Families Systems & Health最新文献_第5页

Eight tips for team-based scholarship in integrated care. 综合护理团队奖学金的八个建议。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2026-04-09 DOI: 10.1037/fsh0001055

Stacy A Ogbeide, Malvika Behl, Peggy L Ceballos, Heather Trepal, Jessica Lloyd-Hazlett, Mercedes Ingram

{"title":"Eight tips for team-based scholarship in integrated care.","authors":"Stacy A Ogbeide, Malvika Behl, Peggy L Ceballos, Heather Trepal, Jessica Lloyd-Hazlett, Mercedes Ingram","doi":"10.1037/fsh0001055","DOIUrl":"10.1037/fsh0001055","url":null,"abstract":"Introduction: This article presents eight practical strategies to enhance team-based scholarship in integrated care workforce development for the nonresearcher. It addresses the importance of assembling interdisciplinary teams with complementary skill sets, maintaining idea logs to foster innovation, and ensuring ethical rigor through Institutional Review Board processes.Method: After reviewing the literature, we determined that the benefits of leveraging technology and artificial intelligence for organization and communication, establishing regular meetings to support project management and authorship, and exploring diverse publication venues using tools like the Journal/Author Name Estimator website are specific areas to highlight.Results: We discuss specific approaches that support busy clinicians, such as encouraging the participation in writing workshops and orienting team members to various types of research and scholarship.Discussion: Ultimately, this article aims to support the growth and dissemination of workforce development-focused scholarship in integrated care settings from the nonresearcher, adding depth to this important scholarship base. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","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":"147647707","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

Primary care provider knowledge and confidence about suicide screening and prevention: The role of practicing in integrated behavioral health-primary care. 初级保健提供者关于自杀筛查和预防的知识和信心：实践在综合行为健康初级保健中的作用。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2026-03-30 DOI: 10.1037/fsh0001042

Lauren E Wilson, Max Zubatsky, Jay Brieler, Joanne Salas, Jordan M Braciszewski, Brian K Ahmedani, Jeffrey F Scherrer

{"title":"Primary care provider knowledge and confidence about suicide screening and prevention: The role of practicing in integrated behavioral health-primary care.","authors":"Lauren E Wilson, Max Zubatsky, Jay Brieler, Joanne Salas, Jordan M Braciszewski, Brian K Ahmedani, Jeffrey F Scherrer","doi":"10.1037/fsh0001042","DOIUrl":"10.1037/fsh0001042","url":null,"abstract":"Background: In nearly half of suicide deaths, the decedent had a primary care provider (PCP) visit within the prior month, which highlights the opportunity for suicide prevention in primary care. We determined if on-site behavioral health integration (BHI) in primary care was associated with increased PCP suicide risk reduction knowledge and confidence.Method: From July 2022 to November 2022, a cross-sectional, web-based survey was e-mailed to PCPs nationwide. Eligible PCPs (n = 233) answered survey questions about suicide screening and prevention knowledge, confidence, and training. The primary outcomes were suicide risk reduction, knowledge, and confidence. The exposure of interest was presence versus absence of BHI. Multivariate logistic regression models were used to measure the association between BHI and the odds of higher suicide risk reduction knowledge and confidence.Results: In adjusted models, BHI was not significantly associated with knowledge and confidence. Use of ≥2 suicide risk management tools (OR = 1.91; 95% CI: 1.07-3.43) and having lived experience of patient death by suicide were positively associated with higher knowledge (OR = 2.31; 95% CI: 1.11-4.83). One covariate, access to a licensed professional counselor, was significantly associated with greater confidence (OR = 2.64; 95% CI: 1.08-6.48).Discussion: BHI was not significantly associated with PCP risk reduction knowledge and confidence, but some BHI elements, for example, presence of behavioral health, were significantly associated with greater provider confidence that could enable suicide detection. Further research is needed to improve health care delivery models that enhance suicide detection and management. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576475","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

From screening to specialty care: Leveraging primary care integrated psychologists to reduce barriers to autism diagnosis. 从筛查到专业护理：利用初级保健综合心理学家减少自闭症诊断的障碍。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2026-03-09 DOI: 10.1037/fsh0001044

Paige M Ramirez, Aria E Fiat, Allison D Blackburn, Meg Stone-Heaberlin, Natalie Justice, Rachel B Herbst

{"title":"From screening to specialty care: Leveraging primary care integrated psychologists to reduce barriers to autism diagnosis.","authors":"Paige M Ramirez, Aria E Fiat, Allison D Blackburn, Meg Stone-Heaberlin, Natalie Justice, Rachel B Herbst","doi":"10.1037/fsh0001044","DOIUrl":"10.1037/fsh0001044","url":null,"abstract":"Introduction: Families of children with suspected autism spectrum disorder, especially those from minority or medically underserved groups, often face multiple barriers to autism evaluation and diagnosis. This subsequently delays access to much-needed interventions. In addition to systemic barriers (e.g., suboptimal screening and provider training, long waitlists), family-level factors including family mistrust of medical providers, disability stigma, and challenges with care navigation further contribute to care gaps.Method: Innovative integrated care models are essential to enhance provider-family relationships and reduce care discrepancies. This conceptual article explores using a multitiered framework within an integrated care model to help mitigate barriers to care and reduce delays to diagnosis for pediatric primary care patients with suspected autism.Results: Integrated psychologists partnered with families and primary care physicians to provide tiered supports for children with suspected autism based on both family readiness and level of impairment. Flexible yet coordinated strategies such as universal psychology prevention visits, targeted intervention referrals, and specialty care referrals with care navigation, were offered.Discussion: Our care model suggests that the three-tiered framework involving integrated psychology may help reduce care gaps between primary care and specialty autism care and enhance relationships with families of children with suspected autism in medical settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391164","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

Flourishing and positive childhood experiences in children and adolescents: An analysis of a nationally representative sample. 儿童和青少年的繁荣和积极的童年经历：对全国代表性样本的分析。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2026-03-05 DOI: 10.1037/fsh0001041

Christine Crowell, Jessica Emick, Stephanie Ioannou, Nathan M Griffith

{"title":"Flourishing and positive childhood experiences in children and adolescents: An analysis of a nationally representative sample.","authors":"Christine Crowell, Jessica Emick, Stephanie Ioannou, Nathan M Griffith","doi":"10.1037/fsh0001041","DOIUrl":"10.1037/fsh0001041","url":null,"abstract":"Introduction: Positive childhood experiences (PCEs) are supportive, safe, and nurturing early experiences that support healthy psychological development (Sousa et al., 2025). Flourishing is a measure of optimal well-being that encompasses meaning and engagement, positive relationships, social competence, and positive emotional health (Bethell, Jones, et al., 2019). Research on the relationship between PCEs and flourishing is limited, especially across demographic groups.Method: Using the National Survey of Children's Health, we examined the association between PCEs and flourishing among children ages 6-17 across different sociodemographic groups.Results: Results showed a clear, consistent relationship between PCEs and flourishing. Children who experienced moderate PCEs were 2.37 times as likely to flourish, and those with high PCEs were 6.06 times as likely to flourish, compared with children with low PCEs. This relationship remained significant after accounting for sociodemographic factors, demonstrating the powerful connection between PCEs and flourishing. However, several sociodemographic factors were significantly associated with odds of flourishing, with some groups of children being less likely to flourish than others. Compared with non-Hispanic White children, non-Hispanic Black children and non-Hispanic multiracial children were .74 and .82 times as likely to flourish. Children from non-English speaking households were .80 times as likely to flourish, and girls were .82 times as likely to flourish as boys.Discussion: These results highlight the complex relationship among PCEs and flourishing and the differences among sociodemographic groups, highlighting the need for further research and policy and practice interventions for those less likely to flourish. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367310","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

Recognizing and addressing medical trauma: An imperative for integrated primary care. 认识和处理医疗创伤：综合初级保健的当务之急。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 Epub Date: 2025-08-28 DOI: 10.1037/fsh0001014

Nic Schmoyer-Edmiston, Traci Richards

{"title":"Recognizing and addressing medical trauma: An imperative for integrated primary care.","authors":"Nic Schmoyer-Edmiston, Traci Richards","doi":"10.1037/fsh0001014","DOIUrl":"10.1037/fsh0001014","url":null,"abstract":"Introduction: Traumatic stress is an experience that contributes to a variety of medical and behavioral health concerns that present in the primary care context. The intersection of traumatic stress and health care is conceptualized as medical trauma (MT), where individuals receiving health care services are exposed to traumatic stress related to their health care experiences. Currently, MT may be an overlooked and underresearched phenomenon in health care, with significant implications for primary care teams. An understanding of ways to conceptualize, recognize, and address MT in the primary care context is an important step in creating trauma-informed primary care spaces.Method: In this article, we provide a description of MT from the available literature and a method of conceptualizing the experience of traumatic stress related to health care experiences through the enduring somatic threat model.Results: We identify potential risk factors and health care experiences typically associated with MT. Next, we identify strategies to recognize and address experiences of MT within the context of primary care through an exploration of assessment and intervention strategies. Finally, we provide a brief MT case example to highlight presentation, assessment, and intervention in the primary care context.Discussion: MT has the potential to significantly affect patients' wellness and quality of life, with the associated biopsychosocial concerns presenting in primary care due to the context and goals of these settings. Future efforts should aim to enhance the integrated primary care team members' ability to conceptualize, assess, and address MT. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"95-102"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979578","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

Family members' well-being, mindfulness, loneliness, and social support: A dyadic approach. 家庭成员的幸福感、正念、孤独感和社会支持：一个二元方法。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0001043

Yusuf Akyıl, Beste Erdinç, Seydi Ahmet Satıcı, Sinan Okur

{"title":"Family members' well-being, mindfulness, loneliness, and social support: A dyadic approach.","authors":"Yusuf Akyıl, Beste Erdinç, Seydi Ahmet Satıcı, Sinan Okur","doi":"10.1037/fsh0001043","DOIUrl":"10.1037/fsh0001043","url":null,"abstract":"Introduction: Individual experiences within the family can influence its dynamics in relation to each other. The current study investigated the mediating role of adolescent and parent mindfulness in the relationship between adolescents' loneliness and their parents' perceived social support, parent mental well-being, and adolescent subjective well-being. Subjective well-being refers primarily to individuals' cognitive evaluations of their life and their affective experiences, whereas mental well-being involves broader psychological functioning such as coping, productivity, and one's sense of capability.Method: A dyadic approach was implemented by employing the actor-partner interdependence mediation model, which involved 517 adolescents and one of their parents (N = 1034). The mean age of the adolescent participants was 15.04 years (SD = 1.19), and the mean age of the parent participants was 42.67 years (SD = 5.89).Results: The analysis revealed a substantial correlation between adolescent loneliness, mindfulness, subjective well-being as an actor effect, and the mental well-being, mindfulness, and social support of parents. Furthermore, mindfulness mediated these relationships. Parental mindfulness served as a mediator between subjective well-being and adolescent loneliness as a partner effect. Adolescent mindfulness mediated the relationship between parental perceived social support and mental well-being.Discussion: Findings highlight the significance of family members' mindfulness in promoting well-being in the presence of adolescents who experienced loneliness within the family or parents who perceived low levels of social support. Thus, mindfulness-based therapies for adolescents and parents are important for improved well-being, especially in households with socially challenged adolescents and parents. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"44 1","pages":"79-91"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823750","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

Latent class analysis of behavioral health service use among underserved youth in integrated primary care. 综合初级保健服务不足的青少年使用行为健康服务的潜在分类分析。

IF 1 4区医学

Families Systems & Health Pub Date : 2026-03-01 Epub Date: 2025-05-05 DOI: 10.1037/fsh0000992

Alfonso L Floyd, Chimereodo Okoroji, Katrina A Markowicz, Stephanie Crewe, Heather A Jones

{"title":"Latent class analysis of behavioral health service use among underserved youth in integrated primary care.","authors":"Alfonso L Floyd, Chimereodo Okoroji, Katrina A Markowicz, Stephanie Crewe, Heather A Jones","doi":"10.1037/fsh0000992","DOIUrl":"10.1037/fsh0000992","url":null,"abstract":"Objective: To identify distinct and heterogeneous typologies of behavioral health service use and associated factors based on need, predisposing, and enabling determinants, among a predominantly Black and publicly insured youth population in integrated pediatric primary care (IPPC). This study aims to address the unmet behavioral health needs of youth by understanding the characteristics associated with behavioral health engagement in order to tailor interventions accordingly.Method: Latent class analysis was used to explore distinct subgroups among 416 youth (Mage = 10.81, SDage = 3.74; 51% female; 74% Black; 74% public insurance) receiving integrated behavioral health services in a large, urban pediatric primary care setting in the Southeastern United States. Caregivers completed the Pediatric Symptom Checklist-17 to assess psychosocial problems in youth.Results: Latent class analyses revealed two distinct classes of IPPC youth: \"high attention and mixed problems,\" primarily younger boys with nonprivate insurance coverage, and \"low attention/externalizing and moderate internalizing problems,\" primarily older girls with private insurance coverage.Conclusions: These findings highlight the need for behavioral health services in IPPC for behavioral health specialists, pediatricians, and other interdisciplinary professionals to provide tailored, culturally responsive, and flexible treatment to address the unmet and unique behavioral health needs of this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"67-78"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027024","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

It is time for a conversation about the conversation. 现在是讨论对话的时候了。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0001057

Rodger Kessler, C R Macchi

引用次数: 0

Work experience. 工作经验。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2026-03-01 DOI: 10.1037/fsh0000996

James Seymour Huntley

引用次数: 0

Hospital bag. 医院包。