Families Systems & Health最新文献

{"title":"Atrophy.","authors":"Nidhi Agrawal","doi":"10.1037/fsh0001021","DOIUrl":"https://doi.org/10.1037/fsh0001021","url":null,"abstract":"<p><p>Atrophy articulates the dialectic between resilience and corporeal decline through a poetics of fragmentation. This poem offers a potential discourse on the metaphor of illness, the ethics of survival, and the affective dimensions of bodily disintegration. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"234"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201193","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":"I am a nurse because.","authors":"Kateryna Metersky","doi":"10.1037/fsh0001027","DOIUrl":"https://doi.org/10.1037/fsh0001027","url":null,"abstract":"<p><p>This poetic piece explores the lived experience of nursing through vivid moments of care, vulnerability, and human connection. Using imagery and reflection, it captures the physical and emotional demands of the profession: working through fatigue, balancing presence with boundaries, and offering small but profound acts of comfort and kindness. By evoking the sights, sounds, and sensations of nursing practice, the poem conveys the pride, conflict, and meaning found in everyday encounters with patients and families. While the focus of this poetic expression piece is on nursing, this piece can resonate with other health care providers who provide patient facing care and services as appoint of reflection about their own professional lived experiences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"225-226"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201219","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":"How many behavioral health consultants do we need? Behavioral health consultant staffing ratios within primary care behavioral health.","authors":"Samantha Hamburger, Kelsey Ross Dew, Brianna Lombardi","doi":"10.1037/fsh0001016","DOIUrl":"10.1037/fsh0001016","url":null,"abstract":"<p><p>As the field moves to implement primary care behavioral health (PCBH), which includes a team of health professionals like primary care providers (PCPs) and behavioral health consultants (BHCs) working in sync, it is critical to understand the operational and financial ins and outs of the model (Funderburk et al., 2021; Peek, 2008). There are unintended consequences connected to our gaps in knowledge about PCBH staffing ratios, including challenges in estimating integrated behavioral health care workforce needs and difficulty forecasting the financial aspects of PCBH needed for sustainability (Jones et al., 2024; Serrano, 2022). We know PCBH improves population health outcomes, and it is crucial to understand the human and financial resources needed within different practice settings to support diverse patient populations so that the model can be effectively, efficiently, and equitably implemented and integrated into primary care practice. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"197-200"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201240","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":"Thinking about thinking in health care: The role of integration.","authors":"Alexander Blount","doi":"10.1037/fsh0001048","DOIUrl":"10.1037/fsh0001048","url":null,"abstract":"<p><p>Integrated care provides a laboratory for transcending the mind/body dichotomy that has both empowered and limited health care for a few hundred years. By \"integrated care,\" I mean a process made up of roles, routines of interaction, and ways of understanding that arises from the working relationship between medically trained clinicians, behaviorally trained clinicians, other care team members, and patients. The mind/body dichotomy may be useful for facilitating science, but it does not fit how we experience human beings, who present themselves as unified entities. That is because the difference between mind and body is a function of the observer, not of the phenomena being observed. \"Mind\" and \"body\" are different realms of description rather than different entities. To understand the difficulty of transcending the dichotomy, as well as to conceive of a pathway to that goal, requires an understanding of the dynamics of \"mental models.\" Mental models are one element in the evolution of expertise in a domain of practice. The others are roles that are a part of enacting the expertise and routines in behavior or interaction to deliver the expertise. Understanding these elements as interacting allows us to purposefully impact the mental models of the workforce, and to use the roles and behaviors we have developed to deliver the new expertise that is integrated care to find an articulation of a transformative new model. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"114-121"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201324","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 Chance and choice in health care: A review of Anupam B. Jena and Christopher Worsham's \"Random acts of medicine\".","authors":"Jennifer Near","doi":"10.1037/fsh0001025","DOIUrl":"10.1037/fsh0001025","url":null,"abstract":"<p><p>Reviews the book, <i>Random Acts of Medicine: The Hidden Forces That Sway Doctors, Impact Patients, and Shape Our Health</i> by Anupam B. Jena and Christopher Worsham (2023). In an era increasingly defined by calls for value-based care and health care equity, this book offers timely and significant insights. By using randomness as an investigative lens, the book uncovers otherwise hidden inefficiencies and disparities in health care systems, making a strong case for reform that is both evidence-based and equitable. Blending empirical rigor with accessible prose, the authors offer a data-driven exploration of medical randomness, drawing on natural experiments to reveal both vulnerabilities and opportunities within health care delivery. Jena and Worsham define medical randomness to be any unpredictable or variable moment or chance event that affects the medical care physicians give and receive. The authors then design natural experiments from these events, including examining the effect of a child's birthdate on families' influenza incidence and the impact of major medical conferences on patient care outcomes. Chapters are organized thematically, with each section presenting lenses through which to view how natural experiments can be analyzed to expose and learn from systemic flaws in health care delivery. A few of the themes explored include physician decision making and training variability, structural and financial inequities in care, and barriers to acquiring timely and convenient care. The intended audience includes clinicians, health systems leaders, and policymakers interested in optimizing health care through empirical inquiry. However, the book's clarity and real-world examples make it equally valuable to students in public health and economics, as well as a broader lay audience interested in how health care operates behind the scenes. While technical in scope, the work remains grounded in real-world implications, making it a compelling read for clinicians, policymakers, and system-level leaders alike. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 2","pages":"201-203"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201319","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":"The effect of education and counseling provided through a mobile application on healthy lifestyle behaviors in women with gestational diabetes: A randomized controlled trial.","authors":"Sibel Karakoç, Büşra Cesur","doi":"10.1037/fsh0001050","DOIUrl":"10.1037/fsh0001050","url":null,"abstract":"<p><strong>Objective: </strong>This randomized controlled trial aimed to evaluate the effects of mobile application-based education and counseling on healthy lifestyle behaviors among women with gestational diabetes.</p><p><strong>Method: </strong>A total of 54 pregnant women with gestational diabetes were randomized into an experimental group (<i>n</i> = 27) and a control group (<i>n</i> = 27) using a computer-generated simple randomization sequence with allocation concealment. The intervention group received a 4-week structured educational program and individual counseling via a mobile application, whereas the control group received standard hospital care. Data were collected using the \"Gestational Diabetes Individual Descriptive Form\" and the \"Healthy Lifestyle Behaviors Scale-II (HLBS-II)\" in the pretraining (24-28 weeks), posttraining (29-32 weeks), and postnatal (4-6 weeks) periods. Descriptive statistics were reported as mean ± standard deviation, frequency, and percentage, and differences over time were analyzed using repeated measures analysis of variance (ANOVA) with Bonferroni-adjusted post hoc tests (<i>p</i> < .05).</p><p><strong>Results: </strong>The <i>M</i>_age of participants was 31.7 ± 6.1 years. Pretraining HLBS scores did not differ significantly between the groups (<i>p</i> = .15). Postnatal, the experimental group showed significantly higher HLBS total scores compared with the control group (mean difference = 15.7, 95% confidence interval [9.2, 22.1], <i>p</i> < .001). This difference was maintained at postpartum follow-up (mean difference = 13.8, 95% confidence interval [8.4, 19.3], <i>p</i> < .001). Subscale analyses indicated significant improvements in health responsibility, physical activity, nutrition, spiritual development, and stress management, whereas interpersonal relations did not significantly differ between groups (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>Mobile application-based education and counseling significantly improved healthy lifestyle behaviors in women with gestational diabetes compared with standard hospital care. Integrating digital health tools into routine antenatal care may enhance self-management and lifestyle modification in this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823804","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":"Differentiation of self and psychological well-being in a sample of Italian and Korean young adults.","authors":"Jessica Lampis, Cinzia Dessì, Annalisa Succa","doi":"10.1037/fsh0001049","DOIUrl":"10.1037/fsh0001049","url":null,"abstract":"<p><strong>Objectives: </strong>Bowen theory focused on the universality of the differentiation of self-processes, but it is important to recognize that the characteristics assigned to different levels of differentiation from family of origin, including what is considered to be healthy, could function differently across cultures.</p><p><strong>Method: </strong>The present research has as its main objective the analysis of the differences between a Mediterranean country (Italy) and an Asian Confucian-based collectivist country (South Korea) regarding the relationships between levels of differentiation and psychological well-being. A sample of 352 young adults recruited in Italy (<i>n</i> = 186) and in Korea (<i>n</i> = 166) completed measures assessing differentiation of self (DSI-R) and psychological distress (OQ-45.2).</p><p><strong>Results: </strong>Data revealed that higher levels of differentiation of self predicts lower levels of psychological distress among both Italian and Korean participants. However, the dimension of the fusion with others seems to play a protective role among Korean participants.</p><p><strong>Discussion: </strong>Results underscore and confirm the importance of considering the role of differentiation of self in clinical practice with emerging adults. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823735","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":"Addressing the mental health needs of LGBTQ+ individuals: An integrated care approach.","authors":"Miriam Sheynblyum, Dakota L Leget, Abigail Shonrock, Lori Waxenberg, Catherine Tocci","doi":"10.1037/fsh0001058","DOIUrl":"10.1037/fsh0001058","url":null,"abstract":"<p><strong>Introduction: </strong>Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) adults report notable mental health disparities, yet are highly underserved in mental health care. Integrated behavioral health (IBH) may address disparities, yet guidance on establishing such clinics for LGBTQ+ populations is limited.</p><p><strong>Method: </strong>This conceptual article discusses the need for establishing IBH clinics and provides a case example of a clinic, including initial utilization data.</p><p><strong>Results: </strong>We highlight relevant theoretical frameworks that can be used to establish IBH clinics serving LGBTQ+ individuals and demonstrate application of these frameworks in our case example. Our IBH clinic data showed that 266 visits were completed in 2025 for LGBTQ+ adults, with 32 patients opting into short-term psychotherapy.</p><p><strong>Discussion: </strong>IBH clinics are essential for expanding mental health care access for LGBTQ+ individuals. Further research should focus on evaluating these models and identifying cost-effective interventions that can be used in integrated settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823732","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":"Comparing perspectives on community mental health center-based integrated care for serious mental illness across age groups.","authors":"Jenna G Bourassa, Gillian L Sowden, Gail E Williams, Sarah I Pratt, Joelle C Ferron, Meghan M Santos, Margaret A E Almeida, Julie Christenson-Collins, Sheila Considine-Sweeney, Jennifer L F Elliott, Kerri R Swenson, Mary F Brunette","doi":"10.1037/fsh0001046","DOIUrl":"10.1037/fsh0001046","url":null,"abstract":"<p><strong>Introduction: </strong>People with serious mental illness (SMI) experience health disparities that contribute to reduced life expectancy. Integration of physical and community mental health clinic (CMHC) care is one strategy to improve access to health care that may address health disparities, but the appeal and impact of CMHC-based integrated care has not been widely studied in young adults with SMI, for whom early intervention may be beneficial.</p><p><strong>Methods: </strong>This qualitative study evaluated perceptions of care among 36 individuals with SMI engaged in integrated care at 3 CMHCs. Researchers conducted focus groups and used open coding analyses of group transcripts to identify themes among younger and middle-aged/older adults with SMI.</p><p><strong>Results: </strong>Similar themes emerged among younger (<i>n</i> = 16; mean age 28.4 ± 3.3 years) and middle-aged/older (<i>n</i> = 20; mean age 50.4 ± 8.7 years) adults. One notable theme was a high level of unmet health needs prior to integrated care due to complex physical health problems and feeling stigmatized by physical health care providers. Themes regarding integrated care included the benefits of colocation, awareness of improved communication among providers, and perceiving integrated primary care providers as respectful and thorough. Participants expressed desire for reduced staff turnover. Desire for increased medical record sharing and communication with specialists emerged solely among the middle-aged/older adults.</p><p><strong>Discussion: </strong>Themes regarding CMHC-based integrated care were mostly positive and similar among younger and middle-aged/older participants with SMI. These results indicate that integrated care could be an acceptable strategy to provide young adults with SMI critical early intervention to address health disparities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823802","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":"Patient perspectives on factors that influence continued treatment engagement in primary care behavioral health: A qualitative exploration.","authors":"Mara W Sindoni, Aubrey R Dueweke","doi":"10.1037/fsh0001054","DOIUrl":"10.1037/fsh0001054","url":null,"abstract":"<p><strong>Introduction: </strong>Primary care behavioral health (PCBH) is a service delivery model that embeds behavioral health consultants in primary care. PCBH has been implemented across several health care systems and has been shown to increase access to behavioral health services. Most of the patient access research in PCBH settings has focused on initial engagement with behavioral health services via the warm handoff, a process of referral where the primary care provider can connect the patient with an on-site behavioral health consultant the moment a need is identified. In contrast, fewer studies have examined factors that contribute to continued engagement with PCBH services beyond the first visit.</p><p><strong>Method: </strong>The present study aimed to address this gap by interviewing adult PCBH patients (<i>n</i> = 15, 93% White, 80% female) to learn about factors that influenced their intentions to attend planned follow-up visits.</p><p><strong>Results: </strong>Reflexive thematic analysis yielded four themes: (a) \"Patient Factors\" (e.g., high need and high motivation), (b) \"Treatment Factors\" (e.g., therapeutic alliance and treatment perceived as helpful), (c) \"PCBH Factors\" (e.g., convenience of receiving treatment in medical home), and (d) \"Logistical Factors\" (e.g., cost and insurance coverage).</p><p><strong>Discussion: </strong>These findings underscore the importance of psychotherapy common factors as they relate to treatment engagement, highlight unique strengths of PCBH that increase accessibility of care, and offer insights into how administrators can ensure the expectations of PCBH are clearly communicated to and understood by patients. Findings also demonstrate that even when patients are offered care in a setting that maximizes access, logistical challenges remain. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647777","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}