Journal of Clinical Psychology in Medical Settings最新文献_第2页

Exploring The Impact of Acceptance and Commitment Based Cultural Humility Training on Standardized Patient Interactions: Revisiting the Measurement Process. 探索基于接受和承诺的文化谦逊培训对标准化患者互动的影响：重新审视测量过程

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-07-09 DOI: 10.1007/s10880-024-10026-4

Kian Assemi, Anayansi Lombardero, Donna M West, Greg Smith, Irene Li, Ramona A Houmanfar, Negar N Jacobs

{"title":"Exploring The Impact of Acceptance and Commitment Based Cultural Humility Training on Standardized Patient Interactions: Revisiting the Measurement Process.","authors":"Kian Assemi, Anayansi Lombardero, Donna M West, Greg Smith, Irene Li, Ramona A Houmanfar, Negar N Jacobs","doi":"10.1007/s10880-024-10026-4","DOIUrl":"10.1007/s10880-024-10026-4","url":null,"abstract":"Recent findings in health sciences and medical education highlight the importance of training healthcare professionals to interact with their patients in a culturally humble manner (Nadal et al., in Journal of Counseling and Development 92: 57-66, 2014; Pascoe & Smart Richman, in Psychological Bulletin 135: 531, 2009; Sirois & Burg, in Behavior Modification 27: 83-102, 2003; Williams & Mohammed, in Journal of Behavioral Medicine 32: 20-47, 2009). An important piece in the progression of our ability to address training challenges is the assessment of cultural humility. As an extension of previous research (Lombardero et al., in Journal of Clinical Psychology in Medical Settings, 30: 261-273, 2023), this study implemented an evidence-based cultural humility intervention (based on Acceptance and Commitment Training) to improve medical students' interactions with standardized patients (SPs) which was assessed via direct behavioral observation. Specifically, the observational measurement system was focused on culturally humble responses to patients reporting microaggressions to the medical professional. A pre-post comparison of the results demonstrated statistically significant improvements pertaining to participants' culturally humble responses to SPs' reports of microaggressions for one of the measurement scales used (i.e., ARISE), but not the other (i.e., Responsiveness to Racial Challenges Scale). Further analyses, on the bottom quartile of performers, were conducted to assess a possible ceiling effect of the scale that did not demonstrate significant change. These results and implications for future research will be discussed.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"227-238"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding Differences in Medical Student Perceptions of Treatment Adherence Based on Weight Status in Pediatric Care. 了解医学生对儿科护理中基于体重状况的治疗依从性的看法差异。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-09-06 DOI: 10.1007/s10880-024-10044-2

Molly C Basch, Francesca Lupini, David M Janicke

{"title":"Understanding Differences in Medical Student Perceptions of Treatment Adherence Based on Weight Status in Pediatric Care.","authors":"Molly C Basch, Francesca Lupini, David M Janicke","doi":"10.1007/s10880-024-10044-2","DOIUrl":"10.1007/s10880-024-10044-2","url":null,"abstract":"Obesity biases in healthcare are detrimental. We explored medical student beliefs underlying perceptions that child-mother dyads with obesity are less likely to be treatment adherent. Participants viewed scenes of a 12-year-old, female virtual human presenting to a physician with back pain, accompanied by her mother. Patient and mother weight cues were manipulated across scenes. Out of 120, 35 participants perceived dyads with obesity as less adherent to hypothetical pain-related treatment recommendations relative to dyads with healthy weight. These participants were informed and asked why. Responses were analyzed for themes. Fifty-two responses revealed three codes relating to participants' explanation of why they perceived lower adherence for dyads with obesity-obesity is associated with: 1) non-compliance with general health recommendations, 2) internal traits/factors (i.e., mothers' less health consciousness, mental strength), 3) external factors (i.e., lower health literacy, socioeconomic status). The association of obesity with lower adherence is a bias that may exist among medical students and originate from assumptions about prior health adherence and maternal traits, some disparaging in nature. Such bias has potential to contribute to healthcare disparities. Findings highlight the utility of qualitative methods to understand beliefs driving perceptions and design bias-reducing interventions to trainee needs.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"286-296"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combining Hypnosis and Virtual Reality: A Qualitative Investigation of User Experience During an Experimental Pain Study. 催眠与虚拟现实的结合：实验性疼痛研究中用户体验的定性调查。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-10-13 DOI: 10.1007/s10880-024-10047-z

Éloïse Cardinal, Pierre Augier, Émilie Giguère, Mathieu Landry, Sylvie Lemay, Jade Véronneau, Anne-Sophie Nyssen, Marie-Elisabeth Faymonville, Audrey Vanhaudenhuyse, Pierre Rainville, Floriane Rousseaux, David Ogez

{"title":"Combining Hypnosis and Virtual Reality: A Qualitative Investigation of User Experience During an Experimental Pain Study.","authors":"Éloïse Cardinal, Pierre Augier, Émilie Giguère, Mathieu Landry, Sylvie Lemay, Jade Véronneau, Anne-Sophie Nyssen, Marie-Elisabeth Faymonville, Audrey Vanhaudenhuyse, Pierre Rainville, Floriane Rousseaux, David Ogez","doi":"10.1007/s10880-024-10047-z","DOIUrl":"10.1007/s10880-024-10047-z","url":null,"abstract":"Virtual reality (VR) and hypnosis (H) are useful pain management tools, but the potential benefit of their combination (VRH) has yet to be studied. This study examines the user experience of VRH, compared to H and VR alone, using interviews following an experimental study examining the effect of the three interventions on pain perception. Following a within-subjects repeated measures experimental design, 16 participants received the three interventions during which they received painful electrical stimuli. Following each intervention, explanatory interviews were conducted to allow participants to elaborate on their user experience. A thematic analysis was conducted on the data collected. Three themes emerged from the interviews: (1) satisfaction: participants mostly had positive feelings toward the three modalities, with the most beneficial effects on relaxation expressed for H. (2) Body perception and attention focus: immersion in the VR and VRH conditions was appreciated. Participants described their perceptions of pain perception during the 3 conditions. (3) Device acceptability: H was the most liked, followed by VRH, and then VR alone. Intention of use was reported following the same order. The data collected highlighted participants' opinions of these different interventions and suggested adjustments for future development of the VRH intervention in pain management.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"336-346"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Who Am I? Self-concept in Adults with Cystic Fibrosis: Association with Anxiety and Depression. 我是谁？囊性纤维化成人的自我概念：与焦虑和抑郁的关系

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-07-09 DOI: 10.1007/s10880-024-10023-7

Maggie Harrigan, Siobhain Mulrennan, Melanie Jessup, Phoebe Waters, Kellie Bennett

{"title":"Who Am I? Self-concept in Adults with Cystic Fibrosis: Association with Anxiety and Depression.","authors":"Maggie Harrigan, Siobhain Mulrennan, Melanie Jessup, Phoebe Waters, Kellie Bennett","doi":"10.1007/s10880-024-10023-7","DOIUrl":"10.1007/s10880-024-10023-7","url":null,"abstract":"Cystic Fibrosis (CF) is a progressive condition resulting in reduced lung function and strongly associated with elevated anxiety and depression symptoms. Self-concept refers to an individual's overarching sense of identity, a positive level of which is widely associated with reduced anxiety and depression. There is a significant lack of self-concept research within CF. This study explores the association between self-concept and anxiety and depression in adults with CF. 64 adults living with CF in Western Australia completed validated online questionnaires (Generalised Anxiety Disorder-7, Patient Health Questionnaire-9, Tennessee Self-Concept Questionnaire 2: Short-Form) and consented to the collection of medical data. Descriptive, t-test, correlation and multiple regression analysis were undertaken. Higher levels of self-concept were associated with lower levels of anxiety and depression symptoms. Lower self-concept levels were a significant predictor of increased anxiety and depression symptoms after accounting for physical health status. Mean self-concept scores for those who required mental health intervention were significantly lower compared to those that did not. This study identifies a significant relationship between self-concept and anxiety and depression in adults with CF. Further research is required to establish causation and test the feasibility of self-concept interventions in reducing anxiety and depression symptoms.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"365-374"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Detection of Psychological Dysfunction and Suicide Risk Among Postpartum Women. 检测产后妇女的心理功能障碍和自杀风险。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-08-08 DOI: 10.1007/s10880-024-10028-2

Haley G Goller, Dolly Pressley Byrd, Adam D Hicks, David M McCord

{"title":"Detection of Psychological Dysfunction and Suicide Risk Among Postpartum Women.","authors":"Haley G Goller, Dolly Pressley Byrd, Adam D Hicks, David M McCord","doi":"10.1007/s10880-024-10028-2","DOIUrl":"10.1007/s10880-024-10028-2","url":null,"abstract":"Prevalence rates of perinatal mood disorders range from 5 to 25%. Furthermore, suicide is a leading cause of death in postpartum women. Various factors have been associated with an increased risk of suicide in postpartum women, including co-occurring mental health disorders, lack of mental health care, and substance use. It is important for mental health screening and psychological assessment used within OB-GYN clinics to be current with regard to postpartum mood dysfunction and suicide risk assessment. We collected data from a sample of 78 postpartum women (0-6-month post-delivery), focusing specifically on patterns of emotional/internalizing dysfunction, using three different screening measures as predictors. Contrary to hypotheses, our sample did not produce significant elevations on target criterion scales of the Minnesota multiphasic personality inventory-3 (MMPI-3). Although the multidimensional behavioral health screen (MBHS) was better at differentially capturing MMPI-3 elevations when compared to the Edinburgh postnatal depression scale (EDPS) and patient health questionnaire-9 (PHQ-9), two of the three comparisons were not statistically significant. Statistical analyses were challenged by our extremely low base rate for elevated suicide risk. Despite this, the MBHS performed better than the EPDS and PHQ-9 at accurately capturing elevated suicide risk.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"316-324"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Caregiving on Informal Caregivers of People with Dementia: Family Functioning, Burden, and Burnout. 护理对痴呆症患者非正式护理者的影响：家庭功能、负担和职业倦怠。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-10-25 DOI: 10.1007/s10880-024-10052-2

Rute Brites, Tânia Brandão, Odete Nunes, João Hipólito, Catarina Tomé Pires

{"title":"The Impact of Caregiving on Informal Caregivers of People with Dementia: Family Functioning, Burden, and Burnout.","authors":"Rute Brites, Tânia Brandão, Odete Nunes, João Hipólito, Catarina Tomé Pires","doi":"10.1007/s10880-024-10052-2","DOIUrl":"10.1007/s10880-024-10052-2","url":null,"abstract":"Caregiving is a complex occupation, with a significant impact for informal caregivers (IC). Stress-process models propose a framework that considers that this impact depends on primary and secondary stressors, but also on the IC situation appraisal. This work aimed to verify: whether being, or not, an IC of an individual with dementia influenced the relationship between family functioning and burnout; the association between neuropsychiatric symptoms of the individual with dementia and IC burnout and whether the IC burden and perceived family functioning had a mediating role in such relationship. This cross-sectional study investigated differences in family functioning and its association with burnout between IC and non-IC. For IC specifically, the study examined a mediation model to explore the possibility of neuropsychiatric symptoms indirectly affecting IC burnout through the impact on family functioning and burden. Measures included the Copenhagen Burnout Inventory, the McMaster Family Assessment Device, the Neuropsychiatric Inventory, and the Zarit Burden Interview. Results showed an association between poorer family function and high burnout, specifically in IC. They also showed that burden mediated the relationship between neuropsychiatric symptoms and burnout. The findings offer a significant contribution to the growing knowledge about the relationship between stressors associated with informal caregiving in dementia context, such as neuropsychiatric symptoms and its outcomes, like burnout.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"325-335"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comorbid ADHD and Pediatric Sickle Cell Disease: Prevalence and Risk Factors. 多动症与小儿镰状细胞病：发病率和风险因素

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-07-09 DOI: 10.1007/s10880-024-10027-3

Sarah E Bills, Jeffrey Schatz, Sreya Varanasi, Julia D Johnston, Elizabeth Gillooly

{"title":"Comorbid ADHD and Pediatric Sickle Cell Disease: Prevalence and Risk Factors.","authors":"Sarah E Bills, Jeffrey Schatz, Sreya Varanasi, Julia D Johnston, Elizabeth Gillooly","doi":"10.1007/s10880-024-10027-3","DOIUrl":"10.1007/s10880-024-10027-3","url":null,"abstract":"Sickle cell disease (SCD) is a genetic blood condition that places youth at increased risk for deficits in complex attention suggestive of increased risk for Attention-Deficit/Hyperactivity Disorder (ADHD). We used systematic screening to assess the prevalence of ADHD in a clinic-based sample of youth with SCD and explored factors related to ADHD. Caregivers of 107 children with SCD (ages 7-11 years) completed routine psychosocial screening which included inattentive symptoms of ADHD. Follow-up diagnostic procedures were completed for patients with elevated inattentive symptoms to assess for ADHD diagnoses. Biomedical and social-environmental variables were examined from the screening and medical records. Twenty-six percent of patients showed elevated inattentive symptoms with 13% meeting diagnostic criteria for ADHD diagnoses. Most children (75%) who met criteria for ADHD had not been previously diagnosed. Disease severity did not predict inattentive symptoms or ADHD diagnoses, though a measure of chronic inflammation was associated with ADHD. Family functioning was related to elevated inattentive symptoms but not ADHD diagnoses. Children with SCD show relatively high rates of ADHD with many cases not detected through routine care. Screening for ADHD as part of hematology care may be a feasible strategy to improve identification and access to intervention.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"266-277"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141563453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Importance of Honoring Family Caregiver Burden: Challenges in Mental Health Care Delivery. 减轻家庭照顾者负担的重要性：提供心理健康护理的挑战。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-01 Epub Date: 2024-10-13 DOI: 10.1007/s10880-024-10051-3

Allison J Applebaum, Timothy S Sannes

{"title":"The Importance of Honoring Family Caregiver Burden: Challenges in Mental Health Care Delivery.","authors":"Allison J Applebaum, Timothy S Sannes","doi":"10.1007/s10880-024-10051-3","DOIUrl":"10.1007/s10880-024-10051-3","url":null,"abstract":"There is growing recognition of the profound mental health challenges faced by the 53 million U.S. family caregivers, and the need for increased access to psychosocial care for this vulnerable population. Family caregivers are increasingly seeking support from hospital-based counseling centers. This trend-combined with a public policy landscape that promotes the delivery of caregiver-specific supports and services-highlights challenges faced by mental health professionals to provide and bill for psychosocial care to family caregivers. In this paper, we discuss three interrelated challenges that mental health professionals face in providing care to family caregivers and which our field needs to confront as healthcare transfers more responsibilities onto the shoulders of family caregivers: (1) caregiver burden is not recognized as a formal diagnosis; (2) current documentation for caregivers is typically linked to patient encounters; and (3) support for family caregivers occurs within larger systematic barriers to mental health integration. By accurately describing and documenting caregiver burden and advocating for increased parity in mental health coverage, we hope that the field can bridge the gap between emerging research, momentum in policy, and available psychosocial services for this vulnerable population.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"193-201"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supporting Emotional Recovery After Spontaneous Coronary Artery Dissection: Development and Pilot Testing an Online Facilitated Support-Group Program. 支持自发冠状动脉夹层后的情绪恢复：在线促进支持小组计划的开发和试点测试。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-05-17 DOI: 10.1007/s10880-025-10083-3

Michelle C Rogerson, Rosemary O Higgins, Michael R Le Grande, Stephanie Hesselson, Siiri E Iismaa, Jodi Brown, Alex Wynd, Donita Baird, Sarah Zaman, Sarah Ford, Trudi Musgrave-Edwards, Sarah T Clarke, Robert M Graham, Alun C Jackson, Barbara M Murphy

{"title":"Supporting Emotional Recovery After Spontaneous Coronary Artery Dissection: Development and Pilot Testing an Online Facilitated Support-Group Program.","authors":"Michelle C Rogerson, Rosemary O Higgins, Michael R Le Grande, Stephanie Hesselson, Siiri E Iismaa, Jodi Brown, Alex Wynd, Donita Baird, Sarah Zaman, Sarah Ford, Trudi Musgrave-Edwards, Sarah T Clarke, Robert M Graham, Alun C Jackson, Barbara M Murphy","doi":"10.1007/s10880-025-10083-3","DOIUrl":"https://doi.org/10.1007/s10880-025-10083-3","url":null,"abstract":"Spontaneous coronary artery dissection (SCAD) is a major medical event with a high burden of psychosocial sequelae. SCAD survivors require psychological support to facilitate recovery. This pilot study involved feasibility testing of an online group support program for SCAD survivors, co-designed by clinicians, survivors and researchers. The SCAD Online Support Program uses the principles of Acceptance and Commitment Therapy. The four-session-manualized program, facilitated by a registered psychologist and a SCAD survivor, was delivered to 33 SCAD survivors (6-7 per group). Participant and Project Advisory Group feedback led to iterative program refinements. Qualitative and quantitative acceptability data were evaluated. Participants completed pre- and post-program questionnaires to assess engaged living (life fulfilment and valued living), enrichment, self-efficacy, anxiety, depression and cardiac distress. Changes in proportions classified as anxious, depressed and distressed were identified. Qualitative comments highlighted the support, camaraderie and skills gained through the program. There were improvements in levels of life fulfilment, valued living, enrichment, self-efficacy, anxiety, depression, and cardiac distress, and reductions in proportions classified as anxious, depressed and distressed. The SCAD Online Support Program was successfully co-designed, implemented and modified, shown to be acceptable to SCAD survivors, and demonstrates potential for improving mental health outcomes.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Novel Application of the Child Psychiatry Access Program Model to Inpatient Psychiatry: The Transitional Care Coordination Program. 儿童精神病学可及项目模式在住院精神病学中的新应用：过渡性护理协调项目。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-05-09 DOI: 10.1007/s10880-025-10080-6

Olivia Soutullo, Lael Coleman, Samantha Hamburger, Frances Cooke, Deborah Zlotnik, Colby Tyson, Priya Punnoose, Melissa Long

{"title":"A Novel Application of the Child Psychiatry Access Program Model to Inpatient Psychiatry: The Transitional Care Coordination Program.","authors":"Olivia Soutullo, Lael Coleman, Samantha Hamburger, Frances Cooke, Deborah Zlotnik, Colby Tyson, Priya Punnoose, Melissa Long","doi":"10.1007/s10880-025-10080-6","DOIUrl":"https://doi.org/10.1007/s10880-025-10080-6","url":null,"abstract":"Pediatric patients who have been discharged from psychiatric hospitalizations are at high risk of negative outcomes, especially if they do not connect to outpatient mental health services. This paper describes the development and implementation of the Transitional Care Coordination Program (TCCP), a novel adaptation of the Child Psychiatry Access Program (CPAP) model, to provide mental health consultation and care coordination services after psychiatric hospitalization. The program offered discharging patients' pediatric primary care providers telephonic child psychiatry consultations and three months of care coordination for patient families over multiple timepoints. Between March 2020 and November 2021, 163 unique patients were enrolled in the TCCP from 170 admissions. Patient families from 89 admissions (52% of total) were reached and participated in the TCCP, with 22 of those (25%) requesting new behavioral health provider resources and 39 (44%) requesting other behavioral health supports. The TCCP reached out to 110 (65% of total) primary care providers, none of whom requested a psychiatric consultation. Findings support the initial feasibility of a novel adaptation of the CPAP model for preemptive support at psychiatric hospitalization discharge. This is the first program of its kind, showing promise as a way for existing CPAPs to leverage their infrastructure to help families connect to needed mental health care after discharge and potentially prevent readmissions or other adverse outcomes. More research is needed to understand its efficacy and applicability to other settings.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0