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Finding purpose. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Andrew S Valeras
The murder of George Floyd served as a catalyst to activate national outrage for the deaths of the many who preceded him, in the midst of the COVID-19 pandemic, has brought to light racial health disparities evident in our country and in our communities. While previous President's columns have included a call to action to engage with and improve the health care system, the glaring health inequities
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Healing words: My journey with poetry and medicine. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Johanna Shapiro
In this essay, I reflect on the origins of my relationship to writing, as well as my journey with poetry and medicine as a health psychologist, medical educator, medical/health humanities scholar, and poet. I explore how these two seemingly disparate disciplines became entwined in my life and how I came to understand poetry as a kind of healing art. The essay concludes with gratitude for the opportunity
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"Storytelling as a vehicle of healing": Johanna Shapiro, PhD, professor, psychologist, poet, medical humanities scholar. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Jo Marie Reilly
This commentary reflects the professional life story of a respected editor, poet, and champion of medical humanities, Johanna Shapiro. A psychologist by training, Johanna's work in medical humanities is well known and respected by health professionals in multiple venues. It is within family medicine that Johanna found her professional home. Her work has focused on the value of storytelling as a vehicle
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Hope. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Cory J Ingram
This poem focuses on a mother's love and pregnancy. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Ode to self-care. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Sandra Wartski
This poem focuses on the importance of self-care as a therapist. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Colorado's continuing journey to integrated care: Progress! Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Stephanie B Gold,Larry A Green
This commentary discusses the journey to integrated behavioral health and primary care in the state of Colorado. The authors discuss integrated care, and the lessons learned by early adopters can help those just getting started. They argue integration is possible in practice settings of all types despite the barriers that exist - but these barriers must continue to be broken down for further scaling
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Patient experience with a large-scale integrated behavioral health and primary care initiative: A qualitative study. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Elizabeth Siantz,Benjamin Henwood,Todd Gilmer
Introduction: Patient engagement in research can improve a health system's responsiveness to patient need, but patient experience with integrated care is not well understood. This qualitative study explores patient experience and provider perceptions of patient experience with the Behavioral Health Integration and Complex Care Initiative (BHICCI), which is a large-scale system redesign that delivers
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Clinician's corner: Response to Gormley et al. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Cody A Hostutler
Comments on article by Gormley et al. (2020). The current author discusses the original article's relevance to their professional experience as a clinician at Nationwide Children's Hospital in Columbus, Ohio. Discussed topics in the article include time and money, which are two of the three most anticipated barriers of programs interested in integration (space being the third). This study demonstrates
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The relationship between integrated pediatric psychology and primary care visit length, revenue, content over 24 months. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Matthew J Gormley,Tawnya J Meadows,Shelley J Hostermans,Paul W Kettlewell,H Lester Kirchner,Sean M O'Dell
Introduction: Integrating behavioral health providers into pediatric primary care to provide behavioral health (BH) services is both effective and efficient; however, the impact of pediatric integrated services on the operational and financial outcomes of primary care provider (PCP) visits has not been thoroughly investigated. The present study examined whether length of practice integration predicts
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"No one could calm him down": Mothers' experience of autism diagnosis and obtainment of resources in an urban public school district. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Norah Johnson,Phonethip Sangasy,Karen Robinson
Introduction: The purpose of this study was to explore the experience of accessing autism diagnosis and resources in a Midwest urban public school district for diverse mothers of children with autism spectrum disorder. Method: We employed thematic analysis using narrative inquiry methodology to analyze the data from 9 mothers (n = 5 African American, n = 2 Hispanic, and n = 2 White) who participated
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Intercultural differences in healthcare experiences of Latinos in a nontraditional destination area. Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Theresa C DiMascio,Jenny Zhen-Duan,Julia Rabin,Lisa M Vaughn,Farrah Jacquez
Background: Disparities in health care access for Latinos are well documented, but little is known about how they may impact immigrants from diverse countries of origin differently. Immigrants in nontraditional destination areas face greater disparities, allowing more robust comparison of Latino heritage groups in such regions. Method: Mexican (N = 258) and Guatemalan (N = 143) participants were recruited
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Implementation science on the margins: How do we demonstrate the value of implementation strategies? Families, Systems, & Health (IF 1.289) Pub Date : 2020-09-01 Jesse M Hinde,Jeremy W Bray,Alexander J Cowell
Implementation science (IS) has developed as a field to assess effective ways to implement and disseminate evidence-based practices. Although the size and rigor of the field has improved, the economic evaluation of implementation strategies has lagged behind other areas of IS (Roberts, Healey, & Sevdalis, 2019). Beyond demonstrating the effectiveness of implementation strategies, there needs to be
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Outcomes of a health informatics technology-supported behavioral activation training for care managers in a collaborative care program. Families, Systems, & Health (IF 1.289) Pub Date : 2020-08-27 Amy M Bauer,Matthew Jakupcak,Matt Hawrilenko,Jared Bechtel,Rob Arao,John C Fortney
INTRODUCTION Health informatics-supported strategies for training and ongoing support may aid the delivery of evidence-based psychotherapies. The objective of this study was to describe the development, implementation, and practice outcomes of a scalable health informatics-supported training program for behavioral activation for patients who screened positive for posttraumatic stress disorder and/or
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A comparison of primary care parenting programs for Latinx families. Families, Systems, & Health (IF 1.289) Pub Date : 2020-08-27 David M Haralson,Jennifer L Hodgson,Andrew S Brimhall,Eboni J Baugh,Sharon Maureen Knight
Introduction: Primary care agencies remain an ideal setting for implementing parenting programs that meet the needs of Latinx parents. However, little to no research has been done on how well adapted primary care parenting programs (PCPPs) are to the beliefs, values, and practices of many Latinx families. Method: Using 5 inclusion criteria, 8 PCPPs were selected and compared across 8 domains: focus
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Mother-father physiological synchrony during conflict and moderation by parenting challenges: Findings from parents of children with autism spectrum disorder. Families, Systems, & Health (IF 1.289) Pub Date : 2020-08-27 Lauren M Papp,Kimberly C Drastal,Emily K Lorang,Sigan L Hartley
INTRODUCTION Despite robust evidence in the broader family process literature for within-couple associations between romantic partners' physiological responding, this linkage has not been tested directly among parents raising a child with autism spectrum disorder (ASD). Explicit attention to these parents is warranted on the basis of the established family-wide challenges associated with the persistent
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Stressful life events and associations with child and family emotional and behavioral well-being in diverse immigrant and refugee populations. Families, Systems, & Health (IF 1.289) Pub Date : 2020-08-27 Jerica M Berge,Samaria Mountain,Susan Telke,Amanda Trofholz,Katie Lingras,Roli Dwivedi,Lisa Zak-Hunter
Objective: Although stressful life events (SLEs) have been suggested to be associated with child well-being, few studies have examined SLEs with child and family behavioral and emotional well-being, especially within diverse populations. The current study examined the associations between SLEs and child behavioral and emotional outcomes, in addition to family-level measures of well-being. Method: Children
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Rural clinics implementing collaborative care for low-income patients can achieve comparable or better depression outcomes. Families, Systems, & Health (IF 1.289) Pub Date : 2020-07-23 Diane M Powers,Deborah J Bowen,Robert F Arao,Melinda Vredevoogd,Joan Russo,Tess Grover,Jürgen Unützer
INTRODUCTION The gap between depression treatment needs and the available mental health workforce is particularly large in rural areas. Collaborative care (CoCM) is an evidence-based approach that leverages limited mental health specialists for maximum population effect. This study evaluates depression treatment outcomes, clinical processes of care, and primary care provider experiences for CoCM implementation
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Engagement interventions delivered in primary care to improve off-site pediatric mental health service initiation: A systematic review. Families, Systems, & Health (IF 1.289) Pub Date : 2020-07-23 Rachel A Petts,Jeffrey D Shahidullah
INTRODUCTION Although primary care clinicians often refer children and families to community-based mental health services, a sizable number of patients do not make it to their 1st appointment. Engagement interventions delivered in primary care that focus on reducing structural and perceptual barriers to accessing care hold promise to improve this referral-to-service gap. To date, no review to characterize
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Are marital relationships a barrier to health care utilization in Southern Appalachia?: A dyadic examination of the link between marital quality and individual health care usage. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-25 Patricia N E Roberson,Katherine A Lenger,Tatiana Gray,James Cordova,Kristina C Gordon
INTRODUCTION There are substantial health disparities in Appalachia partially due to the poor access and utilization of health care. Social support, especially in Appalachia, is consistently linked to the utilization of available health care. The present study aims to identify how on aspect of social support, relationship functioning, are associated with health care utilization for couples in Southern
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COVID-19: Complexity and the Black Swan. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Andrew S Valeras
In previous President's Columns (Valeras, 2019a, 2019b), the properties of complexity and complex adaptive systems have been discussed, in terms of the value of continual and iterative change, in order to nudge a system to emerge differently, rather than maintain the status quo. COVID-19 is not a nudge; it is a tidal wave. Engaging with and understanding complexity science allows us to examine the
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Tigress in a cage. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Renata Carneiro
This poem is about an elderly client trapped in an abusive relationship. The client has a history of complex trauma and suffers from major depression. During the course of our sessions, she started cutting herself. As her psychotherapist, I was concerned that she may be regressing. I struggled to appreciate the reason for her self-mutilation and redirected her attention from the past to the present
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"Marlboro madrigal". Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Benjamin Drum
Presents a poem about a hospitalized patient who continues to smoke cigarettes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Nights with sickle cell. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Delvon T Mattingly
The majority of sickle cell disease (SCD) patients suffer from numerous health problems like chronic pain and anemia. Oftentimes these patients require emergency health care, including unscheduled blood transfusions to treat or prevent severe complications accompanied with SCD. This poem explores a Black SCD patient's experiences with implicit and explicit biases among health care providers as a person
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Thanking you while fading away. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Mehrnaz Ighani
Presents a poem that is written from the perspective of a dying patient who is thanking the medical team that attempts to resuscitate them. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Student doctor. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Victoria Korth
Presents a poem about a student doctor who gets a haircut from a patient with beauty school aspirations while in a drug rehab unit. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Coming full circle (to hard questions): Patient- and family-centered care in the hospital context. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Kelly Kelleher,Rose Y Hardy
Roughly 60 years after the first questions were raised about hospitalized patients, Kaslow and colleagues (see record 2020-40858-010) articulate the importance of patient- and family-centered care and outline recommendations for hospitalist care teams. They concisely point out the need for such practices, but more important, they provide many practical examples. Some of the main recommendations include
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Collaborative patient- and family-centered care for hospitalized individuals: Best practices for hospitalist care teams. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Nadine J Kaslow,Sarah E Dunn,Tracey Henry,Clyde Partin,Janice Newsome,Christopher O'Donnell,Marsha Wierson,Ann C Schwartz
Traditionally, hospital medicine services have been dominated by the physician and hospital team, with significant barriers to patient- and family-centered care. This article offers principles and associated strategies to reduce those barriers and guide implementation of systemically informed, collaborative, and culturally responsive patient- and family-centered care provided by hospitalist care teams
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Anxiety interventions delivered in primary care behavioral health routine clinical practice. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Robyn L Shepardson,Mark R Minnick,Jennifer S Funderburk
INTRODUCTION Although anxiety is highly prevalent in primary care and a top reason for referral to primary care behavioral health (PCBH) services, there are limited data on which anxiety interventions are used in routine PCBH practice. The objective of this study was to identify interventions delivered when treating anxiety in PCBH practice. METHOD We conducted an online survey of PCBH providers regarding
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Coaching patients to be active, informed partners in their health. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Thomas Bodenheimer
In this issue, the article "A Physician Communication Coaching Program," by McDaniel and colleagues (see record 2020-40858-007), addresses this untenable situation through the coaching of physicians as part of continuing medical education. The coaching program hopes to explode the traditional paradigm of physician-patient interaction. An alternative paradigm is the philosophy of health coaching. While
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A physician communication coaching program: Developing a supportive culture of feedback to sustain and reinvigorate faculty physicians. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Susan H McDaniel,Lauren DeCaporale-Ryan,Colleen Fogarty
INTRODUCTION Physician-patient communication involves complex skills that affect quality, outcome, and satisfaction for patients, families, and health care teams. Yet, institutional, regulatory, and scientific demands compete for physicians' attention. A framework is needed to support physicians continued development of communication skills: Coaching is 1 such evidence-based practice, and we assessed
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Assessment and management of depression and suicidality: Pediatric resident perspectives on training and practice. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Jeffrey D Shahidullah,Susan G Forman,Adam J Lekwa
INTRODUCTION Primary care is a common access point for children and adolescents with depression and suicidality concerns. In this setting, pediatricians typically function as front-line providers given barriers that patients face in accessing mental health clinicians. METHOD This study surveyed chief residents from all pediatric residency programs in the United States (N = 214) to evaluate (a) their
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Family functioning, coparenting, and parents' ability to manage conflict in adolescent anorexia nervosa subtypes. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Michela Criscuolo,Chiara Marchetto,Ilenia Chianello,Lucia Cereser,Maria Chiara Castiglioni,Pierandrea Salvo,Stefano Vicari,Valeria Zanna
INTRODUCTION Studies about family functioning in adolescent anorexia nervosa (AN) are conflicting and often do not consider the possible differences between the restricting and binge/purging subtypes (AN-R and AN-B/P). Moreover, an underestimated element is the quality of the coparenting relationship, that is, the level of coordination and agreement between parents, as well as the methods of managing
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Reflections in the mirror: Bias, stereotypes and professional responsibility. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Jeffrey M Ring
In this issue, Flynn and colleagues (see record 2020-40858-002) have authored an important article on the positive role for behavioral health integration in improving health, mental health, and quality of life for Latinx primary care patients along the U.S.-Mexico border (Flynn, Gonzalez, Mata, Salinas, & Atkins, 2020). The title of the article is "Integrated Care Improves Mental Health in a Medically
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Barriers and mechanisms of change: The impact of trauma and relationships. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Joan Fleishman,Leah Gordon,Abigail Hitchen
In their article "Integrated Care Improves Mental Health in a Medically Underserved U.S. Mexico Border Population," Flynn, Gonzalez, Mata, Salinas, and Atkins (see record 2020-40858-002) report on an integrated care model using promotoras to address diabetes in a Latino population. Overall, they found that participants had improved quality of life (QoL) and depression measures; however, physical health
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Integrated care improves mental health in a medically underserved U.S.-Mexico border population. Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Amy Flynn,Veronica Gonzalez,Marco Mata,Luis A Salinas,Abby Atkins
INTRODUCTION Chronic conditions, particularly diabetes, and related health conditions continue to be a major concern in the United States, especially in Hispanic populations. This study evaluated the effect of an integrated behavioral health care model, including promotoras(es), on a primarily Hispanic population living with diabetes. METHOD Seven hundred fifty-six participants were enrolled in an
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A walk on the translational science bridge with leaders in integrated care: Where do we need to build? Families, Systems, & Health (IF 1.289) Pub Date : 2020-06-01 Nadiya Sunderji,Jodi Polaha,Anna Ratzliff,Jeff Reiter
Entrepreneurs in integrated care face some of the same challenges in empirically demonstrating impact, regardless of the model of care they espouse. In this editorial, 2 leading model developers reflect on the state of the science in primary care integration, including research gaps and promising research underway. We asked these leaders to discuss conceptual areas of shared concern, and we present
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Parent-perceived barriers to child weight management: Measure validation in a clinical sample. Families, Systems, & Health (IF 1.289) Pub Date : 2020-04-16 Katherine E Darling,Elizabeth B Ruzicka,Amy J Fahrenkamp,Geoffrey E Putt,Amy F Sato
INTRODUCTION Although families face many barriers to obtaining and maintaining a healthy weight status for children, there remains a lack of psychometrically sound tools to assess perceived barriers. The Barriers to Child Weight Management (BCWM) scale quantitatively assesses parents' perceptions of barriers to engaging in positive weight-related behaviors but has not been validated within a clinical
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Development and initial validation of a measure of parents' preferences for behavioral counseling in primary care. Families, Systems, & Health (IF 1.289) Pub Date : 2020-04-16 Andrew R Riley,Bethany L Walker,Trevor A Hall
INTRODUCTION There is a significant need to understand the factors that contribute to parents' consumer preferences for behavioral health services in pediatric primary care; however, no validated measure of such preferences exists. We developed the BIPS (Behavioral Information Preferences Scale), a measure of parents' preferences for delivery of behavioral guidance in pediatric primary care and assessed
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The parable of the wolf. Families, Systems, & Health (IF 1.289) Pub Date : 2020-04-16 Tim Hoyt
The article presents a parable relating to soldier's combat experiences in Afghanistan. The parable itself derives from the children's story The Three Little Pigs and the Big Bad Wolf. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Effects of a family diabetes self-management education intervention on the patients' supporters. Families, Systems, & Health (IF 1.289) Pub Date : 2020-04-13 Holly C Felix,M Rachelle Narcisse,Christopher R Long,Pearl A McElfish
INTRODUCTION Diabetes self-management education (DSME) programs that engage the families of patients with diabetes have shown to be effective in improving diabetes-related outcomes of the patients. The health effects of these "family models" of DSME on participating family members are rarely studied. Opportunity exists for the participating family members to benefit from the healthy lifestyle recommendations
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Psychometric properties of the Portuguese adaptation of General Functioning of Family Assessment Device: A comparative study. Families, Systems, & Health (IF 1.289) Pub Date : 2020-04-13 Ana C Almeida,M Engrácia Leandro,M Graça Pereira
INTRODUCTION The General Family Functioning is a subscale of the Family Assessment Device (FAD) that assess overall family functioning. This study analyzed the psychometric properties of the General Family Functioning subscale in Portuguese families with adolescents diagnosed with Type I Diabetes and healthy adolescents comparing also family functioning in both samples. METHOD A total of 100 parents
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Healthcare provider burn-out: A war with uncertainty. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Andrew S Valeras
Referring to provider burn-out as a foe to be conquered is a palatable representation that fits within a familiar medical narrative-combating disease, fighting illness, curing and vanquishing the cancer. Even the words we use to describe our daily work-"on the front lines" or "in the trenches" or "fighting the good fight"-places us on a metaphorical battlefield. Is provider burn-out inflicted by another
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Terrible twos. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Trisha K Paul
Presents a brief story about the drowning death of a two year old child, the grief of the parents, and subsequent organ donation. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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The dawning. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Brianna Cheng
Presents a poem about reconciling the disconcerting changes of a beloved and aging grandmother. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Regret. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Amy N Cowan
Presents a poem about regret, hospice, medical students, and learning. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Street outreach triptych. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Romany Redman
This collection of 55-Word Stories is inspired by the resilient people experiencing chronic homelessness in downtown Salt Lake City and the dedicated team at Fourth Street Clinic in Utah. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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A baby born too soon. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Robyn B Bratica
Presents a poem about a mother's response to the death of her premature baby. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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CFHA 2019 Don Bloch Award acceptance speech. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Natalie Levkovich
The acceptance speech by the recipient of the CFHA 2019 Don Bloch Award is presented. The recipient notes that her work for the last 35 years has focused on increasing access to comprehensive and high quality health care for underresourced and marginalized populations, with a strong emphasis on strengthening systems and clinical practice. Her journey to promote integrated behavioral health began in
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Nomination of Natalie Levkovich for the 2019 CFHA Don Bloch Award. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Travis A Cos,Suzanne Daub,Neftali Serrano
Don Bloch's legacy is expansive and deep, epitomized by his vision, systemic orientation, innovative work, and a paragon of connecting people. Natalie Levkovich has continued this tradition as past president of the Collaborative Family Healthcare Association (CFHA), Chief Executive Officer of the Health Federation of Philadelphia, and contributor to numerous boards and projects. She is a fervent champion
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Preparing for a value-driven future. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Suzanne Daub,Caroline Rosenzweig,Meggan Christman Schilkie
At this month's staff meeting of your integrated primary care practice, the medical director makes an announcement: Your health system just signed a contract that includes a value-based payment (VBP) arrangement with a local managed care organization (MCO). The medical director suggests that this will lead to big changes in your practice because you will now focus on producing patient outcomes rather
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"Now I have hope": Rebuilding relationships affected by chronic pain. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Hallie Tankha,Annmarie Caño,Heather Dillaway
INTRODUCTION A novel couple-based intervention was created to address the individual and interpersonal needs of people with chronic pain and their romantic partners, as research has shown that pain negatively impacts both partners. A pilot study revealed positive outcomes in both partners, though the extent to which improved relationship functioning contributed to these outcomes is unknown. The purpose
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The importance of assessing where colocation is occurring. Commentary on Richman, Lombardi, and Zerden (2020). Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Marci Nielsen
Comments on an article by Richman, Lombardi, and Zerden (see record 2020-20111-003). The analysis provides important baseline data that identifies where behavioral health and primary care colocation is currently occurring in the United States. It builds on an earlier analysis from 2008 (Miller et al., 2014), which found that colocation of primary care providers (PCPs) with behavioral health providers
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Mapping colocation: Using national provider identified data to assess primary care and behavioral health colocation. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Erica L Richman,Brianna M Lombardi,Lisa D Zerden
INTRODUCTION Evidence supports that integrated behavioral health care improves patient outcomes. Colocation, where health and behavioral health providers work in the same physical space, is a key element of integration, but national rates of colocation are unknown. We established national colocation rates and analyzed variation by primary care provider (PCP) type, practice size, rural/urban setting
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The impact of primary care behavioral health services on patient behaviors: A randomized controlled trial. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Patricia Robinson,Michael Von Korff,Terry Bush,Elizabeth H B Lin,Evette J Ludman
INTRODUCTION Greater understanding of the impact of low intensity psychosocial interventions delivered by behavioral health clinicians (BHCs) working in an integrated care program (ICP) may promote better depression care. METHOD In a randomized controlled trial, 153 participants identified as depressed by their primary care provider (PCP) were assigned to ICP or usual care (UC, management by PCP, including
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Family science and family-based research in integrated and health care contexts: Future considerations for Families, Systems, & Health. Families, Systems, & Health (IF 1.289) Pub Date : 2020-03-01 Keeley J Pratt,Jennifer T Sonney
The focus on families and application to health sets Families, Systems, & Health apart from other sister journals. Family science is a thriving field of study experiencing rapid advances in the discovery, verification, and application of knowledge about families (Burr, Day, & Bahr, 1993; Doherty, Boss, LaRossa, Schumm, & Steinmetz, 1993; National Council on Family Relations [NCFR] Task Force on the
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Impact of a community-delivered parenting curriculum on perceived parenting stress and parent-reported outcomes in a low-income diverse population. Families, Systems, & Health (IF 1.289) Pub Date : 2020-01-13 Caroline J Kistin,Sharon Touw,Hannah Collins,Nora Sporn,Karen E Finnegan
INTRODUCTION There is a need for effective, strengths-based parenting supports for diverse parent populations. We conducted a quasi-experimental study to investigate whether a 12-week parenting program delivered in the community decreases perceived parenting stress and improves parent-reported outcomes. METHOD Parents in the intervention group participated in Parenting Journey, a curriculum designed
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Vignette responses and future intentions in a health decision-making context: How well do they correlate? Families, Systems, & Health (IF 1.289) Pub Date : 2020-01-13 Charles Van Liew,Gabriel A Leon,Kevin J Grimm,Terry A Cronan
INTRODUCTION Vignettes are commonly used to assess health care decision making when it is impractical or unethical to use experimental methods. We sought to determine whether decisions made in response to hypothetical vignettes requiring medical decisions for self or parents related to reported future likelihoods of engaging in similar behaviors. METHOD Respondents (n = 1,862) were adults recruited
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Linking family and intimate partner relationships to chronic pain: An application of the biobehavioral family model. Families, Systems, & Health (IF 1.289) Pub Date : 2020-01-09 Tara L Signs,Sarah B Woods
INTRODUCTION Research is needed to determine mechanisms of effect linking family relationships and chronic pain for adults. Guided by the Biobehavioral Family Model (BBFM), the present study examined indirect effects between a negative family emotional climate and chronic pain disease activity, as mediated by biobehavioral reactivity. METHOD Data for this study are from the Midlife Development in the
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Burnout among behavioral health providers in integrated care settings. Families, Systems, & Health (IF 1.289) Pub Date : 2019-12-02 Max Zubatsky,Christine Runyan,Samantha Gulotta,Jeanna R Knight,J Douglas Pettinelli
INTRODUCTION Burnout in health care, especially among physicians, is a growing concern. It is now well accepted that physician burnout leads to increased depersonalization of patients, lower personal accomplishment, employee turnover, and worse patient outcomes. What is not known, however, is to what extent behavioral health providers (BHPs) in medical settings experience burnout and its associated
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Looking beyond the individual: How family demands and capabilities affect family adjustment following pediatric solid organ transplant. Families, Systems, & Health (IF 1.289) Pub Date : 2019-10-31 Grace K Cushman,Cyd K Eaton,Ana M Gutierrez-Colina,Lauren F Quast,Jennifer L Lee,Bonney Reed-Knight,Laura L Mee,Roshan George,Ronald L Blount