Families Systems & Health最新文献

{"title":"New paradigms and adaptations in times of rapid technological changes.","authors":"C R Macchi, Rodger Kessler, Tai Mendenhall, Rachel Davis-Martin, Sandra Bertram Grant","doi":"10.1037/fsh0001070","DOIUrl":"10.1037/fsh0001070","url":null,"abstract":"<p><p>The journal's editorial team is exploring opportunities and challenges associated with the exponential development and widespread adoption of evolving artificial intelligence (AI) across the health and health care sectors. The continued advancement of integrated care will depend on the approaches we take today to identify responsible and appropriate uses of AI that support key tenets of integrated health care and team-based care delivery. How do we position ourselves to effectively leverage these new tools while maintaining and embracing the value of the people in the process? Since many AI applications are in early development, there are multiple challenges to consider. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"109-113"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201238","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}

{"title":"Implementation and evaluation of an integrated behavioral health curriculum within a family medicine clerkship.","authors":"Catherine Guariglia, Pooja Padgaonkar, Mollie Cherson, Barbara Cymring, Dhruvi Shah, Laura Monroe, Maria Syl D de la Cruz","doi":"10.1037/fsh0001000","DOIUrl":"10.1037/fsh0001000","url":null,"abstract":"<p><strong>Introduction: </strong>Integrating behavioral health into primary care through the Primary Care Behavioral Health model is crucial for addressing physical and mental health needs. Despite its importance, undergraduate medical education often lacks education and exposure to integrated behavioral health (IBH).</p><p><strong>Method: </strong>This study aimed to address this gap by implementing an IBH curricular experience within a third-year family medicine clerkship and evaluating its impact on the students' knowledge and confidence in understanding IBH and managing mental health in primary care. The curriculum included a didactic lecture on IBH, a shadowing session with a behavioral health consultant and pre- and postsurveys to evaluate change in knowledge and attitudes. Data were collected from January 2023 through April 2024.</p><p><strong>Results: </strong>Quantitative data were analyzed using the Wilcoxon signed-rank test, and qualitative responses were examined through thematic analysis. In total, 65 matched pre- and postsurveys revealed significant improvements in understanding the Primary Care Behavioral Health model (median increase from 3 to 4, <i>p</i> < .001) and in awareness of management strategies for conditions commonly seen within primary care, including anxiety and depression. Qualitative themes identified enhanced understanding of IBH, contributions to professional development, and constructive curricular feedback.</p><p><strong>Discussion: </strong>These findings demonstrate that the IBH experience improved students' knowledge and awareness in managing mental health within primary care and emphasize the importance of incorporating IBH into undergraduate medical education curricula to better prepare future physicians for interprofessional, holistic care. Further efforts to standardize the curriculum and expand active learning opportunities may enhance outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"132-139"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562093","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}

{"title":"Bringing substance use treatment home: Collaborative care for addiction in primary care.","authors":"Julian Mitton, Yona Remer, Desirae Rivers","doi":"10.1037/fsh0001067","DOIUrl":"10.1037/fsh0001067","url":null,"abstract":"<p><p>For clinicians working in primary care and behavioral health settings, the opportunity is clear: Integrated care models have the potential to transform how we engage and support patients with substance use disorders (SUD), bringing meaningful, low-barrier care to the clinic exam room. By combining evidence-based practice with patient-centered approaches and diverse care teams, primary care can become a more effective-and more accessible-entry point for recovery-oriented care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"235-238"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201190","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}

{"title":"Physical and mental health outcomes of integrated care: Systematic review of study.","authors":"Rylan B Hellstern, Angela L Lamson, Jakob F Jensen, Matthew P Martin, Ray H Hylock","doi":"10.1037/fsh0000960","DOIUrl":"10.1037/fsh0000960","url":null,"abstract":"<p><strong>Background: </strong>Integrated primary care (IPC) is a proposed alternative concept to health care aimed at increasing access to care and promoting holistic health by combining treatment for biological, psychological, and social domains. To solidify the importance of IPC compared to traditional methods of health care delivery, outcome measurement is essential to bolster the claim that such a shift in patient care can improve holistic health. This systematic review sought to understand the literature accounting for both physical and mental health outcomes in IPC settings.</p><p><strong>Method: </strong>Systematic searches within PsycINFO, Embase, and PubMed databases identified 2,729 studies that fit our predetermined criteria. Studies were included if they were within a setting that met our definition of IPC and tracked for both physical and mental health indicators.</p><p><strong>Results: </strong>In total, 42 screened studies fit our criteria with approximately 28 distinct IPC models represented, each employing different team members to deliver interventions. Fifteen studies found improvements in both physical and mental health outcomes, while others only noted improvement in physical (<i>n</i> = 4) or mental health outcomes (<i>n</i> = 15) alone. Of the 15 studies that found improvement in both outcomes, depression and diabetes were the two that improved together most frequently.</p><p><strong>Conclusions: </strong>This review found evidence of IPC settings improving both biological and psychological outcomes, with a considerable number demonstrating depressive symptom reduction in comparison to any other physical or mental health condition. Continuing efforts are still needed to measure concurrent physical and mental health conditions to make progress toward improved holistic health care systems. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"204-224"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416369","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}

{"title":"With a capitalized H.","authors":"Zhaohui Su","doi":"10.1037/fsh0001018","DOIUrl":"https://doi.org/10.1037/fsh0001018","url":null,"abstract":"<p><p>Presents a poem about professional issues and delivering health care to the individual. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"229-231"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201310","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}

{"title":"Barriers to and facilitators of integrated primary care engagement: Convergent and divergent perspectives of care team members and caregivers.","authors":"Chimereodo Okoroji, Lindsay Poole, Jesslyn Jamison, Donna Armentrout, Angela Pereyra Monero, Jennifer A Mautone, Ariel A Williamson","doi":"10.1037/fsh0001003","DOIUrl":"10.1037/fsh0001003","url":null,"abstract":"<p><strong>Background: </strong>Integrated primary care (IPC) can improve access to behavioral health (BH) care, reduce stigma, and facilitate early intervention. However, few studies have examined key informants' perceptions of IPC engagement.</p><p><strong>Objective: </strong>We qualitatively identified convergent and divergent perspectives of care team members and caregivers on pediatric IPC-related engagement barriers, facilitators, and suggestions for improvements.</p><p><strong>Method: </strong>Care team members (<i>N</i> = 48, 98.3% female, 72.9% non-Hispanic/Latine White) and caregivers (<i>N</i> = 10, 100% female, 10.0%. Asian, 30.0% Black/African American, 60.0% non-Hispanic/Latine White) completed semistructured interviews on IPC engagement in a large pediatric primary care network. Thematic analysis was used to iteratively identify patterns of meaning, as well as convergent and divergent themes across informant groups.</p><p><strong>Results: </strong>Convergent barriers included stigma, prolonged wait times, limited BH knowledge, difficulty navigating services, and limited BH provider availability. Whereas care team members identified more family-related barriers (e.g., beliefs, experiences), caregivers identified divergent barriers such as limited childcare. Perceived engagement facilitators converged across groups and mostly pertained to systems-related factors such as the colocation of services. Converging recommendations included additional behavioral clinicians and support staff, provision of psychoeducational resources, and expanding IPC services.</p><p><strong>Conclusion: </strong>Although key informant groups similarly perceived many IPC benefits, including increased BH access, there are continued patient/family barriers to IPC engagement, with divergence in care team members' versus caregivers' views about the nature of these barriers. Findings suggest a need for systems-level changes to address these barriers and highlight the importance of including the unique perspectives of care team members and caregivers in future research examining IPC effectiveness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"140-156"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562091","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}

{"title":"Distress dynamics in patient and partner dyads early after stroke/transient ischemic attack: A pilot feasibility study.","authors":"Talea Cornelius, Alvis Gonzalez, Danielle A Rojas, Ammie Jurado, Ari Shechter","doi":"10.1037/fsh0001032","DOIUrl":"10.1037/fsh0001032","url":null,"abstract":"<p><strong>Background: </strong>Acute cardiovascular events are highly distressing for patients and their romantic partners. Partner presence in the emergency department (ED) may increase patients' distress due to mutual exposure to hospital stressors and dyadic influences, but studies are lacking. This pilot feasibility study enrolled patients with stroke/transient ischemic attack (TIA) and their partners to complete surveys and physical activity monitoring. Dyadic disruption theory informed hypotheses about distress transmission (i.e., corumination and shared reality as moderators).</p><p><strong>Method: </strong>Partners of stroke/TIA patients were recruited from an ongoing observational cohort study in a large, urban academic medical center. Surveys were conducted at baseline and 1-month posthospital discharge. Partners present during ED evaluation additionally completed accelerometry to monitor physical inactivity. Feasibility outcomes were recruitment, retention, and adherence to study procedures. ED distress, acute stress symptoms, and posttraumatic stress within patients and partners were explored.</p><p><strong>Results: </strong>Of 35 partners contacted, 18 provided consent (51.4%), 16 of whom (88.9%) were retained (<i>M</i>_age = 56.13, <i>SD</i> = 14.73, 56.3% women, 50.0% White). Partner adherence to accelerometry was high (72.7%). ED distress predicted acute stress and posttraumatic stress symptoms for dyads reporting a high degree of shared understanding about the stroke/TIA (\"shared reality\").</p><p><strong>Conclusion: </strong>Despite challenges presented by the COVID-19 pandemic, recruitment rates are typical for this population, and retention was excellent. As hypothesized, ED distress persisted when shared reality was high. Larger studies powered to detect dyadic influence effects in distress development and correspond distress to secondary prevention behaviors are warranted. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"157-169"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12695036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710386","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}

{"title":"Mind and body as navigable dimensions of one larger reality, not just competing views of it: Commentary on Blount (2026).","authors":"C J Peek","doi":"10.1037/fsh0001066","DOIUrl":"10.1037/fsh0001066","url":null,"abstract":"<p><p>Sandy Blount's opinion piece (see record 2027-80995-002) thoughtfully invites us to examine mental models we use in the practice of integrated behavioral health. He wisely draws our attention to the Senge definition of mental model as \"a deeply held internal image of how the world works in a domain, and often below our level of awareness\" (p. 117). The current author wants to invite conversation on Blount's premise that mind and body are different realms of description, not different entities, and suggest that still leaves room to productively employ \"medical-behavioral\" and other contrasting perspectives or dualities in integrated care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"122-125"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201212","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}

{"title":"Pilot evaluation of a competency-based training for integrated care in specialty medicine.","authors":"Rachel Allen, Kristen Perry, Katherine M Dollar, Luke D Mitzel, Jennifer Patterson, Alexandra Alvarez, Margaret Arnott","doi":"10.1037/fsh0001035","DOIUrl":"10.1037/fsh0001035","url":null,"abstract":"<p><strong>Introduction: </strong>The Veterans Health Administration (VHA) has expanded efforts to integrate mental and behavioral health professionals into outpatient specialty medicine clinics. However, existing training models are tailored to primary care, and specialty medicine settings have unique differences. This project aimed to adapt and evaluate VHA's Primary Care Mental Health Integration Competency Training for mental and behavioral health professionals embedded in specialty medicine clinics.</p><p><strong>Method: </strong>Using a Plan-Do-Study-Act framework, the Integrated Care Competency Training program was developed and refined across two cohorts of mental and behavioral health providers integrated into specialty medicine clinics in 2024. Evaluation data included standardized patient role play ratings, satisfaction surveys, and trainer debriefs.</p><p><strong>Results: </strong>Across two cohorts (<i>N</i> = 18), all participants achieved competency certification. Cohort 2 participants demonstrated higher first-time pass rates following refinements to the training. Participants reported increased confidence, clarity around their clinical role, and high satisfaction with the interactive learning methods, including live demonstrations and structured role plays.</p><p><strong>Discussion: </strong>Findings support the feasibility and relevance of Integrated Care Competency Training as an adapted training program for specialty medicine settings. Early partner engagement, iterative refinement, and incorporation of adult learning strategies contributed to positive outcomes. The model demonstrates potential for broader implementation and cross-program enrichment.</p><p><strong>Ethical considerations: </strong>This project was conducted as a quality improvement initiative within the VHA and did not undergo institutional review board review, as it did not meet the criteria for human subjects research. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"182-191"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391189","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}

{"title":"Treating posttraumatic stress disorder in Veterans Affairs Primary Care Mental Health Integration settings: What psychological interventions are being used in standard practice?","authors":"Kyle Possemato, Allyson Smith, Kimberly Barrie, Cecilia Zemanek, Emily Johnson, Eric Kuhn","doi":"10.1037/fsh0001031","DOIUrl":"10.1037/fsh0001031","url":null,"abstract":"<p><strong>Introduction: </strong>Posttraumatic stress disorder (PTSD) among primary care patients is common, associated with negative health outcomes, and has inadequate rates of mental health treatment. Evidence-based interventions for PTSD that are appropriate for Primary Care Mental Health Integration (PCMHI) settings have been developed but are not yet widely disseminated. Therefore, the nature of psychological interventions to treat PTSD in PCMHI settings is largely unknown.</p><p><strong>Method: </strong>The study describes the content of 223 PCMHI sessions delivered as part of normal clinical care for 88 patients with PTSD across two Veterans Health Administration (VHA) health care systems. Session notes were coded using a general inductive approach for (a) assessment content, (b) problem focus, (c) interventions delivered, and (d) referrals to behavioral health services.</p><p><strong>Results: </strong>Assessment was typically included in sessions, but repeated administration of self-report measures was less common. Sessions were most commonly focused on PTSD, stress, and sleep. Common interventions delivered were recommending specific self-help tools (e.g., apps and websites), recommending relaxation strategies, and providing psychoeducation about PTSD and PTSD treatment. Almost half (48%) of patients were referred to additional behavioral health services.</p><p><strong>Conclusion: </strong>Veterans Health Administration PCMHI providers are routinely delivering evidence-informed interventions for PTSD. However, there is room for improvement in adhering to measurement-based care principles and delivering interventions with the strongest evidence for reducing PTSD. The methods of this study can be used to engage in quality improvement efforts to enhance the quality of PCMHI services for PTSD. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"170-181"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758362","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}