Rikki Patton, Diane Brown, Heather Katafiasz, John Ellis
{"title":"Using virtual simulation to teach substance use screening and brief intervention skills across the health professions: Examining training outcomes among an interprofessional graduate student sample.","authors":"Rikki Patton, Diane Brown, Heather Katafiasz, John Ellis","doi":"10.1037/fsh0000920","DOIUrl":"10.1037/fsh0000920","url":null,"abstract":"<p><strong>Background: </strong>The benefits of utilizing virtual simulation in substance use disorder (SUD) training are emerging in the literature. However, a clear understanding of how behavioral health graduate trainees experience virtual simulation as part of an interprofessional SUD training is still needed.</p><p><strong>Method: </strong>Graduate-level health professions students (<i>N</i> = 69) from four different behavioral health disciplines completed an interprofessional training program, including completion of two virtual simulations, that addressed SUD screening, brief intervention, and referral to treatment (SBIRT) and teamwork topics using an interprofessional lens. Participants completed a baseline and posttraining survey, pre- and postsimulation surveys, and a recorded debrief meeting postsimulation completion.</p><p><strong>Results: </strong>Quantitative results indicated statistically significant changes for drug perceptions (<i>p</i> < .001), interprofessional competency (<i>p</i> < .001), and preparedness and confidence implementing the SBIRT model between baseline and posttraining. Two overarching themes were identified as part of the qualitative analysis, including (a) the benefits and limitations of utilizing a structured virtual simulation within the context of interprofessional SUD training and (b) the benefits of utilizing interprofessional knowledge and teamwork when completing the simulation.</p><p><strong>Conclusions: </strong>Completing an interprofessional training for SUD and SBIRT using simulation may help better prepare behavioral health trainees in applying both SBIRT and interprofessional teamwork principles in their clinical work, thereby addressing the needs of their future patients. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"60-73"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301722","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}
Ruth N Faucette, Sandra Bertram Grant, Tai Mendenhall, Hanna Yu, C R Macchi
{"title":"Advancing integrated health care through family, systems, and health: A brief report.","authors":"Ruth N Faucette, Sandra Bertram Grant, Tai Mendenhall, Hanna Yu, C R Macchi","doi":"10.1037/fsh0000983","DOIUrl":"https://doi.org/10.1037/fsh0000983","url":null,"abstract":"<p><strong>Introduction: </strong>Despite continued efforts to substantiate models and measures, primary care organizations continue to struggle with the implementation of integrated health care (IHC). The incoming editors of Families, Systems, & Health (FSH), a peer-reviewed journal that promotes IHC, seek to define practical and applicable processes and structures that can be adopted to improve patients' mental and behavioral health outcomes vis-a-vis IHC. This brief report assessed coverage of the IHC content areas in articles published in FSH between 2018 and 2023 and informs the coeditors next steps in adopting a framework focused on sustainable integration efforts.</p><p><strong>Method: </strong>To assess coverage, we conducted a rigorous and comprehensive analysis following the PSALSAR method. A total of 357 articles were analyzed and categorized across 15 thematic content areas operationalized according to the Lexicon for Behavioral Health and Primary Care Integration.</p><p><strong>Results: </strong>Findings showed that practice management (17.8%), family systems (14.6%), workforce development (13.2%), and diversity (13.2%) have been the most common content areas published in FSH. The least identified content areas included technology (5.6%), personal narratives (6.1%), and dissemination and implementation (7.4%).</p><p><strong>Conclusion: </strong>We recommend that FSH maintains its emphasis on practice management, workforce development, and related other topics informative to the effective practice(s) of IHC. Moving forward, we also encourage a more balanced pairing of these works with research regarding ways to organize and financially sustain said practice(s) effectively. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"22-26"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082129","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":"Rare but not alone.","authors":"Sara Moore","doi":"10.1037/fsh0000910","DOIUrl":"https://doi.org/10.1037/fsh0000910","url":null,"abstract":"<p><p>This short 55-word story highlights a clinical psychology doctoral student's work in therapy with individuals diagnosed with rare diseases. Upon diagnosis, clients may experience a range of emotions and feel isolated. Connection with a social network and support can increase hope and promote well-being. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"173"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082286","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":"Opportunity, creativity, access, and teamwork.","authors":"Michelle E Mlinac","doi":"10.1037/fsh0000980","DOIUrl":"https://doi.org/10.1037/fsh0000980","url":null,"abstract":"<p><p>In this section of the journal, we hope to shine a light on the inventive, innovative, and interprofessional work of integrated behavioral health care for older adults and their families. Traditional geriatric approaches focus on people within a specific age range. We conceptualize interprofessional geriatrics as focusing on people's experiences related to health changes as they age and transition through life stages, engage in wellness and prevention, cope with ramifications of chronic illness, and care for loved ones who are aging themselves. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"5-9"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082280","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}
Katherine E McManus-Shipp, Talea Cornelius, Alexis C Wojtanowski, Tricia Leahey, Gary D Foster, Amy A Gorin
{"title":"Family functioning and the implications for adult weight management.","authors":"Katherine E McManus-Shipp, Talea Cornelius, Alexis C Wojtanowski, Tricia Leahey, Gary D Foster, Amy A Gorin","doi":"10.1037/fsh0000929","DOIUrl":"10.1037/fsh0000929","url":null,"abstract":"<p><strong>Introduction: </strong>Strong support for family-based interventions in child and adolescent weight management exists. However, family-based interventions have not been as well documented in adult populations. Given that many adults operate within family systems that could influence their weight management behaviors, research is needed to establish possible family-level variables as intervention targets for adult weight loss programs.</p><p><strong>Method: </strong>This study tested the relationship between family functioning (defined as support and bonding), chaos (defined as disorder in the home), and weight loss in adults with overweight or obesity participating in a behavioral weight-loss program. Participants (<i>N</i> = 118; baseline mean body mass index 33.8 ± 3.7; 69.5% female; 97.5% White; 67.8% with a combined annual income of $75k or above; 90.7% completed some college or above) were from a randomized controlled trial examining weight loss ripple effects (Gorin et al., 2018) in individuals assigned to either 6 months of WW (formerly Weight Watchers) or a self-guided approach.</p><p><strong>Results: </strong>Higher family support and bonding at baseline were associated with greater percent weight loss at 6 months. Family support and bonding at baseline were associated with lower chaos in the home at 6 months. However, this was moderated by condition such that this association was significant in the WW but not the self-guided group.</p><p><strong>Discussion: </strong>Results provide theoretical support that targeting family dynamics may improve weight loss outcomes in behavioral weight loss programs for adults. Future research should test whether family support, bonding, chaos, or other related variables such as family cohesion and adaptability-focused interventions improve weight loss outcomes for adults. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"157-161"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301712","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}
Khaya N Eisenberg, Elisheva Leiter, Lynn M Rothstein, Leora Seidman, Donna R Zwas
{"title":"Family-related stressors, emotional reactivity, and body mass index in women at cardiovascular risk.","authors":"Khaya N Eisenberg, Elisheva Leiter, Lynn M Rothstein, Leora Seidman, Donna R Zwas","doi":"10.1037/fsh0000941","DOIUrl":"10.1037/fsh0000941","url":null,"abstract":"<p><strong>Introduction: </strong>According to the biobehavioral family model, family emotional climate and physiobehavioral aspects of emotional reactivity influence the physiological processes underlying health conditions. This research explored the association between family stress, emotional reactivity, and overweight in women.</p><p><strong>Method: </strong>Participants were patients at cardiovascular risk seen at a cardiovascular wellness center for women. A psychologist conducted semistructured interviews with participants, asking specific questions to address the presence or absence of family stressors. Emotional reactivity was measured using a validated version of the Depression, Anxiety and Stress Scale-21. Logistic and linear regressions were used to calculate relationships between specific family stressors, emotional reactivity scores, and body mass index (BMI).</p><p><strong>Results: </strong>The final sample included 237 women, mean age of 60.8, who were primarily Jewish residents of Jerusalem. Increased anxiety was consistently associated with high BMI, whether in the context of parenting stress (<i>OR</i> = 1.33, 95% confidence interval [CI, 1.05, 1.69], <i>p</i> < .05), extended family stress (<i>OR</i> = 1.34, 95% CI [1.05, 1.71], <i>p</i> < .05), or marital stress (<i>OR</i> = 1.41, 95% CI [1.05, 1.90], <i>p</i> < .05). While marital stress was not directly associated with BMI, women with higher levels of general stress who also reported marital stress were more likely to exhibit high BMI (<i>OR</i> = 4.14, 95% CI [1.17, 14.59], <i>p</i> < .05).</p><p><strong>Discussion: </strong>The interaction of marital stress and emotional reactivity (i.e., the experience of general stress) was associated with increased BMI. Further studies should evaluate the interactions between family stressors and emotional factors, which may enable the design of more effective interventions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"99-111"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694421","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":"Review of A Systemic Approach to Behavioral Healthcare Integration: Context Matters.","authors":"Sandra Bertram Grant","doi":"10.1037/fsh0000984","DOIUrl":"https://doi.org/10.1037/fsh0000984","url":null,"abstract":"<p><p>Reviews the book, <i>A Systemic Approach to Behavioral Healthcare Integration: Context Matters</i> by Nancy Ruddy and Susan McDaniel (2024). This book's contributions significantly advance the field with a strategy that advocates for biopsychosocial systemic integrated health care. It is skillfully structured and ideal for professionals and practices ready to embrace change. Whether you are a novice or a seasoned health care professional, this approach allows for actionable insights to enhance the alignment between all health care system levels, ultimately leading to better health outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"165-167"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082289","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":"Shortages to Solutions: Preparing a Diverse and Resilient Integrated Care Workforce.","authors":"Carrah James, David Bauman, Cory Knight","doi":"10.1037/fsh0000974","DOIUrl":"https://doi.org/10.1037/fsh0000974","url":null,"abstract":"<p><p>While the current workforce shortages are alarming, lack in the face of necessity provides fertile ground for ingenuity. Integrated care (IC) holds the potential for impactful solutions and is, arguably, the best hope on the horizon for improving access to needed care. A larger workforce is necessary but not sufficient to fully address unmet needs. We need IC teams made of health care professionals who understand and are responsive to the patients and communities they serve, the dynamic and interdependent systems in which they provide care, and each other. The way forward will require us to (a) continue the shift from siloed models of professional training and health care delivery to fully integrated communities of interprofessional learning, research, and practice; (b) develop and test theoretical models upon which IC workforce development (WD) efforts can be confidently built, adapted, and systematically studied; (c) embrace all perspectives and incorporate the input and participation of patients and community stakeholders in the design/conduct of IC research, the education and training of the IC workforce, and in WD efforts like recruitment and retention practices; and (d) use systems and design thinking to engineer healthy, supportive, psychologically safe work environments where the tools, tasks, and technology support rather than hinder the work of IC. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"14-18"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082317","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":"Doctors must be gentle.","authors":"Ansel Eve Hoffman, Susan Holmes McDaniel","doi":"10.1037/fsh0000940","DOIUrl":"https://doi.org/10.1037/fsh0000940","url":null,"abstract":"<p><p>The second author, who is a doctor, describes a message written by her 6-year-old granddaughter, Ansel. The message said that doctors must be patient, kind, loving, giving, generous, and forgiving. Ansel has always said she wants to be a physician when she grows up. When her grandmother asked her about what she wrote, Ansel said: \"I was pretending to study to be a doctor, and this was a test I had to take about what makes a good doctor.\" The grandmother asked her: How do you know these things? She said: \"What if you're doing surgery, or a little kid is nervous and getting a shot? You have to be kind and distract the kid so you're halfway through before they notice.\" (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"179-180"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082131","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":"Review of Just Health: Treating Structural Racism to Heal America.","authors":"Erick da Luz Scherf","doi":"10.1037/fsh0000942","DOIUrl":"https://doi.org/10.1037/fsh0000942","url":null,"abstract":"<p><p>Reviews the book, <i>Just Health: Treating Structural Racism to Heal America</i> by Dayna B. Matthew (2024). Matthew's book provides a compelling argument that structural racism and racialized structural inequality are fundamental drivers of health inequity and poor health outcomes for people of color and other marginalized groups in the United States. Through her eloquent storytelling and meticulous analysis, Matthew (2024) illustrates how systemic racial and economic inequalities, ingrained in U.S. public policy history, have perpetuated health disparities and contributed to premature deaths within these communities. Anyone interested in the fields of public law, health care, health policy, and allied health sciences should read this book. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"162-164"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082313","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}