Families Systems & Health最新文献_第2页

Insights into workforce development: An exploratory study of primary care psychology internship graduate careers. 劳动力发展的洞察：初级保健心理学实习毕业生职业发展的探索性研究。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-09 DOI: 10.1037/fsh0000998

Nydia M Cappas, Yoamy Toro, Viviana Hoyos

{"title":"Insights into workforce development: An exploratory study of primary care psychology internship graduate careers.","authors":"Nydia M Cappas, Yoamy Toro, Viviana Hoyos","doi":"10.1037/fsh0000998","DOIUrl":"10.1037/fsh0000998","url":null,"abstract":"Introduction: As demand for integrated behavioral health services grows, understanding specialized training programs' contribution to workforce development becomes crucial. This study examines the career trajectories of graduates from a primary care psychology internship program in Puerto Rico to inform integrated care workforce strategies.Method: We analyzed data from an annual program survey conducted between March and June 2024 with 62 graduates (71% response rate) from a primary care psychology internship program (2007-2023 cohorts). The survey captured professional credentials, employment characteristics, and service patterns. Hispanic women comprised 85.5% (n = 53) of participants, who represented consecutive cohorts over 15 years. We analyzed descriptive statistics for licensure status, employment settings, leadership roles, and the population served.Results: Most graduates (72.6%, n = 45) obtained psychology licensure. While 32.3% (n = 20) completed postdoctoral training, most entered practice directly. Currently, 41.9% (n = 26) work in primary care settings, and 51.6% (n = 32) in integrated care environments. Half of the sample (50.0%, n = 31) hold leadership positions. Most (61.3%, n = 38) work with underserved populations, with 46.8% (n = 29) working with people who experience substance use disorders.Discussion: The findings suggest that program graduates are engaged in roles within integrated care and underserved areas. However, structural barriers, including limited postdoctoral opportunities and regional economic factors, influence career development paths. This study highlights the need to systematically examine the career trajectories of integrated care internship graduates while considering the contextual factors that shape workforce development. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facilitators and challenges of implementing an integrated behavioral health model: An exploratory qualitative analysis of a New Jersey demonstration project. 实施综合行为健康模型的促进因素和挑战：新泽西州示范项目的探索性定性分析。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-05 DOI: 10.1037/fsh0000988

Rebecca A Klege, Jennifer C Berko, Theresa Menders, Charu Verma, Ann M Nguyen

{"title":"Facilitators and challenges of implementing an integrated behavioral health model: An exploratory qualitative analysis of a New Jersey demonstration project.","authors":"Rebecca A Klege, Jennifer C Berko, Theresa Menders, Charu Verma, Ann M Nguyen","doi":"10.1037/fsh0000988","DOIUrl":"10.1037/fsh0000988","url":null,"abstract":"Introduction: Despite strong evidence supporting integrated behavioral health (IBH), implementing the Primary Care Behavioral Health (PCBH) model remains challenging, particularly in safety-net settings like Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs). This study examines facilitators and barriers to PCBH adoption during a New Jersey-based demonstration project funded by The Nicholson Foundation (2013-2019).Method: We conducted semistructured interviews with 18 behavioral health and primary care staff from 10 FQHCs/CHCs between June and September 2022. A thematic analysis using both inductive and deductive approaches guided our interpretation.Results: Five key facilitators emerged: (a) external system support, (b) leadership champions driving workflow redesign, (c) positive provider attitudes toward change, (d) comprehensive PCBH training for all staff, and (e) visibility of behavioral health consultants. Major challenges included: (a) lack of resources and standardized training materials, (b) difficulty recruiting and retaining behavioral health professionals, and (c) complex billing processes that delay revenue generation.Discussion: While PCBH implementation is complex, critical enablers can support success in FQHCs/CHCs. As PCBH gains traction in healthcare systems, insights from this study can inform future efforts, particularly in underserved settings aiming to integrate behavioral health into primary care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correcting our collective oversight: Transforming women's health care beyond birth and motherhood. 纠正我们的集体疏忽：将妇女保健转变为生育和母亲以外的保健。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-01 DOI: 10.1037/fsh0001010

Jason Herndon, Deepu George

{"title":"Correcting our collective oversight: Transforming women's health care beyond birth and motherhood.","authors":"Jason Herndon, Deepu George","doi":"10.1037/fsh0001010","DOIUrl":"10.1037/fsh0001010","url":null,"abstract":"In this article, the authors provide a brief overview of our collective blind spot as a field and the failure to account for all of women's health across the lifespan. They align their recommendations based on two seminal reports focused on critiquing health care's narrow view on women's health and a call for a broader life course-oriented perspective. The Commonwealth Fund and Manatt's Transforming Primary Health Care for Women, Parts 1 and 2, serve as their guide. Written by Zephyrin et al. (2020a, 2020b), Part 1 is titled A Framework for Addressing Gaps and Barriers and Part 2 is titled The Path Forward. Aligned with the consensus of these two reports and other literature, they provide general guidance to open up their aperture for a broader approach to women's health and mental health issues across the lifespan. More specifically, as advocates for integrated care, they make an argument for sex-specific, sex-aware, and gender-sensitive care with a call to integrate a life course perspective into our educational work, workforce development strategies, and clinical thinking. They also make this call for awareness and action at a time in our national life where matters of equity and issues related to women's health are being challenged, eliminated, or erased. As scientist practitioners, policy influencers, fragmentation fighters, and equity advocates, they are called to remain equity-focused, context-sensitive, and innovate their ways into ensuring whole-person care regardless of social and political climate. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 2","pages":"408-412"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to talk to your doctor about pain. 如何和医生谈论疼痛。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-01 DOI: 10.1037/fsh0000932

Aimee Burke Valeras

引用次数: 0

Factors leading to patient disengagement for unknown reasons in virtual collaborative care. 导致患者因不明原因脱离虚拟协作护理的因素。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-01 Epub Date: 2024-08-22 DOI: 10.1037/fsh0000923

Chase Walker, Robyn Carter-Pendleton, Jian Joyner, Brandn Green, Virna Little

{"title":"Factors leading to patient disengagement for unknown reasons in virtual collaborative care.","authors":"Chase Walker, Robyn Carter-Pendleton, Jian Joyner, Brandn Green, Virna Little","doi":"10.1037/fsh0000923","DOIUrl":"10.1037/fsh0000923","url":null,"abstract":"Introduction: Collaborative care (CoCM) has been utilized as one strategy for improving access to behavioral health treatment through the primary care setting. However, despite the increased prevalence rates, need for services, and expansion of behavioral health into primary care, there are patients who initiate treatment but disengage for unknown reasons and without communication with their care team. This study analyzes treatment factors by comparing patients who disengage from CoCM for known versus unknown reasons to identify factors that may enhance the ability of providers to implement strategies for retaining those who have initiated care. The analysis utilizes clinical data from Concert Health, a national behavioral health medical group providing CoCM across 19 states.Method: The full patient disengagement data set contains 3,317 patient-level observations. A backward stepwise logistic regression was used to analyze how patient characteristics and level of care impacted patient disengagement for unknown reasons relative to known reasons.Results: The number of clinical touchpoints a patient receives has a significant association with disengagement for unknown reasons. Specifically, more touchpoints and touchpoints early in treatment appear to be important in preventing unknown disengagement. Other significant variables associated with disengagement for unknown reasons include age, primary diagnosis and comorbidities, and improvement as measured by Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9 scores.Discussion: This analysis sheds light on factors that impact patient disengagement from care for unknown reasons. The article concludes with a series of implications for enhancing care and patient retention based on these findings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"225-236"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and evaluation of a caregiver checklist for primary care. 开发和评估用于初级保健的护理人员核对表。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-01 Epub Date: 2024-11-21 DOI: 10.1037/fsh0000937

Catherine Riffin, Jennifer L Wolff, Karl A Pillemer

{"title":"Development and evaluation of a caregiver checklist for primary care.","authors":"Catherine Riffin, Jennifer L Wolff, Karl A Pillemer","doi":"10.1037/fsh0000937","DOIUrl":"10.1037/fsh0000937","url":null,"abstract":"Introduction: Family caregivers serve vital functions in older adults' health care, but their own needs are not systematically assessed in routine care delivery. The present study employed a user-centered approach to develop and evaluate a pragmatic checklist to support proactive identification and discussion of caregivers' concerns in primary care.Method: Checklist development proceeded according to a preestablished methodology involving domain identification, item generation, overall construction, and revision. The checklist subsequently underwent formal evaluation by 25 subject matter experts (SMEs), including primary care clinicians, family caregivers, and health services researchers who assessed the checklist's content validity and appraised its overall utility, ease of use, and mode of administration.Results: The checklist showed excellent content validity. None of the items were found to be superfluous, indicating that the checklist covered relevant content domains. Subject matter experts reported that the checklist was easy to use, just the right length, and would be helpful in identifying and prompting a discussion about caregivers' needs. Their preferences regarding how the checklist should be administered were variable. Minor revisions to the checklist focused on enhancing its applicability to caregivers from low- and middle-income families and those from underrepresented backgrounds.Discussion: Results indicate that the checklist is an appropriate tool for identifying caregivers' needs and concerns. Findings lay the groundwork for pilot testing in primary care to confirm the checklist's clinical feasibility and evaluate its preliminary impact on family-centered care quality and outcomes for primary care clinics. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"277-288"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parent and child approach to sustainable healthy eating and physical activity behaviors: A descriptive study. 父母和孩子对可持续健康饮食和身体活动行为的态度：一项描述性研究。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-01 Epub Date: 2025-06-09 DOI: 10.1037/fsh0000991

Mutlu Tuce Ulker, Aysegul Simsek, Eda Usta, Emine Rana Meşe, Şevval Ceren Büyükaslan, Irmak Yüksekbulut

{"title":"Parent and child approach to sustainable healthy eating and physical activity behaviors: A descriptive study.","authors":"Mutlu Tuce Ulker, Aysegul Simsek, Eda Usta, Emine Rana Meşe, Şevval Ceren Büyükaslan, Irmak Yüksekbulut","doi":"10.1037/fsh0000991","DOIUrl":"10.1037/fsh0000991","url":null,"abstract":"Aim: Considering that parents' lifestyle choices also affect children, it is important to evaluate and improve these effects. In this study, we aimed to determine the effects of parents' nutrition and physical activity behaviors, which have an important role in the acquisition and maintenance of positive health habits in primary school children on growth and development.Method: A descriptive and quantitative cross-sectional design was used in this study. We recruited 200 dyads (a mother with a child) conveniently. The Family Nutrition and Physical Activity Behaviors and Family Health Behaviors scales were administered to the parents. Anthropometric measurements, body mass index, and 3-day food consumption of children and their parents were recorded. Measurements were compared with scale scores. Anthropometric measurements were grouped according to the international obesity classification.Results: The parents of 200 children with a mean age of 11.2 years were included in the study. Family Nutrition and Physical Activity Scale score and health behaviors scale score of the parents were above the average. Anthropometric measurements and nutrient intakes such as carbohydrate, protein, and fatty acids were found to affect the scale scores. There was a moderate positive correlation between health behaviors and nutrition and physical activity.Conclusion: This study shows the results of health indicators of children involved in sports and their parents' behaviors. Nutrition and physical activity, which are the main health behaviors, affect the child as well as the parent. Health behaviors of families should be monitored by anthropometric measurements and food intake and positive habits should be gained. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"357-366"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The guy at church. 在教堂的那个人。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-01 DOI: 10.1037/fsh0000990

Colleen T Fogarty

引用次数: 0

Colors of recovery: Jenny's dance with hope. 复苏的颜色：珍妮与希望共舞。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-06-01 DOI: 10.1037/fsh0001006

Antonio Yaghy

引用次数: 0

Practice management and implementation science in integrated behavioral health. 综合行为健康实践管理与实施科学。