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

{"title":"System navigation models to facilitate engagement in pediatric behavioral health services: A systematic review.","authors":"Rachel A Petts,&nbsp;Maryellen Brunson McClain,&nbsp;Gazi Azad,&nbsp;Jeffrey D Shahidullah","doi":"10.1037/fsh0000643","DOIUrl":"https://doi.org/10.1037/fsh0000643","url":null,"abstract":"<p><strong>Introduction: </strong>Despite increased prevalence and identification of pediatric behavioral health concerns, families face many barriers when attempting to access behavioral health services. System navigators, or individuals experienced in navigating the health system, help to engage families in services by helping individuals overcome barriers for accessing care. However, limited research to date has systematically reviewed the implementation and effectiveness of navigation models in pediatric populations.</p><p><strong>Method: </strong>We systematically reviewed published studies examining navigation models for pediatric populations (up to age 18) referred to behavioral health services. We searched PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycINFO for studies that evaluated a navigation model and included service use outcomes. We aggregated data pertaining to characteristics of the study and navigation model, service use outcomes, and implementation outcomes.</p><p><strong>Results: </strong>Eight studies met inclusion criteria. Families who participated in navigation services were more likely to complete diagnostic assessments and received an increased dosage (e.g., time spent, services completed) of behavioral health treatments. There was notable variability across studies in terms of processes involved in the navigation models.</p><p><strong>Discussion: </strong>Findings indicate that system navigation is a promising method for improving service use for pediatric populations referred to behavioral health services. Future research may continue to examine the effectiveness and implementation of the model, to best understand its benefits and what processes may contribute to improved service outcomes. Public Significance Statement: This paper reviews the effectiveness of system navigator models, which are designed to engage children and families in behavioral health services. The interventions reviewed are associated with increased behavioral health service use in children and show promise as a method of overcoming barriers to accessing behavioral health care. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"618-631"},"PeriodicalIF":1.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39493641","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":"Responding to COVID-19 through an integrated primary care/behavioral health program.","authors":"Emily Benedetto,&nbsp;Margarida Holmes,&nbsp;Astrea Greig,&nbsp;Ellie Grossman,&nbsp;Leah Soumerai,&nbsp;Kate Zona,&nbsp;Hsiang Huang","doi":"10.1037/fsh0000636","DOIUrl":"https://doi.org/10.1037/fsh0000636","url":null,"abstract":"<p><p>Background and Implementation: Novel coronavirus disease 2019 (COVID-19) has presented unique challenges for patients and health care systems, including a surge in behavioral health (BH) needs. A community teaching public hospital system in Massachusetts (MA) whose 13 primary care (PC) clinics serve a diverse patient population, has developed a model for Primary Care Behavioral Health Integration (PCBHI) to provide brief, evidence-based interventions to patients in PC. In response to COVID-19, the system developed an intensive community management strategy to care for patients with COVID-19 outside of the hospital, and its PCBHI program adapted alongside this strategy to provide rapid support to patients in emotional distress. Over a 13-week period, 78 patients were specifically referred to the PCBHI COVID clinic and received rapid therapeutic support and/or care navigation. Recommendations: This article will discuss the development and implementation of the PCBHI COVID clinic, common presenting issues and clinical interventions used, and lessons that informed our adaptation of clinic operations and that can serve as recommendations to other health systems in establishing similar services. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"644-649"},"PeriodicalIF":1.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39488516","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 challenge to opportunity: COVID-19 and the evolution of virtual mental health care.","authors":"Nicholas J Ainsworth,&nbsp;M Ishrat Husain,&nbsp;Benoit H Mulsant","doi":"10.1037/fsh0000648","DOIUrl":"https://doi.org/10.1037/fsh0000648","url":null,"abstract":"<p><p>The transition to virtual care (telehealth) during the COVID-19 pandemic has led to both challenges and opportunities in delivering effective mental health care that meets the needs of patients and families. The negative mental and physical health effects of isolation and loneliness associated with the pandemic present a challenge for community mental and behavioral health care. However, the advantages that virtual care provides for the delivery of mental health services, particularly the potential for improved access, also benefit both providers and patients. Ongoing barriers to wider adoption and utilization of virtual mental health care need to be addressed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"659-661"},"PeriodicalIF":1.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39730607","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":"Back to \"normal\" accessibility?","authors":"Sujal Manohar","doi":"10.1037/fsh0000668","DOIUrl":"https://doi.org/10.1037/fsh0000668","url":null,"abstract":"<p><p>The author works at a nonprofit art studio for people with disabilities in Austin, Texas. The studio is having its first drawing class since the studio closed due to COVID-19 last spring. The author describes the struggles with accessibility of Susan, her first student to attend the studio in person since the pandemic. The author's initial thrill about in-person classes dulled, dissipated after hearing Susan's story and seeing her distress. She concludes that in the rush and excitement of this (hopefully) postpandemic world, we must take the opportunity to rethink what \"back to normal\" means. Perhaps we can replace our idea of normal with something more inclusive. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"663-664"},"PeriodicalIF":1.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39730608","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":"There, but gone.","authors":"Tai J Mendenhall","doi":"10.1037/fsh0000656","DOIUrl":"https://doi.org/10.1037/fsh0000656","url":null,"abstract":"<p><p>The author, a licensed marriage and family therapist, briefly describes his therapy with a male patient who had suicidal ideation over a broken relationship with a lover. The patient had agreed to at least a half-dozen \"no-harm contracts\" to not kill himself. However, the patient no-showed at his next visit, and was found by police to have taken his life. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"662"},"PeriodicalIF":1.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39730609","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":"Universal screening and trauma informed care: Current concerns and future directions.","authors":"Sheela Raja,&nbsp;Emily P Rabinowitz,&nbsp;Matt J Gray","doi":"10.1037/fsh0000585","DOIUrl":"https://doi.org/10.1037/fsh0000585","url":null,"abstract":"<p><p>There is a growing awareness of the prevalence and negative health effects associated with traumatic events, including childhood abuse and adversity, intimate partner violence, adult sexual assault, and exposure to combat and community violence. Health care systems have attempted to address this link by becoming trauma informed through universal trauma precautions and screening protocols. We review several clinical and methodological concerns associated with universal trauma screening in adult health care settings including: deciding which traumas to assess in which populations, integrating retrospective recall with current functioning to facilitate referrals, and guarding against adverse patient reactions and insurance discrimination. We outline potential implications for program development and future research including: adapting and refining screening tools, integrating patient preferences and privacy concerns into screening protocols, assessing resource limitations, and integrating public health advocacy into screening programs. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"526-534"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38989053","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":"Disability-affirmative integrated primary care.","authors":"Colleen Clemency Cordes","doi":"10.1037/fsh0000640","DOIUrl":"https://doi.org/10.1037/fsh0000640","url":null,"abstract":"<p><p>The development of an antiracist and culturally responsive integrated health care professionals necessitates attention to, and appreciation of, the diverse intersectional identities of the patients with whom we work. Pamela Hays' (2001) ADDRESSING model (Age and generational influences, Developmental and acquired Disability, Religion and spiritual orientation, Ethnic and racial identity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, and Gender) can provide a useful framework to understand the complex interaction of diverse identities, particularly among people with disabilities (PWD). PWD represent more than a quarter of the United States population (Centers for Disease Control and Prevention [CDC], 2020), and the lived experiences of PWD are varied, with disability often serving as an \"umbrella term\" for functional differences in mobility, cognition, hearing, vision, self-care and independent living across the life span. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"546-550"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39735354","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":"Latino grandparent opportunity to influence family health behaviors: The Healthy Us Grandparent Study (HUGS).","authors":"Theresa J Garcia,&nbsp;Sara A Baldwin,&nbsp;Denise C De La Rosa,&nbsp;Norma Vela,&nbsp;Toyin Ajisafe,&nbsp;Beatriz Cazares,&nbsp;John McIntyre","doi":"10.1037/fsh0000634","DOIUrl":"https://doi.org/10.1037/fsh0000634","url":null,"abstract":"<p><strong>Introduction: </strong>Latino children are the fastest growing population of obese children in the United States, the most obese group of children by race and a significant disparity in childhood obesity. Extended family, often grandparents, are traditionally involved in childcare in Latino family structure, yet their influence on family health behaviors is unclear. This study explored grandparent involvement in the care of Latino children in South Texas and their possible influence on child body mass index (BMI) and family health behaviors to determine if they present an opportunity to improve child obesity treatment plans.</p><p><strong>Methods: </strong>Partnering with the local school district, we surveyed parents (N = 174) and grandparents (N = 108) of 188 Latino, primary school-age children regarding grandparent care and family health behaviors. We weighed, measured, and interviewed children regarding grandparent care and their own health behaviors.</p><p><strong>Results: </strong>All groups exceeded state and national obesity rates, with almost half the children in overweight or obese categories. Grandparents were routinely present in 30%-67% of the children sampled, dependent on respondent group. We found no significant relationship between grandparent involvement and child BMI, however grandparent cohabitation with the family was associated with less fast-food consumption by children (p = .001) and parents (p = .006) and healthier diet scores for children (p = .008) and grandparents (p = .004). More frequent exercise by parents (r = .33, p = .001) and grandparents (r = .25, p = .012) was associated with more frequent exercise by children.</p><p><strong>Discussion: </strong>This study enhances understanding of grandparent involvement in the care of Latino children and illuminates opportunities to involve grandparents in family-focused, community-supported interventions, incorporating cultural understanding in decreasing Latino childhood obesity. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"413-425"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646519","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":"Development and evaluation of employee wellness sessions in response to COVID-19.","authors":"Rachelle Rene,&nbsp;Amy Cunningham,&nbsp;Oriana Pando,&nbsp;Alexis Silverio,&nbsp;Christine Marschilok,&nbsp;Randa Sifri","doi":"10.1037/fsh0000615","DOIUrl":"https://doi.org/10.1037/fsh0000615","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has led to widespread mental health distress. Few COVID-19 employee wellness initiatives have been evaluated and have primarily focused on frontline health care workers. This study described the feasibility and utilization of, and participant satisfaction for virtual COVID-19 employee wellness sessions at a large university and health system.</p><p><strong>Method: </strong>Thomas Jefferson University behavioral health consultants (BHCs) and behavioral health leaders developed and offered JeffBeWell (JBW) wellness sessions over 17 weeks during March 2020 through July 2020. Sessions were advertised via mass emails and an employee intranet. Multiple live thirty-minute sessions were offered weekly; facilitators provided psychoeducation and offered coping tools. Topics included working remotely, parenting, sleep, nutrition, grief, anxiety, and yoga and relaxation. Attendance was tracked and participants were asked to complete satisfaction surveys; survey data was analyzed using descriptive statistics.</p><p><strong>Results: </strong>A total of 388 sessions were offered with 1,324 participants. Attendance rose in weeks 1-5, followed by a decline and then a second increase in Weeks 15 through 17, 213 participants (16%) responded to the survey. The largest portion of respondents were in academic administrative roles (46%), followed by clinical providers and staff (34%) and faculty and students (9%). Of respondents, 91% of respondents felt that the sessions met their expectations, 92% felt the session helped them, and 92% planned to attend future sessions.</p><p><strong>Discussion: </strong>JBW sessions were feasible to implement, attended by diverse participants and well received by survey respondents, although attendance has fluctuated during the pandemic. BHCs have refined sessions based on participant feedback and are tailoring more sessions to specific audiences. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"505-517"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646912","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 commentary on \"Integrated care is associated with increased behavioral health access and utilization for youth in crisis\" by Sean O'Dell.","authors":"Robert Meeder","doi":"10.1037/fsh0000651","DOIUrl":"https://doi.org/10.1037/fsh0000651","url":null,"abstract":"<p><p>Comments on the article \"Integrated care is associated with increased behavioral health access and utilization for youth in crisis\" by Sean O'Dell (see record 2022-06988-003). As a pediatrician with a practice focused exclusively on pediatric mental health, I am highly motivated to improve care by minimizing barriers to accessing care, and ensuring that the right care is delivered at the right time and in the right place. I am based in the outpatient clinic of a large mental health hospital (Waypoint Center for Mental Health Care) in rural central Ontario. As part of this program, I also have the opportunity to support integrated care clinics at four Family Health Teams (analogous to patient-centered medical homes), where I collaborate with child and youth therapists and primary care providers. In this setting, there is improved information sharing among the clinical team members, including shared documentation, which improves access and quality of care for pediatric patients and their families. (PsycInfo Database Record (c) 2021 APA, all rights reserved).</p>","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"544-545"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646917","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}