{"title":"Participant compensation in health equity research: How equitable is it?","authors":"Byron D Brooks, Zoe R Smith","doi":"10.1037/fsh0000729","DOIUrl":"https://doi.org/10.1037/fsh0000729","url":null,"abstract":"<p><p>In this article, the authors highlight their experience in navigating outdated, inequitable policies at institutions and in advocating for changes that support health equity research with a focus on participant compensation. As two new assistant professors establishing their programs of health equity research, they call on colleagues to examine their practices of participant compensation while consider an intersectional and systems-level framework. Their goals are to develop culturally responsive interventions that bolster well-being and ameliorate harm caused by continuous exclusion or poor research methods. They highly recommend health equity researchers evaluate their institutions' research and financial practices to promote equitable payment options that are inclusive of everyone. (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":"415-417"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33463418","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}
Matthew P Abrams, Tracy Wharton, Andres Cubillos-Novella, Angelica Maria Vargas-Monroy, Maria Alejandra Riveros
{"title":"Fractured families and social networks: Identifying risk and resilience factors for supporting positive mental health in Venezuelan immigrant groups.","authors":"Matthew P Abrams, Tracy Wharton, Andres Cubillos-Novella, Angelica Maria Vargas-Monroy, Maria Alejandra Riveros","doi":"10.1037/fsh0000721","DOIUrl":"https://doi.org/10.1037/fsh0000721","url":null,"abstract":"<p><strong>Objectives: </strong>Language barriers, isolation, and challenges related to social integration, acculturative stress, and systemic discrimination are correlated with poor physical and mental health outcomes among immigrant populations. Emerging literature highlights the importance of social networks for resiliency and well-being. This study explores the experiences of Venezuelan immigrants in central Florida, factors that have promoted resilience, and considerations for mental health providers to meet the needs of this population.</p><p><strong>Method: </strong>A phenomenological approach was used to engage Venezuelan immigrants who had been in the United States for at least 6 months (n = 48) in dialogue about forced migration, identity, and adaptation. Five focus groups using a semistructured format were conducted to explore aspects of the experience before, during, and after migration. Recruitment was done through word of mouth and community gatekeepers.</p><p><strong>Results: </strong>Participants were 54% female with an average age of 45, 85% had at least 1 college degree, and more than half left Venezuela since 2011. Themes were identified from the focus group transcripts and clustered into three broad areas: characteristics and individual experiences, mental health, and family and social context. Major findings included the need for culturally responsive mental health support, which appeared to mitigate distress and the centrality of social networks in support of resiliency.</p><p><strong>Conclusions: </strong>Findings from the present study suggest that community context, support for ethnic identity, and the ability to foster meaningful connections to others with similar experience and identity are critical factors in resilience. (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":"354-363"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33463416","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 journey through loss and shifting perspectives.","authors":"M. Moore","doi":"10.1037/fsh0000710","DOIUrl":"https://doi.org/10.1037/fsh0000710","url":null,"abstract":"The author shares her challenging experience of being a caretaker over the course of 10 months for her mother, who had amyotrophic lateral sclerosis. She shares her story so that others who may find themselves in an unimaginable situation of loss know that there is hope, and the possibility to find peace when you allow yourself to shift your perspective on how you handle obstacles in life. (PsycInfo Database Record (c) 2022 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"63 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133002641","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":"What I would take back.","authors":"M. Celano","doi":"10.1037/fsh0000702","DOIUrl":"https://doi.org/10.1037/fsh0000702","url":null,"abstract":"In this poem, the author describes when she was nine and in a hospital bed, her leg in a vise of needle teeth. After the pain, a family member returns with her father. The author describes the fog of forgetting a broken vow of the family member. She then describes her daughter injuring her toenail, which required bandages. The daughter asks if the wound will hurt, and the author says yes, remembering her own experience in the hospital bed as a nine-year-old. The daughter pleads with her mother to stay, and the mother reels her back to her hospital bed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"71 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":"114149174","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":"Inequities in behavioral health: What do we really know?","authors":"Shale L Wong","doi":"10.1037/fsh0000734","DOIUrl":"https://doi.org/10.1037/fsh0000734","url":null,"abstract":"<p><p>Behavioral health problems are ubiquitous in today's society. Social, environmental, and physical stressors impact our daily activities and wellness, contributing to mental health conditions, both diagnosed and undiagnosed, as well as substance use. We know that populations and identities are not equally impacted. Populations who experience greater stressors suffer more. Structures and systems cause and reinforce inequities in health, inclusive of behavioral health. Still, there is insufficient understanding of the existing disparities in behavioral health. Right now, what do we know? And perhaps more importantly, what do we know that we do not know? Behavioral health itself is an inequity in health care. Predominantly isolated from physical health, we still have not achieved parity in preventive measures, access, management, or reimbursement for care. We cannot let what we do not know prevent us from advocating for adequate resource allocation and prioritizing community driven solutions for populations with the greatest needs. These efforts must shift from programmatic interventions to full-scale paradigm shifts in public policy and adoption of disaggregated racial data to effectively narrow the gaps in equality and help us address behavioral health with the respect deserved to balance inequities. (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":"420-421"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33462424","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":"From surviving to thriving: Strategies to cultivate individual and organizational resilience in the health care workforce.","authors":"Colleen Clemency Cordes","doi":"10.1037/fsh0000728","DOIUrl":"https://doi.org/10.1037/fsh0000728","url":null,"abstract":"<p><p>In this president's column, the author notes that resilience has been identified as a strategy to mitigate the triumvirate of burnout, compassion fatigue, and moral distress. Once viewed as an innate personality trait, there has been an increased focus on the cultivation of resilience among health care providers, with attention to evolving educational models depending on the career stage of the provider and interventions for interprofessional health care workers. Strategies to develop the \"7Cs\" of individual resilience, which were initially applied to children and adolescents, have begun to be applied to physicians. If we are to really celebrate our frontline workers, we need to not only promote their personal wellbeing, but also make conscious efforts to restructure the environments and health care systems in which they work. Only through thoughtful and comprehensive interventions-targeting both the individual and the institution-can we truly foster well-being. Such efforts can help move our workforce and teams from the constant state of merely surviving that they have been in the past several years to thriving and finding joy again in their work. (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":"433-435"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33462426","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}
Bianca T Villalobos, Juventino Hernandez Rodriguez
{"title":"Clinician's commentary to accompany \"group well-child care model for Latino children in immigrant families: Adapting to and learning from the COVID-19 context\".","authors":"Bianca T Villalobos, Juventino Hernandez Rodriguez","doi":"10.1037/fsh0000731","DOIUrl":"https://doi.org/10.1037/fsh0000731","url":null,"abstract":"<p><p>Comments on an article by Nomi S. Weiss-Laxer et al. (see record 2022-71815-001). Providing virtual services takes time for many providers and families to get familiar with and many prefer in-person contact over telehealth; however, many of the challenges of doing telehealth can be overcome with creativity and flexibility. As clinicians, they agree with the authors that using the features of the technology to our advantage was helpful and that confirming with each person that they had privacy was vital to effective communication. Problem-solving was often needed, and most times parents had the best ideas for working around the limitations of their home environment. The article highlighted the possibility of hybrid models of care considering the needs and wants of both patients and providers. Such a hybrid approach can increase connection to clinics through in-person visits which can jump-start the establishment of therapeutic relationships and build trust (confianza) with clinicians and clinic staff. As the pandemic becomes more controlled, giving parents a choice and flexibility to change modalities can help them stay engaged and reduce drop out. Clinics will need to assess the language preferences of the families they serve to ensure they have enough staff and providers who are bilingual or multilingual to deliver such programs or use trained interpreters. These concerns would need to be addressed if implementation were increased on a large scale. (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":"418-419"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40337325","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}
Matthew P. Martin, Mindy L. McEntee, D. Mullin, Yash Suri, Constance van Eeghen
{"title":"Patient screening for integrated behavioral health in adult primary care: A rapid review of effective procedures.","authors":"Matthew P. Martin, Mindy L. McEntee, D. Mullin, Yash Suri, Constance van Eeghen","doi":"10.1037/fsh0000700","DOIUrl":"https://doi.org/10.1037/fsh0000700","url":null,"abstract":"PURPOSE\u0000Although many primary care clinics screen for behavioral health (BH) conditions using validated tools, it is not clear whether adult BH screening leads to better patient outcomes. Our objective was to determine the evidence base by reviewing effectiveness research for multiple strategies of BH screening in adult primary care identified in the Practice Integration Profile.\u0000\u0000\u0000METHOD\u0000We conducted five rapid reviews of effectiveness research supporting BH screening strategies cited in the Practice Integration Profile. Each rapid review was conducted using an adapted REAL (Rapid Evidence Assessment of the Literature) methodology and a standardized search tailored for each screening strategy to identify evidence related to BH screening in primary care.\u0000\u0000\u0000RESULTS\u0000The database search yielded 931 references. Following eligibility review and extraction, we evaluated data from 20 references examining five screening strategies. Results demonstrated limited support for all five strategies and high risk of bias within most studies. Outcomes associated with various BH screening strategies were rarely the focus of study.\u0000\u0000\u0000CONCLUSIONS\u0000There is an absence of robust, well-structured evidence supporting many of the BH screening strategies advocated for in primary care. Stakeholders may wish to understand how to ensure value when developing a robust screening program that will improve patient health outcomes. Future research should advance the science of BH screen selection, timing, and implementation by answering new questions about screening strategies. (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":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133526145","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}
C. V. Smith, Aaron A. Lee, Benjamin W. Hadden, Parker L Ellison
{"title":"Shared decision making and autonomy preferences of pediatric health care providers and parents of pediatric patients.","authors":"C. V. Smith, Aaron A. Lee, Benjamin W. Hadden, Parker L Ellison","doi":"10.1037/fsh0000704","DOIUrl":"https://doi.org/10.1037/fsh0000704","url":null,"abstract":"INTRODUCTION\u0000The aim of the current study was to determine whether parents of pediatric patients and health care providers (i.e., physicians and nurse practitioners) have different preferences for shared decision making (SDM) and whether these preferences vary across medical situations.\u0000\u0000\u0000METHOD\u0000Participants consisted of parents of children presenting to pediatric clinics (n = 164) and their matched pediatric health care providers (n = 18). Parents and providers completed measures of preferred autonomy for decision-making in general and across specific medical scenarios.\u0000\u0000\u0000RESULTS\u0000Preferences for autonomy were not uniform and varied across situations among providers and among parents. Further, parents and their providers differed from one another in their autonomy preferences across most scenarios, but not in general preferences.\u0000\u0000\u0000DISCUSSION\u0000The results of this study provide evidence of the complex nature of the provider-parent relationship in pediatric practice. This study highlights the need for providers to consider contextual factors that impact parents' preferences for autonomy when making shared medical decisions. (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":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122184831","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":"Rethinking connection.","authors":"Amy M Romain","doi":"10.1037/fsh0000681","DOIUrl":"https://doi.org/10.1037/fsh0000681","url":null,"abstract":"This poem focuses on the emotions and connection between a mother and their offspring as the mother ages and searches for words. (PsycInfo Database Record (c) 2022 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131895067","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}