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

{"title":"Integrated care is associated with increased behavioral health access and utilization for youth in crisis.","authors":"Monika R Parikh,&nbsp;Sean M O'Dell,&nbsp;Laura A Cook,&nbsp;McKenna Corlis,&nbsp;Haiyan Sun,&nbsp;Matthew Gass","doi":"10.1037/fsh0000620","DOIUrl":"https://doi.org/10.1037/fsh0000620","url":null,"abstract":"<p><strong>Introduction: </strong>Pediatric integrated care is well-positioned to play a substantial role in crisis intervention; however, few studies have investigated the impact of these services.</p><p><strong>Method: </strong>We investigated differences in service utilization for youth experiencing a crisis in a large, predominantly rural health system by comparing outcomes for 171 youth who received a crisis evaluation in a primary care behavioral health (PCBH) setting to 171 youth presenting to the emergency department at the main hospital campus using a retrospective cohort study design.</p><p><strong>Results: </strong>PCBH patients were less likely to be male, more likely to be diagnosed with an Adjustment Disorder and less likely to be diagnosed with Autism Spectrum Disorder. Youth evaluated in PCBH were more likely to receive a psychiatric admission, had a shorter latency to the next BH appointment, and had higher rates of completing at least 1 visit in the year following the evaluation. A statistically nonsignificant reduction in frequency of psychiatric admission was observed in the year after the index date, with 3 integrated care patients (vs. 18 on index date) and 5 ED patients (vs. 6 on index date) admitted.</p><p><strong>Discussion: </strong>Opportunities for future research on cost-effectiveness of care and continuous improvement aligned with quadruple aim outcomes are discussed. Overall, this study is among few others investigating the potential for pediatric integrated care models to contribute to youth suicide prevention and the study demonstrated promising increases in access and engagement with timely 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":"426-433"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646913","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":"We are in this together: Maintaining our health care teams' wellness during challenging times.","authors":"Tai Mendenhall","doi":"10.1037/fsh0000650","DOIUrl":"https://doi.org/10.1037/fsh0000650","url":null,"abstract":"<p><p>Efforts to prevent or mitigate burnout in health care practice(s) are longstanding in both biomedical and mental health arenas-from early training in classrooms, internships, and residencies to postgraduate work in primary, secondary, tertiary, and other care contexts (Berg & Garrard, 1980; Chen et al., 2019; Prins et al., 2007). From generic advice about work/ life balance, sleep hygiene, physical activity, and healthy eating to specific interventions across individual and organizational levels designed to support trainees and providers who are personally decompensating and/or potentially putting their patients at risk, scientific and lay literature, resources, programming, and protocols are extant. Whether and how we-as individuals, care teams, and care systems-have advanced these efforts effectively are similarly diverse. COVID-19 changed this conversation-or at least the urgency of it. In some ways, this makes perfect sense in light of the increased hours that many of us suddenly found ourselves working (read: <i>no more work/life balance</i>). But there were a lot of other things-less expected things happened. In this issue, Cornelius et al.'s (2021) engagement with health care workers in New York City is illustrative. Unlike traversing something that is difficult but has a clear endpoint (like a 24-hr shift or a four-year residency), we do not know when this pandemic will be over. It feels like running a marathon with no mile markers or celebratory finish line. And unlike offering responsive care to a specific community in a defined geographic area (like one impacted by a terrorist attack or a hurricane), we do not know where this pandemic's virus is. Because we cannot actually see COVID-19, we worry more about catching it. If we catch it, we might bring it home. If we bring it home, we could kill our spouses. Or our children. Maybe our whole families. It is hard to do good work when we carry emotional burdens like that. (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":"541-543"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646916","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":"Medicine, mental health and child welfare: \"Three different worlds that need to amalgamate\".","authors":"Richard D Krugman","doi":"10.1037/fsh0000647","DOIUrl":"https://doi.org/10.1037/fsh0000647","url":null,"abstract":"<p><p>The past 50 years have witnessed a dramatic change in the morbidity and mortality of many (if not most) pediatric diseases. The primary driver for this improvement has been the billions of dollars invested in research by the National Institutes of Health and hundreds of not-for-profit advocacy groups that have raised awareness and money to support research, treatment, prevention, and advocacy for their cause. Child abuse and neglect is a glaring exception, with no significant improvement in mortality from physical abuse and neglect over the past 50 years. Furthermore, child protection in the U.S., which has been the responsibility of the state and county Child Welfare Departments, have been struggling for at least 30 years and have no data on the quality and outcomes of their services to children and families. This article discusses some of the past failures to address the issue, and suggests that for progress to be made, health, mental health, and child welfare professionals have to be able to work with each other in a way that allows child and families to be free of abuse and neglect. It builds on the recent efforts to embed mental health services and professionals in primary care practices. (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":"535-538"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646918","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":"Matched emotional supports in health care (MESH) framework: A stepped care model for health care workers.","authors":"Julia Price,&nbsp;Emily M Becker-Haimes,&nbsp;Courtney Benjamin Wolk","doi":"10.1037/fsh0000600","DOIUrl":"https://doi.org/10.1037/fsh0000600","url":null,"abstract":"<p><p>Frontline health care workers (HCWs) are experiencing a range of emotional responses to the COVID-19 pandemic, including anxiety, traumatic stress, and burnout. As many as half of all HCWs will exhibit clinically significant distress. This distress may endure for years, and health care institutions must respond to these emotional needs. We propose the Matched Emotional Supports in Health Care (MESH) Framework to guide institutions in implementing a tiered, or \"stepped care\" model for deploying sustainable emotional support programs for HCWs for COVID-19 and beyond. Recognizing the variability in HCWs' response to stress, MESH outlines a continuum of services, including universal (e.g., self-help), selected (e.g., support from trained volunteers), and indicated (e.g., professional therapy, psychotropic medication management) interventions matched to individual need. We provide a targeted review of evidence-based resources available at each level of care and potential processes for determining when higher levels of care are needed. Finally, we delineate key implementation factors for institutions to consider in developing, implementing, and sustaining services for HCWs. Employing the MESH Framework may also facilitate health care institutions' ability to meet the fourth aim of the Quadruple Aims of Health Care to ensure a healthy workforce for this and future crises. (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":"493-498"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38989050","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":"Correlates of diet-related spousal involvement among both members of couples managing diabetes.","authors":"Kristin J August","doi":"10.1037/fsh0000631","DOIUrl":"https://doi.org/10.1037/fsh0000631","url":null,"abstract":"<p><strong>Introduction: </strong>Spouses are often involved in facilitating each other's healthy diet through support and regulation (i.e., control), especially when one member has a chronic condition such as type 2 diabetes. This diet-related involvement is likely reciprocal, yet little is known about the implications of this type of involvement for the nonpatient spouse, as well as the implications of providing support or control. This study accordingly focused on the behavioral and emotional correlates of the receipt and provision of diet-related spousal support and control among both members of couples managing type 2 diabetes.</p><p><strong>Method: </strong>Both members of middle-aged and older adult married couples (N = 296) in which at least one member had type 2 diabetes completed an online survey. Data were analyzed using multilevel models that controlled for sociodemographic and disease characteristics.</p><p><strong>Results: </strong>The only patient status difference in any of the key variables was that spouses reported more diabetes distress than patients themselves. Receiving more frequent support was related to a healthier diet, whereas receiving more frequent pressure was related to an unhealthier diet. Providing more frequent support and persuasion were related to a healthier diet, but only among spouses without diabetes. Finally, the more frequent provision of all types of diet-related involvement was related to greater diabetes distress.</p><p><strong>Discussion: </strong>Patient status did not seem especially relevant in understanding correlates of diet-related spousal involvement. Findings highlight the importance of examining and focusing intervention efforts on both members of a couple in later life when chronic conditions requiring dietary changes are prevalent. (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":"467-476"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646518","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 to do with that policy paper (and why).","authors":"Jodi Polaha,&nbsp;Nadiya Sunderji,&nbsp;Shale L Wong,&nbsp;Stephanie B Gold","doi":"10.1037/fsh0000645","DOIUrl":"https://doi.org/10.1037/fsh0000645","url":null,"abstract":"<p><p>In this editorial we describe the clinician/administrator/researcher experience of frustration or confusion around how to effectively advocate for policy change in health care. By the end of the piece the reader will (a) understand the importance of health professionals' advocacy; (b) know how to use policy papers to advocate; and (c) understand how policy organizations use policy papers. We also discuss the National Academies of Medicine, Science, & Engineering High Quality Primary Care report as an example of a policy paper, introduce our new coeditors for the Policy and Management Department, and describe the Collaborative Family Health Care Association's new policy principles. (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":"409-412"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646517","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":"Family well-being and individual mental health in the early stages of COVID-19.","authors":"AliceAnn Crandall,&nbsp;Chantel Daines,&nbsp;Michael D Barnes,&nbsp;Carl L Hanson,&nbsp;Malynne Cottam","doi":"10.1037/fsh0000633","DOIUrl":"https://doi.org/10.1037/fsh0000633","url":null,"abstract":"<p><strong>Background: </strong>The objective of the study was to examine the association of COVID-19 with family well-being and adult mental health 1 month into the COVID-19 pandemic in the United States. Prior pandemics have had long-term effects on mental health. COVID-19 and its related stressors, such as loss of work and social distancing requirements, may have a profound impact on short-term and long-term mental health. Family stress theory indicates that subjective family meaning making and family resources affect how stressors lead to outcomes.</p><p><strong>Method: </strong>Participants, adults ages 18 years and older (N = 416), completed a cross-sectional online survey measuring depressive and anxiety symptoms, family health, subjective family meaning making, and loss of work resulting from COVID-19. Data were analyzed using a structural equation modeling framework.</p><p><strong>Results: </strong>Results indicated that subjective negative family meaning and effects were associated with more depression and anxiety. Higher family health resources were associated with less depression and anxiety. Family health resources mediated the relationships between COVID-19 loss of work with depression and anxiety.</p><p><strong>Conclusion: </strong>COVID-19 associated stressors 1 month into the pandemic had modest effects on family meaning making and family health resources. Individuals from families whose health resources were negatively impacted by COVID-19 reported more anxiety and depressive symptoms. Health care and public health systems should consider family health resources to help reduce the negative effects of COVID-19 on mental health. Longitudinal research is needed to examine the accumulation of stressors over time and the directionality of relationships. (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":"454-466"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646914","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":"Body duality.","authors":"Christina L Romero-Ivanova","doi":"10.1037/fsh0000635","DOIUrl":"https://doi.org/10.1037/fsh0000635","url":null,"abstract":"<p><p>This poem focuses on Body Duality and recounts the experience of child sexual abuse. (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":"539-540"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646919","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":"Behavioral health engagement and treatment strategies: Pediatric chief resident perspectives.","authors":"Susan G Forman,&nbsp;Adam J Lekwa,&nbsp;Jeffrey D Shahidullah","doi":"10.1037/fsh0000611","DOIUrl":"https://doi.org/10.1037/fsh0000611","url":null,"abstract":"INTRODUCTION Despite increasing evidence that use of the \"common factors\" and \"common elements\" approaches are effective in improving patient outcomes, and calls for pediatricians to address patient behavioral health concerns, little is known about pediatrician knowledge, perceptions, and use of these approaches. METHOD Pediatric chief residents from all 210 pediatric residency programs in the United States were surveyed to investigate their knowledge, attitudes, practices, and training related to use of engagement and treatment strategies that comprise the common factors and common elements approaches to delivering behavioral health care. RESULTS The usable response rate was 38%. Most respondents indicated they believe pediatricians should address behavioral health issues and that common factors and common elements would be useful and feasible in clinical practice. Most indicated low levels of familiarity with common factors and common elements and dissatisfaction with training in these areas. CONCLUSION Additional training and other implementation supports, such as dissemination of implementation guidelines and mechanisms for technical assistance, will be needed in order to increase pediatrician use of these approaches. (PsycInfo Database Record (c) 2021 APA, all rights reserved).","PeriodicalId":358476,"journal":{"name":"Families, systems & health : the journal of collaborative family healthcare","volume":" ","pages":"434-442"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39316086","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":"Building a community-based participatory approach to child, youth, and family health: Learnings from organizational engagement in the Peel Region of Ontario.","authors":"Sara Martel,&nbsp;Christine Heidebrecht,&nbsp;Chelsea D'Silva,&nbsp;Nikita Singh,&nbsp;Dianne Fierheller,&nbsp;Ian Zenlea","doi":"10.1037/fsh0000622","DOIUrl":"https://doi.org/10.1037/fsh0000622","url":null,"abstract":"<p><strong>Background and objectives: </strong>As hospital-based pediatric clinicians and researchers, we conducted engagement with representatives from public, private, and nonprofit organizations in the Peel Region of Ontario. Objectives were to build relationships and inform research, education, innovation, and programming to improve the health of local children, youth, and families (CYF).</p><p><strong>Method: </strong>Relevant public, private, and nonprofit organizations were identified through an extensive environmental scan. Semistructured interviews and focus groups were conducted with front-line, managerial, and executive representatives. Analysis consisted of thematic analysis and quantitative content analysis. All participants were invited to a 1-day community networking event to discuss the engagement findings and brainstorm next steps.</p><p><strong>Results: </strong>Final sample was <i>n</i> = 155 individuals from <i>n</i> = 61 organizations. The community networking event included <i>n</i> = 45 participants from <i>n</i> = 41 organizations. Participants identified the top three health issues facing families as: (a) mental health and wellbeing (63%); (b) socioeconomic insecurity (52%); (c) lack of physical activity (43%). Major themes included: holistic health and wellness; equity and sociocultural dimensions of health; cross-sector/organizational collaboration and integration; need for inclusive, action-oriented, and participatory approaches.</p><p><strong>Conclusions: </strong>Insights from these engagement activities led to the development of a community-based participatory research (CBPR) approach to CYF health in Peel. In this article we posit CBPR and a population health approach can come together in research and care to prioritize equity, collaboration, and active participation in a community-wide approach to CYF health. (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":"443-453"},"PeriodicalIF":1.3,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39376934","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}