that family members communicate and cooperate with each other
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Family asthma management and physical activity among urban children. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-07 Christina D'Angelo,Elizabeth McQuaid,Elissa Jelalian,Sheryl Kopel,Maria Teresa Coutinho,Shira Dunsiger,Danielle Small,Heather Yoho,Racha Salha,Daphne Koinis-Mitchell
INTRODUCTION Urban, low-income, and Black and Latino children with asthma experience higher morbidity and poorer outcomes compared to their suburban, higher-income, and non-Latino White counterparts. This risk is further compounded by higher rates of co-occurring overweight or obesity. Physical activity contributes to both asthma and overweight/obesity status, however, little is known about factors
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Supporting health professionals who serve gender-diverse youth. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-01 Diane M Straub,Warren Binford
Health care providers have recently experienced a significant increase in gender-diverse youth seeking gender-affirming care. Politicians have responded by introducing legislation in dozens of states banning or limiting access to gender-affirming care, especially for youth. This coordinated legislative campaign has been accompanied by a multitude of threats against both hospitals and health care providers
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Clinician's commentary to accompany barriers to referral and evaluation and corresponding navigation services for toddlers screening positive for autism spectrum disorder. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-01 Jéssica Marisol Marroquín
Comments on the original article by Hightshoe, et al., (see record 2024-10422-003) regarding barriers to referral and evaluation and corresponding navigation services for toddlers screening positive for autism spectrum disorder. This article described how a largely Latinx sample experienced unique barriers and how the (autism family navigators) AFNs were able to respond directly to the needs of families
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Clinician commentary on adapting psychotherapy in collaborative care for treating opioid use disorder and co-occurring psychiatric conditions in primary care. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-01 Daniel J Mullin,Ashley Mitton
Comments on the original article by French, et al. (see record 2023-74550-001) regarding adapting psychotherapy in collaborative care for treating opioid use disorder and co-occurring psychiatric conditions in primary care. This article provided a potential treatment pathway for certain patients. However, it has left the question: What options are available for patients who decline to participate in
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Barriers to referral and evaluation and corresponding navigation services for toddlers screening positive for autism spectrum disorder. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-01 Kristina Hightshoe,Silvia Gutiérrez-Raghunath,Margaret M Tomcho,Cordelia Robinson Rosenberg,Steven A Rosenberg,Jodi K Dooling-Litfin,Jeanette M Cordova,Kathryn Colborn,Carolyn DiGuiseppi
INTRODUCTION Children from disadvantaged populations receive referrals, diagnoses, and services for autism spectrum disorder (ASD) late or not at all. We describe barriers to referral for and receipt of evaluation for ASD among young children from disadvantaged families and activities by autism family navigators (AFNs) to address these barriers. METHOD Trained AFNs offered navigation to families of
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Does it work and can we do it? Hybrid research that answers both questions. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-01 Robyn L Shepardson,Jodi Polaha
The perceived disconnect between research and clinic contexts may thus result in frontline clinicians and administrators questioning the approachability and applicability of science to their day-to-day work with patients and families in integrated care. Science grinds along so painstakingly slowly that even within the research community, some thought leaders have called for a moratorium on RCTs in
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Lived experiences of American adults who survive COVID-19: Implications for physical activity and interpersonal stress. Families, Systems, & Health (IF 1.2) Pub Date : 2023-09-01 Linda B Piacentine,Hannah C Barbosa,Kristin A Haglund,Lauren E Opielinski,Sandra K Hunter,Paula E Papanek,Marie Hoeger Bement,Norah L Johnson
INTRODUCTION The cumulative number of COVID-19 cases has surpassed 579 million globally. Symptoms during and after COVID-19 infection vary from mild cold symptoms to severe multisystem illness. Given the wide range of symptom presentations and complications post-COVID-19, the purpose of this study was to describe the lived experience of American adults surviving COVID-19. METHOD This study employed
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Improving function through primary care treatment of posttraumatic stress disorder study outcomes: A randomized controlled trial of prolonged exposure for primary care in veterans. Families, Systems, & Health (IF 1.2) Pub Date : 2023-08-31 Sheila A M Rauch,H Myra Kim,Ron Acierno,Carly Ragin,Bethany Wangelin,Kimberly Blitch,Wendy Muzzy,Stephanie Hart,Kara Zivin
INTRODUCTION Despite high cost and wide prevalence of posttraumatic stress disorder (PTSD) in veteran populations, and Veterans Health Administration (VA)-wide mental health provider training in evidence-based treatments for PTSD, most veterans with PTSD do not receive best practices interventions. This may be because virtually all evidence-based PTSD treatment is offered through specialty clinics
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Suicide prevention programming across ecological levels: Recommendations from Latinx immigrant origin youth and their parents. Families, Systems, & Health (IF 1.2) Pub Date : 2023-08-24 Rheanna Platt,Kiara Alvarez,Monica Guerrero Vasquez,Pilar Bancalari,Jennifer Acosta,Mariana Rincon Caicedo,Sarah Polk,Holly Wilcox
INTRODUCTION Latinx immigrant-origin youth (IOY) have unique risks for suicidal thoughts and behaviors. It has been suggested that these risks should be addressed from an ecological perspective, addressing cultural and family context as well as structural and systemic barriers to prevention. This study sought to explore perspectives of immigrant-origin Latinx adolescents and their caregivers on suicide
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Understanding families impacted by opioid use: Outcomes of a therapist training program. Families, Systems, & Health (IF 1.2) Pub Date : 2023-08-24 Jessica L Chou,Rikki Patton,Asif Zaarur,Heather Katafiasz,Phyllis Swint,Yue Dang,Erika Feeney
INTRODUCTION Increasing the substance use workforce is vital in addressing the many complexities of opioid use among families. The purpose of the present research was to examine 6-month outcomes of a training program focusing on opioid use among families, for master-level family therapy (MFT) and community mental health counseling (CMHC) students. METHOD In total, 58 students participated in self-reported
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Examining differences in long-term weight loss outcomes after bariatric surgery: The role of romantic relationship status. Families, Systems, & Health (IF 1.2) Pub Date : 2023-08-24 Megan Ferber,Leah M Hecht,Kellie M Martens,Aaron Hamann,Arthur M Carlin,Lisa R Miller-Matero
INTRODUCTION This study tested for differences based on relationship status at the time of surgery in baseline body mass index (BMI), weight loss outcomes (change in BMI [ΔBMI], percent total weight loss [%TWL], percent excess weight loss [%EWL]), and rates of successful weight loss (defined as ≥ 50%EWL) up to 4-year postbariatric surgery. METHOD Data came from a secondary analysis of patients (N =