Contemplating on the end of integrated care—part II: Living the questions to foster adaptability.
This article extends the use of the ecocycle planning framework to describe challenges ahead for the integrated care and Collaborative Family Healthcare Association (CFHA). The authors make the case that to remain agile and adaptable, there are contextual, ecological, and moral challenges that integrated care and CFHA should keep in the forefront as they navigate the future of an inequitable health care system that is morphing at a rapid pace. These influences include but are not limited to challenges of social determinants of health, artificial intelligence, generational differences in technology among older and younger p...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
Acta non verba.
Families, Systems, & Health, Vol 42(1), Mar 2024, 142-144; doi:10.1037/fsh0000881It is with a great deal of gratitude that Kirk D. Strosahl and Patricia J. Robinson accept the Don Bloch Award. Thirty-five years ago, when they embarked on their mission to improve healthcare, they never imagined that this recognition would come their way. Now that it has, they want to take about 1,000 words to share their views on health and their understanding of important barriers to improving healthcare services, and offer four practical strategies to consider as we do your part. (PsycInfo Database Record (c) 2024 APA, all rights reserved...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
Don Bloch nomination letter.
Families, Systems, & Health, Vol 42(1), Mar 2024, 140-141; doi:10.1037/fsh0000888In this letter to the Collaborative Family Healthcare Association (CFHA) Board and Community, the author nominates Mountainview Consulting Group, specifically Patricia Robinson, PhD (Patti) and Kirk Strosahl, PhD, for the 2023 Don Bloch Award. When he thinks of the qualities Don Bloch is remembered for—Intellectual, Behavioral, and Relational qualities—there simply is no entity or person more qualified for this award than Patti and Kirk. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
Who won?
Families, Systems, & Health, Vol 42(1), Mar 2024, 139; doi:10.1037/fsh0000844This poem describes the ugly face of misinformation and lies-spewing bile as COVID shook us and humanity came undone. Vaccines were rejected and lockdowns were broken. We barely withstood. Who won? No one. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
You belong.
Families, Systems, & Health, Vol 42(1), Mar 2024, 137-138; doi:10.1037/fsh0000821The author describes how she has earnestly struggled to find her fit in providing mental health services to Hispanic/Latino clients and the Latino communities that she belongs to. She wonders, if no one belongs, then who stands up for historically marginalized Latino communities? Personal and systemic biases and arbitrary criteria for being enough to serve Latino patients hurt providers and clients alike. Her work reminds her of the need to charge against stereotyping and racism to meet patients’ needs regardless of skin color or linguistic ...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
The “in between”.
Families, Systems, & Health, Vol 42(1), Mar 2024, 135-136; doi:10.1037/fsh0000819When the authors were 12 and 14 years old, their worlds shifted suddenly without warning or consent, and bifurcated our lives into “a before” and “an after.” They were both diagnosed with inflammatory bowel disease (IBD) and found themselves in an “in between” space—young but not healthy, sick but not dying, treatments but not cures, intestines swollen and bleeding but appearing fine on the outside, in every sense the definition: an invisible illness. Their own chronic illness experiences helped to shape our pursuit of careers in...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
E pluribus unum: I am we.
Families, Systems, & Health, Vol 42(1), Mar 2024, 134; doi:10.1037/fsh0000820E Pluribus Unum, out of many, one. This is intended to signify unification and inclusion for the people of the United States. I, a cis-gendered, gay man, have come to appreciate the meaning in a different way. The following poem is a critical reflection of how I came to understand me, as a member of an interconnected society. This piece reflects my lived experiences as an out of the mainstream masculine male, despite my white privilege. In the poem, I include a powerful derogatory word often used by others to destructively affect queer people like...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
“Deeper cuts”: A 55-word story.
Families, Systems, & Health, Vol 42(1), Mar 2024, 133; doi:10.1037/fsh0000816Health professionals spend their careers in the expert care of patients experiencing difficult and chronic illnesses. However, there is no equivalent in professional training for personal, lived experiences as patients or loved ones of patients, both of which can serve as unforgettably humanizing teachers for building empathy, compassion, and perspective-taking skills. This 55-word story is a reflection on a memorable moment in one such experience. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
Review of Handbook of Positive Youth Development: Advancing Research, Policy, and Practice in Global Contexts.
Families, Systems, & Health, Vol 42(1), Mar 2024, 130-132; doi:10.1037/fsh0000828Reviews the book, Handbook of Positive Youth Development: Advancing Research, Policy, and Practice in Global Contexts edited by Radosveta Dimitrova and Nora Wiium (2021). This volume deals with both the applications and interventions of positive youth development (PYD) in the context of families and other systems in global contexts. Additionally, it advances empirical and theoretical knowledge in PYD, refinement of methodological issues, and measurement and integration of PYD-related knowledge with policy, research, and practice. This book wil...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
It’s time to stop using “stepchild” as a pejorative term in science.
Families, Systems, & Health, Vol 42(1), Mar 2024, 127-129; doi:10.1037/fsh0000839Despite their ubiquity, stepfamilies generally hold a stigmatized status. The scientific community at large has not been immune to the influence of stepfamily stigmatization. Misusing the term “stepchild” in science is unnecessary on several fronts. “Stepchild” is often intended to denote neglect, oversight, or mistreatment. Scholars should consider using more direct and precise language, especially considering that scientific writing benefits from clarity, parsimony, and precision. In any case, it’s time to stop using “stepchild...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
Potential parental determinants of the pace of evidence-based practice change in children’s mental health care.
Families, Systems, & Health, Vol 42(1), Mar 2024, 68-75; doi:10.1037/fsh0000878Background: Strength of evidence is key to advancing children’s mental health care but may be inadequate for driving practice change. The Designing for Accelerated Translation (DART) framework proposes a multifaceted approach: pace of implementation as a function of evidence of effectiveness, demand for the intervention, sum of risks, and costs. To inform empirical applications of DART, we solicited caregiver preferences on key elements. Method: In March–April 2022, we fielded a population-representative online survey in Illinois households ...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
Making it “EASI” for pediatricians to determine when toddler tantrums are “more than the terrible twos”: Proof-of-concept for primary care screening with the Multidimensional Assessment Profiles–Early Assessment Screener for Irritability (MAPS-EASI).
Conclusions: MAPS-EASI proved to be feasible and acceptable in pediatric primary care. Further tailoring will be needed as the MAPS-EASI processes are scaled out to new contexts and populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
Possible unintended consequences of pediatric clinician strategies for communicating about social-emotional and developmental concerns in diverse young children.
Discussion: Prioritizing the clinician–caregiver relationship is consistent with best practice and family-centered care. Yet, the dearth of standardized decision support may undermine clinician confidence and impede timely conversations about social-emotional concerns. An evidence-based approach with developmentally based culturally informed quantitative tools and standardized decision supports could help ensure equitable management and decision making about young children’s social and emotional well-being and development. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
A vision for implementing equitable early mental health and resilience support in pediatric primary care: A transdiagnostic, developmental approach.
This article lays the conceptual foundations for the articles in this Special Section on Mental Health, Earlier in Pediatric Primary Care, which all apply a translational mindset to proposed strategies and solutions to overcome the barriers that have limited the potential of pediatric primary care for improving the MH and wellbeing of all children. Results: Valid, pragmatic, transdiagnostic, developmentally-based screening measures to identify children at heightened risk are needed. Risk screening for MH problems should assess and empirically weight socioecological risk and protective factors, as well as the child’s own ...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
Addressing mental health, earlier in pediatric primary care: Introduction to the special section.
Families, Systems, & Health, Vol 42(1), Mar 2024, 1-5; doi:10.1037/fsh0000887Leading national health organizations have declared pediatric mental health an urgent public health issue. Pediatric primary care is an ideal setting to improve mental health in young children; however, various existing barriers limit the effective identification of social–emotional risk among toddlers. This special section of Families, Systems, & Health includes four articles that identify multilevel barriers and facilitators to population-level early childhood mental health screening, identification, and referral and describe implementation st...
Source: Families, Systems, and Health - April 22, 2024 Category: International Medicine & Public Health Source Type: research
