Families, systems & health : the journal of collaborative family healthcare最新文献

{"title":"Parenting dimensions and views on adolescent decision making in health care: A cross-national study of Belgian and Dutch parents.","authors":"D. De Coninck, Charlotte Devillé, Jan Van Bavel, Peter de Winter, Jaan Toelen, Karla Van Leeuwen","doi":"10.1037/fsh0000883","DOIUrl":"https://doi.org/10.1037/fsh0000883","url":null,"abstract":"BACKGROUND\u0000The aim of this study was to investigate the link between parenting and parents' perspectives on health-related decision making for adolescents. During adolescence, there is a gradual increase in responsibility and autonomy, which influences parenting behavior and child development. Understanding how parenting is associated with parents' views on medical decision making is crucial in the context of the parent-child-physician triad. This study was the first to explore parenting and parents' views on adolescent health care decision making. We compare Belgian and Dutch parents-two countries selected for their different legal frameworks on medical adolescent decision making.\u0000\u0000\u0000METHOD\u0000An online questionnaire surveyed 984 Belgian and 992 Dutch parents (ages 35-55) with at least one child. Analytical methods included t tests, structural equation modeling, and latent profile analysis.\u0000\u0000\u0000RESULTS\u0000Parents considered adolescents to be competent decision makers at 16.7 years old. Dutch parents granted autonomy at younger ages than Belgian parents. Parents with high behavioral expectations granted autonomy to adolescents at higher ages, while those high in autonomy support and punishment granted autonomy at lower ages. When classifying parents into profiles, we distinguished four types: highly permissive, moderately permissive, moderately restrictive, and highly restrictive groups. The majority of the sample was classified into moderately and highly restrictive profiles.\u0000\u0000\u0000CONCLUSION\u0000The study highlighted the importance of providing parents with education and support on adolescent development and autonomy. Parenting practices that encourage autonomy and support open communication between parents and adolescents may contribute to a more trusting and supportive parent-child context for adolescent medical decision making. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"54 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140655830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating coordination between medical and educational systems to improve access to pediatric therapies for preschool children with developmental delays and disabilities.","authors":"Reshma Shah, Giovanna Elena Savastano, Monica Fehrenbach, Kruti Acharya","doi":"10.1037/fsh0000893","DOIUrl":"https://doi.org/10.1037/fsh0000893","url":null,"abstract":"INTRODUCTION\u0000A large portion of preschool-age children with developmental delays and disabilities (PCw/DD) do not receive recommended therapeutic services, including legally mandated school-based therapies. This study examines the feasibility of a community-clinical linkage using virtual patient navigation and a medical-educational care plan called Preschool and Me (PreM) to connect clinical settings serving historically marginalized communities with early childhood special education (ECSE) services.\u0000\u0000\u0000METHOD\u0000Parents of PCw/DD attending an urban pediatric clinic from January to March 2022 were enrolled to receive PreM which included navigation support for ECSE, overcoming barriers accessing ECSE, and health care provider communication. Families completed measures of demographics and indicators of feasibility at baseline and 4-month follow-up.\u0000\u0000\u0000RESULTS\u0000Of the 34 families referred, 30 were eligible and enrolled. Most parents identified as mothers (97%). Most participant children (70% male, 60% Black, 30% Hispanic) were enrolled in public health insurance (93%) and were not receiving any clinic-based therapies (93%). Parents overwhelmingly found PreM acceptable with the majority stating it would be a strong reason to continue care at the clinic. Among families who received PreM, 26 (96%) completed an individualized education plan (IEP) evaluation (96%). Of these, 24 (92%) children were eligible for an IEP. Nineteen children enrolled in an ECSE program; two families awaited school assignments and three families did not consent to the assigned school placement due to neighborhood safety concerns.\u0000\u0000\u0000DISCUSSION\u0000Our findings suggest PreM was feasible, acceptable, and demonstrated promise in supporting families to navigate the ECSE process. Future studies examining effectiveness are warranted. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"3 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding rural social networks addressing adverse childhood experiences: A case study of the San Luis Valley.","authors":"Jennifer A Lawlor, Jini E. Puma, Jamie Powers, Marlayna Martinez, Danielle Varda, J. Leiferman","doi":"10.1037/fsh0000894","DOIUrl":"https://doi.org/10.1037/fsh0000894","url":null,"abstract":"INTRODUCTION\u0000The purpose of this study is to assess a cross-sector, interorganizational network addressing adverse childhood experiences (ACEs) in a rural Colorado community. We characterize the organizations in the network, assess their awareness of ACEs, and evaluate how they participate in the network. We also assess the network health.\u0000\u0000\u0000METHOD\u0000Employing a social network analysis approach, we collected survey data from 45 organizations that support young children and their families, including nonprofits, health care clinics, and early childhood education centers, among others.\u0000\u0000\u0000RESULTS\u0000On average, nonprofit organizations had relationships with a greater percentage of network members than other types of organizations. Network members engaged in relationships focused on a wide range of activities (e.g., client assessments, sharing information, providing services), with some organizational types leading the network in certain activities. Scores across all dimensions of trust and value were above 3 (range: 2.1-3.8), which is advantageous for a network and network relationships existed across a range of relational intensities (from awareness to organizational integration).\u0000\u0000\u0000DISCUSSION\u0000Nonprofit organizations that reported high levels of connectedness in the network were able to effectively mobilize the ACEs network. Health clinics participated in a greater share of relationships involving assessment, service provision, and tool sharing than other types of organizations. As such, health care clinics may serve as leaders in directly serving children and families experiencing ACEs in rural communities. The rural context may also explain high levels of trust and value, which can serve as assets for future network development and mobilization. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study of supporters of adults following a suicide-related psychiatric emergency.","authors":"Jessica Dodge, Karlin Stern, Tayla Smith, Christina S. Magness, J. Garlick, Sean Garland, Paul N. Pfeiffer, Cynthia Ewell Foster","doi":"10.1037/fsh0000875","DOIUrl":"https://doi.org/10.1037/fsh0000875","url":null,"abstract":"INTRODUCTION\u0000Family, friends, and romantic partners (i.e., supporters) play a key role in the implementation of safety and support measures for loved ones with elevated risk for suicide; yet despite the link between interpersonal factors and suicide risk, few supporter-focused interventions exist.\u0000\u0000\u0000METHOD\u0000This qualitative study to inform intervention development was conducted from September 2021 to March 2022 and explored (a) the feasibility and acceptability of a single-session phone call to a support person (n = 30, 67% female, 88% White non-Hispanic, Mage = 40.3 [SD = 17.1]) nominated during an emergency department (ED) visit for suicide risk and (b) the needs of supporters during and after a loved one's suicide crisis.\u0000\u0000\u0000RESULTS\u0000Of the 30 supporters nominated, 27 were eligible to participate and were contacted. Eighteen completed an interview (66%). Seven core themes with 26 subthemes were identified characterizing the supporter's experience prior to, during, and following their loved one's suicide crisis. We found moderate acceptability and feasibility of a single-session supportive phone call to a support person following an ED visit for suicide risk.\u0000\u0000\u0000DISCUSSION\u0000Supporters reported a period of stress prior to and during the ED visit as well as adaptive coping with continued barriers and challenges. Brief interventions aimed at improving communication between the supporter, patient, and their care team; defining roles; and enhancing practical and emotional support are likely to be acceptable and feasible. Further study is needed to determine whether brief interventions to improve supporter self-efficacy can benefit both supporter and patient. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"35 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Whole person care: Outcomes from a 5-year care model integrating primary care into a behavioral health clinic.","authors":"Meghan K Chambers, Matthew Thomas, M. J. Brimmer, James Butcher, K. Griswold","doi":"10.1037/fsh0000794.supp","DOIUrl":"https://doi.org/10.1037/fsh0000794.supp","url":null,"abstract":"INTRODUCTION\u0000Integrated 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 clients. This program was funded with a grant from the Substance Abuse and Mental Health Services Administration Primary and Behavioral Health Care Integration.\u0000\u0000\u0000METHOD\u0000Patients received services in a community mental health setting that embedded primary care services. The population included adult patients with mental illness, substance use disorder (SUD), or co-occurring medical diagnoses in an urban setting. Just under half of the patients identified as non-White, and over one quarter identified as Hispanic. These characteristics demonstrate a medically complex and underserved population. This description and exploratory analysis utilized National Outcome Measures data and clinical health measures from electronic health records. We stratified data by SUD and mental illness diagnoses. We measured changes in health outcomes for this complex population of 532 patients from 2015 to 2019.\u0000\u0000\u0000RESULTS\u0000From enrollment to last visit, patient outcomes improved for blood pressure and cholesterol. Conversely, waist circumference and breath carbon monoxide levels significantly worsened.\u0000\u0000\u0000DISCUSSION\u0000This reverse integration co-location program demonstrates that positive health outcomes can be achieved through evidence-based care, adaptable clinic arrangements, and robust community connections and support. More work is needed to generate positive health outcomes in medically complex patients. (PsycInfo Database Record (c) 2023 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124361320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cath lab deluge - A haiku.","authors":"D. Doukas","doi":"10.1037/fsh0000719","DOIUrl":"https://doi.org/10.1037/fsh0000719","url":null,"abstract":"This haiku reflects on the author's experience of lying on a hospital catheterization table with minimal chest pressure and shortness of breath symptoms, and what was found to be an abnormal electrocardiogram and Troponin. The cardiologist's diligent efforts to clear the blockages with a resultant torrent of blood flow into those vessels was followed by a series of implanted stents that not only saved his life, but also the long-term viability of his heart. (PsycInfo Database Record (c) 2022 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"83 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132723305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician's commentary to accompany \"Clinical, operational, and financial evaluation practices in integrated behavioral health care\".","authors":"Alex Melkonian,&nbsp;Aubrey R Dueweke","doi":"10.1037/fsh0000732","DOIUrl":"https://doi.org/10.1037/fsh0000732","url":null,"abstract":"<p><p>Presents a clinician's commentary to accompany the article \"Clinical, operational, and financial practices in integrated behavioral health care\" by A. R. Muse et al (see record 2022-60013-001). In this commentary, the authors address four questions: (1) How does this article, written by researchers, resonate with your experience as a clinician? (2) What Is one thing you might do differently in your practice after reading this article? (3) What factors might facilitate or hinder the uptake/implementation of ideas in this piece? What is one unanswered question that you would like to see pursued as a follow-up to this article? (5) (PsycInfo Database Record (c) 2022 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"413-414"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33463417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Summer solstice.","authors":"J. Ker","doi":"10.1037/fsh0000708","DOIUrl":"https://doi.org/10.1037/fsh0000708","url":null,"abstract":"In this poem, the author describes spending summers with her grandfather in Beijing. When he became sick, she and her sister would feed him soup. She was always scared by the tubes in his nose, his varicose veins, and how he would cough fistfuls of air. Soon her mother stopped taking them to see him. (PsycInfo Database Record (c) 2022 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122046558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Season's roulette.","authors":"C. Davis","doi":"10.1037/fsh0000696","DOIUrl":"https://doi.org/10.1037/fsh0000696","url":null,"abstract":"In this poem, the author recalls the deaths of her parents and her sister's mastectomy. This leads her to wonder if she is playing genetic lottery with her family's history. Death loses this round of Cancer Roulette but leaves her with a reminder, a tiny heart-shaped scar over her heart, the mother side, and a marker in her breast which aches when it rains. (PsycInfo Database Record (c) 2022 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122495152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of UNSTUCK: An OCD kids movie.","authors":"Rachel L Lee,&nbsp;Shelbi R Matlock","doi":"10.1037/fsh0000722","DOIUrl":"https://doi.org/10.1037/fsh0000722","url":null,"abstract":"<p><p>Reviews the documentary film, <i>UNSTUCK: An OCD Kids Movie</i> by Kelly Anderson and Chris Baier (2017). In the film, Anderson and Baier interview six children diagnosed with obsessive-compulsive disorder (OCD), whom they refer to as \"kid experts.\" It provides a new way of educating the public on a psychological disorder that is often casually referenced but frequently misunderstood. With its focus on children and their families, <i>UNSTUCK</i> offers families, educators, therapists, and researchers alike a viewpoint often overlooked in current film and literature regarding OCD: the viewpoints of the children and adolescents themselves. Individuals working in pediatrics or family therapy, thosewith personal or family experience with OCD, and those interested in learning more about the patient-child experience of psychiatric disorders and corresponding impact on family dynamics will be interested in this film. (PsycInfo Database Record (c) 2022 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"422-423"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33462425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}