From challenge to opportunity: COVID-19 and the evolution of virtual mental health care.
The transition to virtual care (telehealth) during the COVID-19 pandemic has led to both challenges and opportunities in delivering effective mental health care that meets the needs of patients and families. The negative mental and physical health effects of isolation and loneliness associated with the pandemic present a challenge for community mental and behavioral health care. However, the advantages that virtual care provides for the delivery of mental health services, particularly the potential for improved access, also benefit both providers and patients. Ongoing barriers to wider adoption and utilization of virtual m...
Source: Families, Systems, and Health - December 16, 2021 Category: International Medicine & Public Health Source Type: research
What is the recipe for PCBH? Proposed resources, processes, and expected outcomes.
What is the Primary Care Behavioral Health (PCBH) model of service delivery? Clinician innovators, administrators, and researchers have continued to refine the answer to this question. In the same way a recipe for mac n cheese provides the resources needed (i.e., ingredients), processes to make the dish, and expected outcomes (e.g., number of servings), a comprehensive operational definition for PCBH is needed to help improve the rigor of research being conducted. This recipe can also help clinicians/administrators identify a basic recipe for PCBH that standardizes the necessary components and amounts to achieve the expect...
Source: Families, Systems, and Health - December 16, 2021 Category: International Medicine & Public Health Source Type: research
Autonomy support in a couples weight loss trial: Helping yourself while helping others.
Discussion: The results confirm the importance of couples-based interventions and autonomy support for behavior change. In addition, it appears that providing autonomy support is useful for both the recipient and the provider. These results point to the need for developing targeted interventions to facilitate the provision of autonomy support. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 2, 2021 Category: International Medicine & Public Health Source Type: research
Resilience in the system: COVID-19 and immigrant- and refugee-serving health and human service providers.
Discussion: Key implications include allocating funding for immigrant and refugee families, developing and evaluating new service formats in collaboration with clients, providing direct support for staff in times of crisis, and using practice-based evidence to speed implementation science research. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Primary care behavioral health patients’ stage of change: Correlates and relation to follow-up session attendance.
In this study, we examined patients’ readiness to change behavior (their stage of change) in a primary care behavioral health (PCBH) setting. We examined sociodemographic and health correlates of patients’ stage of change and whether stage of change related to follow-up visit attendance. Method: One-hundred eleven adult primary care patients completed self-report measures of psychiatric symptoms, hope, and stage of change at their initial behavioral health session. Demographic, health information, and follow-up visit attendance were gathered from patient electronic health records. Results: Results suggest most patients...
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Disability-affirmative integrated primary care.
The development of an antiracist and culturally responsive integrated health care professionals necessitates attention to, and appreciation of, the diverse intersectional identities of the patients with whom we work. Pamela Hays’ (2001) ADDRESSING model (Age and generational influences, Developmental and acquired Disability, Religion and spiritual orientation, Ethnic and racial identity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, and Gender) can provide a useful framework to understand the complex interaction of diverse identities, particularly among people with disabilities (PWD). PW...
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Clinician commentary on “Integrated care is associated with increased behavioral health access and utilization for youth in crisis” by Sean O’Dell.
Comments on the article “Integrated care is associated with increased behavioral health access and utilization for youth in crisis” by Sean O’Dell (see record 2022-06988-003). As a pediatrician with a practice focused exclusively on pediatric mental health, I am highly motivated to improve care by minimizing barriers to accessing care, and ensuring that the right care is delivered at the right time and in the right place. I am based in the outpatient clinic of a large mental health hospital (Waypoint Center for Mental Health Care) in rural central Ontario. As part of this program, I also have the opportunity to suppo...
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
We are in this together: Maintaining our health care teams’ wellness during challenging times.
Efforts to prevent or mitigate burnout in health care practice(s) are longstanding in both biomedical and mental health arenas—from early training in classrooms, internships, and residencies to postgraduate work in primary, secondary, tertiary, and other care contexts (Berg & Garrard, 1980; Chen et al., 2019; Prins et al., 2007). From generic advice about work/ life balance, sleep hygiene, physical activity, and healthy eating to specific interventions across individual and organizational levels designed to support trainees and providers who are personally decompensating and/or potentially putting their patients at risk,...
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Body duality.
This poem focuses on Body Duality and recounts the experience of child sexual abuse. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Medicine, mental health and child welfare: “Three different worlds that need to amalgamate”.
This article discusses some of the past failures to address the issue, and suggests that for progress to be made, health, mental health, and child welfare professionals have to be able to work with each other in a way that allows child and families to be free of abuse and neglect. It builds on the recent efforts to embed mental health services and professionals in primary care practices. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Prevention of psychological trauma among health care providers during the COVID-19 pandemic.
The COVID-19 pandemic presented unique biological, psychological, and social threats to health care providers. The failure of local macrosystems placed providers at elevated risk of psychological and physical harm. To reduce the immediate risk of trauma to our local physician workforce, our team initiated a program of proactive psychological first aid in which physicians were regularly contacted by behavioral health colleagues to assess safety conditions and physician’s well-being. When threats to the physician’s safety were identified, these concerns were escalated to leadership and addressed when possible. When threa...
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Development and evaluation of employee wellness sessions in response to COVID-19.
This study described the feasibility and utilization of, and participant satisfaction for virtual COVID-19 employee wellness sessions at a large university and health system. Method: Thomas Jefferson University behavioral health consultants (BHCs) and behavioral health leaders developed and offered JeffBeWell (JBW) wellness sessions over 17 weeks during March 2020 through July 2020. Sessions were advertised via mass emails and an employee intranet. Multiple live thirty-minute sessions were offered weekly; facilitators provided psychoeducation and offered coping tools. Topics included working remotely, parenting, sleep, nut...
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Correlates of diet-related spousal involvement among both members of couples managing diabetes.
This study accordingly focused on the behavioral and emotional correlates of the receipt and provision of diet-related spousal support and control among both members of couples managing type 2 diabetes. Method: Both members of middle-aged and older adult married couples (N = 296) in which at least one member had type 2 diabetes completed an online survey. Data were analyzed using multilevel models that controlled for sociodemographic and disease characteristics. Results: The only patient status difference in any of the key variables was that spouses reported more diabetes distress than patients themselves. Receiving more f...
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Family well-being and individual mental health in the early stages of COVID-19.
Conclusion: COVID-19 associated stressors 1 month into the pandemic had modest effects on family meaning making and family health resources. Individuals from families whose health resources were negatively impacted by COVID-19 reported more anxiety and depressive symptoms. Health care and public health systems should consider family health resources to help reduce the negative effects of COVID-19 on mental health. Longitudinal research is needed to examine the accumulation of stressors over time and the directionality of relationships. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
Integrated care is associated with increased behavioral health access and utilization for youth in crisis.
Discussion: Opportunities for future research on cost-effectiveness of care and continuous improvement aligned with quadruple aim outcomes are discussed. Overall, this study is among few others investigating the potential for pediatric integrated care models to contribute to youth suicide prevention and the study demonstrated promising increases in access and engagement with timely behavioral health care. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - November 22, 2021 Category: International Medicine & Public Health Source Type: research
