The warmth of her light.
This poem focuses on the hospitalization, death, and burial of a patient. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
Dismantling structural addiction stigma in law: Policies for systematic change.
Stigma is an under-recognized health malady that is both rampant for vulnerable communities and difficult to measure for researchers. Stigma has enormous and compounding negative health impacts, associated with lower education levels, employment and income, and poorer control of chronic conditions and illness. When stigma is embedded in the systems that govern daily life, it is considered structural stigma. Structural stigma in law has a particularly potent impact on the health and recovery of patients with substance use disorder (SUD) and addiction. Stigmatizing laws against individuals with addiction have a powerful role...
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
Commentary on Integration of primary care and behavioral health services in Midwestern community health centers: A mixed methods study.
Comments on the original article by Staab et al. (see record 2022-14598-001) regarding the integration of primary care and behavioral health services in Midwestern community health centers. As a clinician, the author identifies with many of the findings in Staab et al.'s paper. Limited resources related to patient access were cited as a barrier to integration. In the academic medical center and the larger community, we have experienced too few behavioral health providers (BHPs) to meet the increasing demand for behavioral health (BH) services. There are long waitlists for BH care, and patients report difficulty accessing a...
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
Clinician’s commentary to accompany “Implementing evidence-based practices in non-specialty mental health settings”.
Comments on the original article by Wolk et al. (see record 2022-18591-001) regarding the implementation of evidence-based practices in non-specialty mental health settings. The authors both had tremendous gratitude for Wolk et al.’s (2022) ability to accurately describe and elucidate numerous difficulties that frontline workers experience, especially in nonspecialty mental health (SMH) settings, such as primary care where we work. With increased identification of implementation barriers, those working in non-SMH settings can mitigate these challenges via intentional strategizing upfront, considering settings’ contexts...
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
Promoting glycemic control in young children with type I diabetes: Results from a pilot intervention for parents.
Conclusions: The TOTs program demonstrated preliminary feasibility and acceptability. Future research will examine components of treatment for evidence of efficacy and target the intervention to those most likely to benefit. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
“I have hope, but I'm worried”: Perspectives on parenting adolescents and young adults living with perinatally-acquired HIV.
Discussion: Negative experiences with the health care system underscore the need for ongoing education about HIV-related stigma. Findings suggest that caregivers, like other parents of typically developing youth, may need support addressing sexuality. Additionally, caregivers expressed concerns over the appropriate levels of supervision to offer their AYA as they assumed more responsibility for their own health. Collaboration among psychosocial and health care professionals to identify support strategies will benefit both caregivers and AYA living with PHIV. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Sou...
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
Relationship between health care interactions and care partner burden.
This study examines the relationship between 3 types of health care interactions and care partner burden. Method: Secondary data analyses using cross-sectional data from the 2017 National Study of Caregiving were conducted. A total of 2,313 care partners (representing approximately 21.2 million) of living Medicare beneficiaries age 65 and older were included in the analyses. Multivariable logistic regression analyses were used to determine the relationship between health care interactions and care partner burden. Results: Care partners with burden were significantly more likely to be female (p = .049); white (p = .011); an...
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
Understanding factors associated with intent to receive the COVID-19 vaccine.
Discussion: Our results suggest that factors related to the HBM and TPB might uniquely impact COVID-19 vaccine acceptability and could guide the crafting of interventions meant to encourage vaccine uptake. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
Enhancing equity, diversity, and inclusion in Families, Systems, & Health.
Our annual coeditors’ retreat is a time to step back from the words on the page and reflect on our values for this work. Our values set the course for goals and subsequent actions for the year. In our 3 days away from the office to focus on the journal, we have the quiet space to set intentions. Then, we set timelines, we send emails, we put things in motion. We came to this year’s retreat prepared to consider a critical topic: equity, diversity, and inclusion (EDI). That Families, Systems, & Health (FSH) recruit, welcome, review, and publish science that is representative of the widest range of experience and perspect...
Source: Families, Systems, and Health - June 6, 2022 Category: International Medicine & Public Health Source Type: research
Screening for pediatric behavioral health in primary care in rural and urban clinics.
Discussion: The screening practices of the family practice and pediatric subspecialities reflect their respective current professional organization recommendations. Although most providers believe it is important to screen for developmental and behavioral disorders, further system changes are needed to support screening for development and broader behavioral problems along with depression among family practice providers. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 2, 2022 Category: International Medicine & Public Health Source Type: research
Dyadic shared decision-making in dialysis: An interpretive phenomenological inquiry.
Discussion: Dyads were attuned to patient autonomy while managing the collateral effects of dialysis. Shifting the paradigm of dialysis treatment decisions from promoting patient autonomy to dialogues exploring relational autonomy helps providers balance the competing demands of incentivized standards to promote home dialysis with patients and their decision partners realities. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 2, 2022 Category: International Medicine & Public Health Source Type: research
Patient screening for integrated behavioral health in adult primary care: A rapid review of effective procedures.
Conclusions: There is an absence of robust, well-structured evidence supporting many of the BH screening strategies advocated for in primary care. Stakeholders may wish to understand how to ensure value when developing a robust screening program that will improve patient health outcomes. Future research should advance the science of BH screen selection, timing, and implementation by answering new questions about screening strategies. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 2, 2022 Category: International Medicine & Public Health Source Type: research
Shared decision making and autonomy preferences of pediatric health care providers and parents of pediatric patients.
This study highlights the need for providers to consider contextual factors that impact parents’ preferences for autonomy when making shared medical decisions. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 2, 2022 Category: International Medicine & Public Health Source Type: research
Patient screening for integrated behavioral health in adult primary care: A rapid review of effective procedures.
Conclusions: There is an absence of robust, well-structured evidence supporting many of the BH screening strategies advocated for in primary care. Stakeholders may wish to understand how to ensure value when developing a robust screening program that will improve patient health outcomes. Future research should advance the science of BH screen selection, timing, and implementation by answering new questions about screening strategies. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 2, 2022 Category: International Medicine & Public Health Source Type: research
Shared decision making and autonomy preferences of pediatric health care providers and parents of pediatric patients.
This study highlights the need for providers to consider contextual factors that impact parents’ preferences for autonomy when making shared medical decisions. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 2, 2022 Category: International Medicine & Public Health Source Type: research
