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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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 1.3) 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 =
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The importance of family relationships for the health of underserved Appalachians: An application and extension of the biobehavioral family model. Families, Systems, & Health (IF 1.3) Pub Date : 2023-08-21 Patricia N E Roberson,Jordan Tasman,Rebecca Renegar,Gina Cortez,Katherine A Lenger
INTRODUCTION Appalachia is characterized by many contextual stressors, including geographic, economic, and cultural barriers to healthcare. Guided by the biobehavioral family model (BBFM), an understanding of the influence of interpersonal relationships (i.e., marital and nonmarital relationships) on health outcomes could be critical to mitigating the region's contextual stressors. METHOD Data were
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Benefits of expanding behavioral health screening in a pediatric diabetes clinic to include anxiety and caregiver reports in youth 12 years and younger. Families, Systems, & Health (IF 1.3) Pub Date : 2023-08-17 Nicholas David W Smith,Kevin R Lewis,Marissa A Feldman
INTRODUCTION Depression and anxiety among youth with Type 1 diabetes (T1D) are associated with poor diabetes management. Further guidance regarding psychosocial screening measures would benefit pediatric integrated care clinics. The purpose of this exploratory study was to examine whether screening for anxiety, assessing caregiver reports, and screening children 12 years old and younger could identify
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Health and care utilization among youth with a history of parental incarceration and homelessness. Families, Systems, & Health (IF 1.3) Pub Date : 2023-07-27 Marvin So,Laurel Davis,Andrew J Barnes,Rebecca Freese,Julie Atella,Rebecca J Shlafer
INTRODUCTION Despite widespread recognition of the health and social risks posed by parental incarceration (PI) and homelessness, these challenges are rarely considered in unison. We sought to (a) assess the experiences of homelessness among youth with and without a history of PI and (b) compare the health and healthcare utilization among youth with a combined history of PI and homelessness. METHOD
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Bidirectional, longitudinal associations between chronic pain and family functioning in youth with spina bifida. Families, Systems, & Health (IF 1.3) Pub Date : 2023-07-20 Diana M Ohanian,Grayson N Holmbeck
INTRODUCTION Chronic pain does not reside within an individual. Pain is affected by and affects larger systems (e.g., families). We examined longitudinal, bidirectional associations between chronic pain and family functioning in spina bifida (SB). We hypothesized a bidirectional association between pain and family functioning (cohesion and conflict); youth chronic pain status would be associated with
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Brief conjoint visits between an embedded behavioral health provider and primary care team member: When are they used and what are the barriers and facilitators? Families, Systems, & Health (IF 1.3) Pub Date : 2023-07-20 Julie C Gass,Stephen A Maisto,David Edelman,Jennifer S Funderburk
INTRODUCTION Conjoint visits utilize the expertise of primary care providers (PCPs) and behavioral health providers (BHPs) to address complex comorbidities in patients. The objectives were to describe the use and features of conjoint visits and identify barriers and facilitators as described by BHPs in integrated settings. METHOD Three hundred and forty-five BHPs who worked in integrated primary care
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Family strain, but not family support, is linked to worse pain interference among midlife adults reporting new chronic pain. Families, Systems, & Health (IF 1.3) Pub Date : 2023-07-06 Sarah B Woods,Patricia N E Roberson,Haneen Abdelkhaleq
INTRODUCTION Although family relationship quality has been linked to later chronic pain incidence for aging adults, it is unclear whether the quality of these relationships is linked to the impact of pain. We estimated longitudinal associations between family relationship quality (i.e., family support and family strain) and pain interference for adults who develop novel chronic pain across 10 years
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Policies during COVID-19 and their impact on immigrant families' psychological well-being: A critically engaged practice. Families, Systems, & Health (IF 1.3) Pub Date : 2023-06-01 Bertranna A Muruthi,Reid E Thompson Cañas,Jose Zárate,Aakanksha Lahoti,Lindsey Romero,Amanda Stafford McRell
INTRODUCTION The COVID-19 pandemic has exacerbated, and complicated stressors related to immigrant families' experience with U.S. immigration policies. METHOD This article uses a critically engaged practice (CEP) framework to examine three policies and their implications for the health and well-being of immigrant families during the COVID-19 pandemic (a) Detention and Removal of Alien Parents or Legal
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Behavioral health integration and specialty medical care: Opportunities for applying knowledge from primary care integration. Families, Systems, & Health (IF 1.3) Pub Date : 2023-06-01 Laurie C Ivey,Emma C Gilchrist,W Perry Dickinson
While education and advocacy regarding behavioral health (BH) integration in primary care have been in full force at the state and national level for many years, specialty care BH integration has not received the same attention in terms of practice transformation, workforce development, and payment reform. Models of BH care have been tested in primary care and can be easily adapted to improve specialty
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My first day in the ER: Should I be worried about. Families, Systems, & Health (IF 1.3) Pub Date : 2023-06-01 Brian Robert Smith
In this poem, a medical resident describes his first day in the emergency room. He describes the patient bleeding and his plummeting pulse. The resident wonders if he worries too much or whether, when it truly matters, he will be enough. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Peer review: The jury duty of science. Families, Systems, & Health (IF 1.3) Pub Date : 2023-06-01 Jodi Polaha,Robyn L Shepardson
In this editorial, the authors explain the function and process of peer review, challenges they experienced in the wake of the COVID-19 pandemic, and strategies for ensuring that this fundamental process continues with integrity. In conclusion, the efforts of this editorial team to maintain a robust reviewer pool by inspiring, rewarding, training, and growing diversity cannot be the only efforts in
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"A tight knot of social maladies". Families, Systems, & Health (IF 1.3) Pub Date : 2023-06-01 Deepu George
In this column, the author says that despite its pervasive influence, poverty remains unmitigated and out of focus as a target of economic and policy intervention. The daily experience of living in poverty is excruciating and more pronounced than crossing a line. Mathew Desmond's (2023) description provides dimensions to the pernicious, cumulative influence of poverty when he writes: "Poverty is often
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Clinician's commentary to accompany "Unmet need for mental health services utilization among under-resourced Black and Latinx adults". Families, Systems, & Health (IF 1.3) Pub Date : 2023-06-01 Chimereodo Okoroji
Comments on the article by T. B. Loeb et al. (see record 2023-28006-001), which highlights a need to understand mental health service (MHS) utilization among Black and Latinx individuals given disparate and detrimental outcomes associated with underdiagnosis and untreated mental health disorders. The present author addresses four questions related to the article: (1) How does this article, written
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Psychological flexibility is the ACE we need: A commentary on ACEs screening in adolescent primary care: Psychological flexibility as a moderator. Families, Systems, & Health (IF 1.3) Pub Date : 2023-06-01 Louise L Hayes
This commentary examines the paper in this issue by Hostutler et al. (2023), ACE Screening in Adolescent Primary Care: Psychological Flexibility as a Moderator. This article shows how important it is to screen psychological flexibility. Going forward, clinicians would benefit from understanding the relationship between adverse childhood experiences (ACEs), psychological flexibility, and other common
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Primary care provider perspectives on virtual and in-person depression management during the COVID-19 pandemic. Families, Systems, & Health (IF 1.3) Pub Date : 2023-05-25 Lucinda B Leung,Joya G Chrystal,Karen E Dyer,Catherine E Brayton,Michael A Karakashian,Elizabeth M Yano,Alexander S Young,Paul G Shekelle,Alison B Hamilton
INTRODUCTION During the COVID-19 pandemic, primary care providers (PCPs), nurses, and integrated mental health specialists continued to collaboratively manage depression among patients using both in-person and virtual (i.e., hybrid) modalities. Few studies have characterized how hybrid services are currently delivered within interdisciplinary primary care teams. This study aimed to understand frontline
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Adapting psychotherapy in collaborative care for treating opioid use disorder and co-occurring psychiatric conditions in primary care. Families, Systems, & Health (IF 1.3) Pub Date : 2023-05-25 Rachel French,Julie Worley,Margaret Lowenstein,Hillary R Bogner,Tara Calderbank,Dominick DePhilippis,Andrew Forrest,Mary Beth Connolly Gibbons,Rebecca Arden Harris,Saida Heywood,Kyle Kampman,David S Mandell,James R McKay,Schyler Tristen Newman,David W Oslin,Steven Wadden,Courtney Benjamin Wolk
INTRODUCTION Opioid use disorder (OUD) and psychiatric conditions commonly co-occur yet are infrequently treated with evidence-based therapeutic approaches, resulting in poor outcomes. These conditions, separately, present challenges to treatment initiation, retention, and success. These challenges are compounded when individuals have OUD and psychiatric conditions. METHOD Recognizing the complex needs
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Implementation of a universal screening and follow-up care system for pediatric developmental and behavioral health in federally qualified health center sites. Families, Systems, & Health (IF 1.3) Pub Date : 2023-05-25 Jennifer L Frehn,Judy N Li,Katrina R Liu,Denise D Payán,Hector P Rodriguez
BACKGROUND Despite guidelines from the American Academy of Pediatrics (AAP), many pediatric practices still do not have standardized screening processes in place to identify children with developmental delays. From April 2014 to April 2017, six federally qualified health center (FQHC) sites in Northern California implemented an intervention to increase (a) standardized developmental screening at recommended
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Open to interpretation: An integrated primary care behavioral health training approach for treating linguistically diverse patients. Families, Systems, & Health (IF 1.3) Pub Date : 2023-05-25 Evan Plys,Sophia Fidai,Dallas N Robinson,Kelsey A Nogg,Phoutdavone Phimphasone-Brady
INTRODUCTION Integrated primary care settings serve an increasingly high volume of linguistically diverse patients. In English language-dominant countries, limited English proficiency (LEP) is associated with disparities in access and quality of behavioral health (BH) care. Interpretive services (IS) aim to address these disparities by assisting in the delivery of clinical care between patients and
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Employment and leave while parenting children with medical complexity. Families, Systems, & Health (IF 1.3) Pub Date : 2023-05-11 Katherine S Kellom,Catharine Leigh Wilson-Hall,Douglas Strane,Katherine Wu,Meredith Matone
INTRODUCTION Children with medical complexity (CMC) require frequent medical care and are at risk of recurrent hospitalizations. The Family Medical Leave Act (FMLA) allows some workers to take unpaid leave from work to care for family members. This study examines caregiving obligations of parents of CMC, the availability and appropriateness of FMLA in facilitating their roles as caregivers and employees
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Learnings from the implementation of standardized content and processes for integrated behavioral health prevention visits. Families, Systems, & Health (IF 1.3) Pub Date : 2023-04-27 Kate Meister,Paige Ryan,Jillian Austin,Rachel Herbst
INTRODUCTION Integrated behavioral health (IBH) in pediatric primary care has spread significantly over the past two decades. However, a crucial component of advancing the state of science is articulating specific intervention models and their associated outcomes. Foundational to this research is the standardization of IBH interventions; however, limited scholarship exists. This is particularly true
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Delay and nonreceipt of needed healthcare in U.S. adults with household family members with serious health needs. Families, Systems, & Health (IF 1.3) Pub Date : 2023-04-10 Judy Jou,Dawn M Upchurch,Pamela Jo Johnson
INTRODUCTION Households may be primary settings for developing noncommunicable and infectious diseases due to shared lifestyle factors and ease of transmission, rendering multiple family members within a household in simultaneous need of health services. Limited resources may force families to prioritize healthcare for individuals with serious health needs over other family members; however, few studies
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Whole person care: Outcomes from a 5-year care model integrating primary care into a behavioral health clinic. Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-16 Meghan K Chambers,Matthew Thomas,Maximilian J Brimmer,James Butcher,Kim Griswold
INTRODUCTION Integrated mental and physical health care has the potential to improve health outcomes. A behavioral health organization established a reverse integration program site using a co-located model to provide primary care services to patients receiving behavioral health services. We ask whether this model of co-located care was effective in improving a range of physical health outcomes for
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Nomination for 2022 CFHA Don Bloch award. Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-01 Kimberly M Shuler
This article focuses on Jennifer Yturrionbeitia and the C-WHO team, who were nominated for the annual Don Bloch Award. This award is the quintessential organizational award for members who have advanced the field of collaborative care, and who show intellectual, behavioral, and relational qualities. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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A health care experience from an immigrant educator. Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-01 Arkene Levy
Over the last 2 years in their role as a director of diversity, the author had a sense of fulfillment from hosting small group discussions with medical students on implicit bias. Many of these discussions are centered around cases they developed to mirror their own experiences. As an educator having small group discussions was important for the author. Their goal was to train well-rounded health care
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Reflections on the signs and science of belonging in integrated care. Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-01 Deepu George
For this inaugural reflection, the author began by thinking about what the Collaborative Family Healthcare Association (CFHA) has been for them, and they suspect for many others. As a naïve early career professional, the author joined CFHA with wide-eyed optimism about the future of the integrated care movement and the giddy excitement only a true nerd can appreciate when you get to befriend the individuals
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Why getting tele-behavioral health policy right is so important for Medicare. Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-01 Julia Harris,Sabah Bhatnagar,Marilyn Serafini
Given the seismic shift of the behavioral health care delivery system to virtual care since the COVID-19 pandemic, as well as the growing need for these services, policy decisions around tele-behavioral health are ones that Congress and the administration must address in order to close the gap between what Americans need and what services are available. The Bipartisan Policy Center (BPC) took an in-depth
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A biopsychosocial-spiritual wellness check program for internal medicine residents: A brief report. Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-01 Barbara Couden Hernandez,Jessica L ChenFeng,Amy E Schill-Depew,Sonny Lee
INTRODUCTION The pandemic has significantly impacted medical residents. We created and implemented a biannual biopsychosocial-spiritual Wellness Check Program (WCP) to help internal medicine residents self-assess for burnout, enhance resilience, and to promote early identification and referral to mental health services. We report the preliminary findings from our quality improvement pilot effort at
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Review of Headspace: Meditation and sleep. Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-01 Rachel L Lee
Americans today report facing multiple stressors, including the COVID-19 pandemic (American Psychological Association, 2020), anxiety disorders (American Psychiatric Association, n.d.), chronic stress (Bergland, 2017), and more. As smartphones become increasingly ingrained in our society, many adults seek out self-directed stress management techniques facilitated via smartphone. A plethora of options
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Embracing measurement-based care within integrated primary care settings. Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-01 Joseph Barron
"Why should I care about doing Measurement-Based Care (MBC)?" This is a phrase that the editor often hears, either explicitly or implied, when working to champion and implement MBC within integrated primary care (IPC) settings. As an implementation and education specialist within the Veterans Health Administration (VHA) healthcare system, the editor has attended many MBC presentations and meetings
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Clinician commentary to accompany "Adapting a preschool disruptive behavior group for the underserved in pediatric primary care practice". Families, Systems, & Health (IF 1.3) Pub Date : 2023-03-01 Maribeth Wicoff
Comments on the original article by Bignall et al (see record 2023-07853-001) regarding adapting a preschool disruptive behavior group for the underserved in pediatric primary care practice. The commentator states their belief that the article is genuinely applied research and reading the article reiterates the importance of adapting some of their practices to engage in more culturally sensitive strategies
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Community-recruited parent perspectives of concern dismissal by pediatric providers. Families, Systems, & Health (IF 1.3) Pub Date : 2023-01-12 Julia B Tager,Amy C Lang,Jocelyn Jarvis,Michael H Farrell,W Hobart Davies
INTRODUCTION Effective communication is a central tenet of family centered care, yet parent concerns are sometimes un- or underattended to by pediatric providers. This study aimed to explore the prevalence of, and factors related to, parental perceptions of concern dismissal by pediatric providers. METHOD In Spring 2020, 270 community-recruited parents of children ages 6-12 years (74% White, 74% female
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Leveraging the electronic medical record to measure fidelity to the primary care behavioral health model: Implications for clinical and research pursuits. Families, Systems, & Health (IF 1.3) Pub Date : 2023-01-12 Aubrey R Dueweke,Matthew Tolliver,Allen Archer,Jodi Polaha
INTRODUCTION The primary care behavioral health (PCBH) model of integration has been widely implemented across a number of noteworthy health care systems. However, lack of consistent measurement and reporting of the degree to which the PCBH model has been implemented as developers intended has resulted in two disadvantages in the field. First, clinical quality improvement efforts are hampered by lack
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COVID-19 and practice transformation: Building an office-based opioid treatment program in a family medicine residency practice. Families, Systems, & Health (IF 1.3) Pub Date : 2022-12-22 Angela L Colistra,Yoonjie K Chung,Sophia Harbove,Yamelisa J Taveras,Abby Letcher,Nyann Biery,Drew M Keister
INTRODUCTION This brief report describes how a family medicine residency practice (FMRP) leveraged a resident-led quality improvement project and a grant-funded Addiction Integrated Care Team (AICT) to initiate an office-based opioid treatment (OBOT) program to provide medications for opioid use disorder during the COVID-19 pandemic. METHOD In 2020, the practice experienced four disruptors that shifted
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Unmet need for mental health services utilization among under-resourced Black and Latinx adults. Families, Systems, & Health (IF 1.3) Pub Date : 2022-12-15 Tamra B Loeb,Isabella Viducich,Amber M Smith-Clapham,Paris Adkins-Jackson,Muyu Zhang,Michele Cooley-Strickland,Teri Davis,Jennifer V Pemberton,Gail E Wyatt
INTRODUCTION Substantial unmet need for mental health services (MHS) exists in the United States, with pronounced disparities among people of color. Research highlights the need to identify facilitators and barriers to MHS utilization among Black and Latinx individuals to better promote overall health. We tested an expanded model of MHS use based on Andersen's (1995) conceptual framework of health
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The aftermath of a diagnosis: From resistance to reconciliation. Families, Systems, & Health (IF 1.3) Pub Date : 2022-12-01 Soumyadeep Mukherjee
The author, a doctor, describes the aftermath of being diagnosed with attention deficit hyperactivity disorder (ADHD) in his late 30s. He was incredulous and immediately resented the diagnosis. He reluctantly agreed to try the prescribed medication but struggled with that as well. Instead of rejecting the ADHD label, he later began reading and watching informative videos about ADHD and the many ways
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Integrating legal services to improve behavioral health, a challenge met from a different angle. Families, Systems, & Health (IF 1.3) Pub Date : 2022-12-01 Sarah Hemeida,Shale Wong
The United States' current healthcare delivery system is not prepared to address the expanding behavioral health (BH) crisis without treatment of upstream social determinants that contribute to downstream BH exacerbations. Medical Legal Partnerships (MLP) utilize lessons from integrated BH to create efficiencies, augment the reach of the current BH workforce, network community resources, and likely
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Finding hearts at peace: A new workforce competency. Families, Systems, & Health (IF 1.3) Pub Date : 2022-12-01 Colleen Clemency Cordes,Deepu George
While there is no single agreed upon set of competencies for the behavioral health workforce in primary care, there is a consensus about the importance of communication, the role of the behavioral health provider as part of a larger team, and the critical need to value diverse perspectives. In this column, the current and incoming Presidents of the Collaborative Family Healthcare Association (CFHA)
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There is more to the story. Families, Systems, & Health (IF 1.3) Pub Date : 2022-12-01 Jaya Prakash
For most patients, primary care and generalist settings are the first clinical touchpoints to accessing medical care. As such, they present the formative opportunity for stories to be communicated and trust to be developed between patients and the health care system. The skills of listening, supporting, communicating, and empathizing are essential in providing patient care and promoting strong patient-physician