Tier-based treatment for opioid use disorder in the primary care setting.
Discussion: OUD treatment from two clinics by tier illustrates that recovery is an individualized process based on patient need that can fluctuate due to psychosocial triggers and significant life events. Having tiers can guide treatment and provide both clinicians and patients with information about what to expect during treatment while still allowing the flexibility to meet patients where they are. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - August 19, 2021 Category: International Medicine & Public Health Source Type: research

Emergency medical care utilization, romantic attachment, and psychological distress in pregnant adolescent and young adult couples.
Conclusions: Emergency medical care utilization during pregnancy was associated with higher psychological distress only for individuals reporting lower avoidant attachment. These individuals may have more resources to deal with distress (e.g., coping, social support), and may therefore also be more capable of experiencing it. Tailoring interventions to bolster healthy romantic attachment and relational wellbeing could improve mental health outcomes in at-risk pregnant adolescent and young adult couples. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - August 19, 2021 Category: International Medicine & Public Health Source Type: research

Online training of behavioral health providers for primary care practice.
Discussion: Learners reported significant improvements in confidence in their ability to work as behavioral health providers in primary care. With one exception, these findings did not differ for psychologists and social workers. Over time, baseline confidence of behavioral health providers enrolling in the course increased in some areas, particularly those focused on patients with substance use disorders. Learning outcomes for the asynchronous version of the course support the continued delivery of asynchronous training of behavioral health providers working in primary care. (PsycInfo Database Record (c) 2021 APA, all rig...
Source: Families, Systems, and Health - August 19, 2021 Category: International Medicine & Public Health Source Type: research

“We are a family with diabetes”: Parent perspectives on siblings of youth with type 1 diabetes.
Having a child with type 1 diabetes (T1D) impacts the entire family system. Parental distress and burden have been well studied, but other family members, including siblings, have received little attention. Based on research about family life and sibling experiences in other chronic condition populations (e.g., autism, cancer), we expected parents of youth with T1D would report that siblings participated in T1D management and that T1D had a psychological impact on siblings. As part of a larger qualitative study, parents of youth with T1D age 5–17 (M = 10.8 ± 3.6 years) participated in semistructured interviews about T1D...
Source: Families, Systems, and Health - August 19, 2021 Category: International Medicine & Public Health Source Type: research

Family health conversations versus support group conversations when a family member has been critically ill: A mixed methods study.
Discussion: The article illustrates a disparity between how family members function and the needs they have for follow-up. We discuss what kind of follow-up these persons need. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - August 19, 2021 Category: International Medicine & Public Health Source Type: research