Families Systems & Health最新文献_第6页

Emergency department visits for mental and behavioral health disorders by students enrolled in a school-based health center. 在校本保健中心登记的学生因精神和行为健康障碍而到急诊科就诊。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000939

Brandon M Smith, Laura Prichett, Nazanin Yousefzadeh, Megan M Tschudy, Sara B Johnson, Katherine A Connor

{"title":"Emergency department visits for mental and behavioral health disorders by students enrolled in a school-based health center.","authors":"Brandon M Smith, Laura Prichett, Nazanin Yousefzadeh, Megan M Tschudy, Sara B Johnson, Katherine A Connor","doi":"10.1037/fsh0000939","DOIUrl":"10.1037/fsh0000939","url":null,"abstract":"Introduction: The prevalence of mental and behavioral health disorders (MBHDs) in children is rising, along with the use of emergency departments (EDs) for care. School-based health centers (SBHCs) are accessible clinics that can provide integrated primary care and behavioral health services and are associated with decreased acute health care utilization. However, little is known about the relationship between SBHC enrollment and ED utilization for MBHD. We sought to describe ED utilization for MBHD among children enrolled in a comprehensive SBHC.Method: Descriptive, cross-sectional analysis of Medicaid data for SBHC-enrolled students (SBHC users and nonusers) in Grades K-8, September 2015-August 2019, compared to propensity score-matched children not enrolled in the school. We calculated ED visit rates using 10th revision of the International Classification of Diseases codes for MBHD and ranked MBHD codes by percentage of encounters.Results: A total of 1,173 SBHC-enrolled students (SBHC users: n = 816; SBHC nonusers: n = 357) and 2,594 controls were included. SBHC-enrolled students and controls were well matched (mean age = 10.7 years, SD = 3.5, 51% female, and 82.7% Black, non-Hispanic). ED visit rates with any code for MBHD differed between the subset of SBHC users (49.9 visits/1,000) and the controls (72.5/1,000). Depression was the top reason for primary presentations for MBHD among SBHC users versus attention-deficit/hyperactivity disorder for controls.Discussion: ED visit rates for MBHD were lower among SBHC users compared to controls. SBHCs may prevent low-acuity ED visits for MBHD by leveraging an integrated approach to behavioral health in the education setting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"38-48"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082134","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

Game theory: Using play to talk with my children about the unpredictable road to recovery. 博弈论：用游戏和我的孩子谈论不可预测的康复之路。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000913

Miranda Worthen

引用次数: 0

Adaptation of a couples intervention to promote coparenting and reduce hazardous drinking during transition to parenthood. 调整夫妻干预措施，促进共同养育子女，减少为人父母期间的危险饮酒。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.1037/fsh0000936

Stephanie Godleski, Kurt Dermen, Mark E Feinberg, Craig R Colder, Emily Verdaasdonk, Rina D Eiden

{"title":"Adaptation of a couples intervention to promote coparenting and reduce hazardous drinking during transition to parenthood.","authors":"Stephanie Godleski, Kurt Dermen, Mark E Feinberg, Craig R Colder, Emily Verdaasdonk, Rina D Eiden","doi":"10.1037/fsh0000936","DOIUrl":"10.1037/fsh0000936","url":null,"abstract":"Introduction: Hazardous drinking by fathers poses a significant risk for negative family interactions and child outcomes. The transition to parenthood may be a time when expectant parents are potentially motivated for health behavior change, suggesting that implementing preventive interventions during this period may be particularly effective. This article provides an overview of the rationale for an innovative prevention strategy incorporating alcohol-use intervention with a family-focused program.Method: We describe the process of integration and adaptation of two evidence-based interventions beginning in pregnancy: (a) Family Foundations, a universal transition-to-parenthood intervention for couples to enhance coparenting and couple dyadic functioning, and (b) brief intervention to address alcohol use delivered using a couples-focused motivational interviewing style.Results: Lessons learned from pilot testing (conducted October 2020-March 2021) included the importance of softened framing of the discussions and language used around alcohol use given that parents were not specifically seeking treatment for alcohol use and the program was described as a parenting program that included discussion of health behaviors, including drinking. In addition, we found that evoking discussion and communication within dyads and supporting autonomy in decision making regarding alcohol use also facilitated engagement.Conclusion: Pilot testing demonstrated the acceptability and feasibility of an adapted, integrated intervention program designed to strengthen coparenting skills and dyadic functioning and promote lower risk levels of alcohol use among couples during the transition to parenthood. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"133-149"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647762","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

A qualitative study on the dyadic coping experience of human papillomavirus-infected patients of childbearing age and their spouses. 关于育龄期人类乳头瘤病毒感染者及其配偶的夫妻应对经验的定性研究。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 Epub Date: 2024-10-21 DOI: 10.1037/fsh0000908

Dandan Gu, Jie Gong, Juan Xie, Xiaoqin Liu

{"title":"A qualitative study on the dyadic coping experience of human papillomavirus-infected patients of childbearing age and their spouses.","authors":"Dandan Gu, Jie Gong, Juan Xie, Xiaoqin Liu","doi":"10.1037/fsh0000908","DOIUrl":"10.1037/fsh0000908","url":null,"abstract":"Background: China's recent policy initiatives and dedication of resources to heighten the public's awareness of cancer risks have led to increased cervical cancer screening and testing for human papillomavirus (HPV) which has resulted in a greater number of people diagnosed with HPV. The psychological stress experienced by women of childbearing age who are infected with HPV is also felt by their spouses, as the close relationship between spouses results in intertwined psychological distress and health statuses. Therefore, this study aimed to explore the dyadic coping experience of HPV-infected patients of childbearing age and their spouses in China and to provide a research basis for marital interventions for the disease.Method: From July 2022 to January 2023, we used a purposive sampling method to select 11 pairs of HPV-infected patients of childbearing age and their spouses from a tertiary hospital. We conducted in-depth interviews with the patients and their spouses and analyzed the data using Colaizzi's seven-step method.Results: We identified three main themes and eight subthemes: (a) stress perception (including negative psychological reactions, emotional relationship deterioration, and family social role imbalance), (b) stress communication (including enhancing communication awareness and changing communication methods), and (c) stress adjustment (including supporting each other emotionally, facing the disease together, and seeking social support).Conclusion: Health care professionals should assess the stress experienced by patients and their spouses. Moreover, they should encourage them to better cope with the disease as a team. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"88-98"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481749","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

Penetration rates of behavioral health consultants targeting cardiovascular disease and associated modifiable risk factors among military health care beneficiaries. 针对心血管疾病及相关可改变风险因素的行为健康顾问在军队医疗保健受益人中的普及率。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2025-03-01 Epub Date: 2024-10-21 DOI: 10.1037/fsh0000917

Kevin M Wilfong, Christopher L Hunter, Phillip C Kroke, Justin C Curry, Jeffrey L Goodie

{"title":"Penetration rates of behavioral health consultants targeting cardiovascular disease and associated modifiable risk factors among military health care beneficiaries.","authors":"Kevin M Wilfong, Christopher L Hunter, Phillip C Kroke, Justin C Curry, Jeffrey L Goodie","doi":"10.1037/fsh0000917","DOIUrl":"10.1037/fsh0000917","url":null,"abstract":"Introduction: Targeting cardiovascular disease (CVD) and its associated risk factors is important not only in the general population, but also among those served by the military health care system. The primary care behavioral health model of integrating behavioral health consultants (BHCs) into a primary care setting is one method for enhancing how these modifiable risk factors are addressed; however, it is unknown how often BHCs are used to target those with biopsychosocial factors contributing to CVD and those with diagnosed CVD.Method: The present study evaluated what percentage of primary care patients with diagnosed CVD risk factors (i.e., tobacco use, obesity, and depression) or diagnosed CVD were referred to BHCs. Data were drawn from electronic health records of U.S. military primary care clinics over the 3-year period from January 2017 to December 2019.Results: A total of 1,321,072 unique individuals were included. Among the sample, 37.1% were active duty, 40.6% were married, 43.8% were female, and 30.9% were between 45 and 64 years old. The study revealed penetration rates of 1.5% (8,577 of 583,659 patients) for patients diagnosed with CVD, 5.3% (10,286 of 192,566 patients) of those demonstrating tobacco use, 3.4% (8,765 of 256,852 patients) of those demonstrating obesity, and 20.0% (31,125 of 155,656 patients) of those diagnosed with depression.Discussion: These findings suggest that BHCs are underutilized for targeting CVD and some associated risk factors in military primary care clinics. Research should explore whether these findings replicate in other health care systems and implement methods to improve BHC utilization. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"27-37"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481751","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

Shifting sands in rural New Mexico. 新墨西哥州农村的流沙。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000914

Devon Fisher-Chavez

{"title":"Shifting sands in rural New Mexico.","authors":"Devon Fisher-Chavez","doi":"10.1037/fsh0000914","DOIUrl":"10.1037/fsh0000914","url":null,"abstract":"The author describes his first day on the obstetrics unit of a rural hospital in New Mexico. As a fourth-year medical student, he was excited to show all that he knew about pregnancy and delivery. He recounts the delivery of a fetus via c-section that was stillborn. There was a post-mortem one hour later with the surgeons, nurses, and residents. The patient spoke only Spanish, which put an enormous strain on the interpreter who the author noticed sitting near the center of the room. The team of nurses, doctors, and surgeons argued around her, obviously upset about how the case was handled. The author watched the translator for a moment and noticed a tear rolling down her left cheek. The bickering stopped abruptly when the translator's quiet tears suddenly turned into heavy sobs. The room turned silent, and everyone's attention shifted toward the translator. For a moment, the events of the morning were forgotten, and everyone's anger turned into empathy. The author learned all he could about the medical aspects of this pregnancy and why it went so wrong. But the interpreter taught him something that can't be found in any medical textbooks; she taught him about the pain of loss. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"168-169"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082315","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

Welcome everyone: Cultivating a sense of belonging. 欢迎大家：培养归属感。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000976

Jason Herndon, Deepu George

引用次数: 0

Equity-based narratives in physician-family conversations about goals of care. 医生与家属关于护理目标的对话中基于公平的叙述。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000963

Andrew Childress, Woods Nash

{"title":"Equity-based narratives in physician-family conversations about goals of care.","authors":"Andrew Childress, Woods Nash","doi":"10.1037/fsh0000963","DOIUrl":"10.1037/fsh0000963","url":null,"abstract":"Introduction: During conversations about the goals of care, clinicians sometimes use communication strategies that are inadequate for promoting shared decision making. Instead of jointly constructing an equity-based narrative of the patient's illness with the family, clinical care teams often treat the patient as if they are abstracted from their cultural, social, and family background. This approach to decision making fails to account for health inequities and cultural differences while reinforcing asymmetrical power dynamics that favor the health care team and institution.Method: After reviewing the literature on health communication and health equity, we determined that language, particularly the use of metaphors, can reinforce systems of power that benefit clinical care teams, often at the expense of patients and their families.Results: In this article, we offer a novel approach to these conversations that considers tensions between the frames of the dominant narrative of individualism used by clinicians who see a patient in abstraction from systems and an equity-based narrative that is concerned with those systems and their impacts on the patient.Discussion: This article offers some guidance for clinicians on how to craft goals of care conversations in ways that are meaningful to patients and families while enhancing communication and promoting shared decision making. While this article focuses on a specific discussion about caring for a patient in the intensive care unit, the approach offered here could be applied to any goals of care conversation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"150-156"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082141","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

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. 利用虚拟仿真技术教授各医疗专业的药物使用筛查和简短干预技能：研究跨专业研究生样本的培训成果。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 Epub Date: 2024-09-19 DOI: 10.1037/fsh0000920

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":"Background: 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.Method: Graduate-level health professions students (N = 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.Results: Quantitative results indicated statistically significant changes for drug perceptions (p < .001), interprofessional competency (p < .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.Conclusions: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"60-73"},"PeriodicalIF":1.0,"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}

引用次数: 0

Advancing integrated health care through family, systems, and health: A brief report. 通过家庭、系统和健康推进综合卫生保健：简要报告。

IF 1 4区医学

Families Systems & Health Pub Date : 2025-03-01 DOI: 10.1037/fsh0000983

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":"10.1037/fsh0000983","url":null,"abstract":"Introduction: 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.Method: 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.Results: 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%).Conclusion: 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).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"43 1","pages":"22-26"},"PeriodicalIF":1.0,"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}

引用次数: 0