Contemplating on the end of integrated care—Part I: Anticipating creative destruction.
Families, Systems, & Health, Vol 41(4), Dec 2023, 565-569; doi:10.1037/fsh0000861In this article, the author frames the development of integrated care and the Collaborative Family Healthcare Association (CFHA) through the ecocycle planning model. With four distinct stages of development and renewal—gestation, birth, maturity, and creative destruction—the ecocycle planning model encourages organizations to consider ways to ask questions to avoid a rigidity trap, which in the model appears as a process after maturity. As CFHA approaches its 30th year in 2024, the author documents a rough, imperfect history for a shared u...
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
Their children.
Families, Systems, & Health, Vol 41(4), Dec 2023, 564; doi:10.1037/fsh0000814A poem describing the author’s emotional response to seeing the children of elderly patients in hospital wards. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
What we called it.
Families, Systems, & Health, Vol 41(4), Dec 2023, 563; doi:10.1037/fsh0000805This poem recounts the author's experience as a child living with a mother suffering from bipolar disorder. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
Like a country without NATO.
Families, Systems, & Health, Vol 41(4), Dec 2023, 561-562; doi:10.1037/fsh0000804This poem recounts a patient's experience with pancreatic cancer. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
The thin red line.
Families, Systems, & Health, Vol 41(4), Dec 2023, 560; doi:10.1037/fsh0000798This sonnet is a brief symbolic meditation on the brevity of life and the “thin red line”: by turns blood (stream/supply and life-giving), a boundary to be crossed (the Rubicon), the limit of our medical (and surgical) endeavors, and finally our horizon. “The thin red line” is also a metaphor for resistance, attributed in part to Kipling’s poem Tommy: in particular to resilience by the few, against ostensibly superior forces. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
February 14th.
Families, Systems, & Health, Vol 41(4), Dec 2023, 558-559; doi:10.1037/fsh0000796This narrative recounts a medical resident's experience with a patient's desire to not receive life sustaining treatment. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
In pursuit of high-quality primary care: A call to action to implement the objectives of the 2021 NASEM report.
This article summarizes these recommendations; identifies progress made toward high-quality primary care implementation since the report’s publication; and outlines examples of policies, operational approaches, and advocacy strategies we believe are necessary to implement high-quality primary care. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
Review of The empathy exams: Essays.
Families, Systems, & Health, Vol 41(4), Dec 2023, 550-552; doi:10.1037/fsh0000824Reviews the book The empathy exams: Essays. Empathy is a universally important aspect of both life and medicine that helps cultivate a therapeutic relationship between healthcare professionals and patients, family and loved ones, community members and friends, and beyond. As the times have evolved, empathy has become increasingly essential in not only elevating the quality of patient-centered care but also nurturing meaningful relationships and compassionate bonds among communities and families. Empathy encompasses an emotional understanding o...
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
To achieve equitable, integrated care for children, family-centered work must focus on systems.
Families, Systems, & Health, Vol 41(4), Dec 2023, 547-549; doi:10.1037/fsh0000809Child health inequities are largely the result of entrenched, structural barriers created by racism, sexism, xenophobia, classism, and ableism that generally persist across the life course (Braveman & Gottlieb, 2014). The impact of such inequities may be magnified for those with complex needs who face considerable challenges in adulthood (Bethell et al., 2014), such as preterm infants, who experience threats to both short- and longterm health and development. Challenges in integrated care remain for all children, especially this population, de...
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
Applying an intersectionality framework to health services research.
Families, Systems, & Health, Vol 41(4), Dec 2023, 417-424; doi:10.1037/fsh0000859Intersectionality is a transformative analytic tool for identifying and challenging how intersecting, systemic power relations generate differential outcomes in quality of life (P. Collins, 2019; Crenshaw, 1989). Intersectionality identifies how varied forms of power relations are interconnected and mutually constituted: simultaneously influencing and influenced by one another. As these power relations interact to shape social experiences, they result in social inequalities including unequal distributions of harm, violence, and neglect. Too of...
Source: Families, Systems, and Health - January 29, 2024 Category: International Medicine & Public Health Source Type: research
Pediatric psychosocial preventative health model: Achieving equitable psychosocial care for children and families.
Conclusions: The data demonstrate consistent patterns of psychosocial risk distributions on the PPPHM and support implementation of universal family psychosocial risk screening, followed by delivery of personalized care based on level of risk. Screening all families promotes health equity in pediatric health care settings by normalizing the importance of understanding psychosocial risk and resiliencies and assuring family input in the delivery of integrated psychosocial care. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - November 27, 2023 Category: International Medicine & Public Health Source Type: research
Engaging primary care clinicians in the selection of implementation strategies for toddler social-emotional health promotion in community health centers.
Conclusions: Clinical partners provided important context and insights for implementation strategy selection and specification to support the implementation of social-emotional risk screening and referral in pediatric primary care. The methodology described herein can improve partner engagement in implementation efforts and increase the likelihood of success. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - November 13, 2023 Category: International Medicine & Public Health Source Type: research
Examining the use of psychiatric collaborative care and behavioral health integration codes at federally qualified health centers: A mixed-methods study.
This study aimed to provide information on the use of Psychiatric Collaborative Care Model (CoCM) and behavioral health integration (BHI) codes and the implementation of IBH in federally qualified health centers (FQHCs). Method: This cross-sectional, mixed-methods study involved an electronic survey of administrators and follow-up qualitative interviews from a subset of survey respondents. Quantitative data were analyzed using descriptive analysis and thematic coding was used to analyze qualitative data to identify salient themes. Results: Administrators (N = 52) from 11 states completed the survey. Use of CoCM (13%) or BH...
Source: Families, Systems, and Health - September 28, 2023 Category: International Medicine & Public Health Source Type: research
Engaging the sacred: Considering spirituality in integrated care.
Families, Systems, & Health, Vol 41(3), Sep 2023, 413-415; doi:10.1037/fsh0000838In this brief essay, the author hopes to invite integrated care practitioners in all settings to consider addressing spiritual needs as a routine component of their patient care. Inclusion of spirituality as a routine component for all patients, regardless of severity of their health concerns can provide meaningful ways to engage patients in health-oriented behaviors (Isaac et al., 2016). After a brief discussion on defining spirituality, the author will provide practical pivots for spiritual conversations with patients. (PsycInfo Database Rec...
Source: Families, Systems, and Health - September 21, 2023 Category: International Medicine & Public Health Source Type: research
Pandemic grief.
Families, Systems, & Health, Vol 41(3), Sep 2023, 412; doi:10.1037/fsh0000829The author expresses themselves with a poem about their experiences with COVID-19. They talk about how the about the lack of connection and grief during the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - September 21, 2023 Category: International Medicine & Public Health Source Type: research
