Suicide prevention programming across ecological levels: Recommendations from Latinx immigrant origin youth and their parents.
This study sought to explore perspectives of immigrant-origin Latinx adolescents and their caregivers on suicide and its prevention, including the potential impact of stressors specific to immigrant status. Method: Focus groups were conducted in 2018–2019 with Latinx immigrant-origin caregivers (N = 41, 97.5% female) and adolescents (ages = 14–19, N = 56, 50% female). Participants were recruited from community-based organizations in two different cities. A codebook approach to thematic analysis was used to identify themes, which were subsequently mapped onto levels of the Center for Disease Control’s Social-Ecologica...
Source: Families, Systems, and Health - August 24, 2023 Category: International Medicine & Public Health Source Type: research
Understanding families impacted by opioid use: Outcomes of a therapist training program.
Discussion: The findings contribute to extant literature by examining the potential role of participating in substance use training for graduate-level MFT and CMHC trainees and considerations for implementing specific substance use training components among graduate-level trainees. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - August 24, 2023 Category: International Medicine & Public Health Source Type: research
The importance of family relationships for the health of underserved Appalachians: An application and extension of the biobehavioral family model.
Discussion: These findings demonstrate the importance of nonmarital family relationships on health outcomes for people in Appalachia. Given the limited direct impact rurality in this sample, close relationships may be important for the health and well-being of all economically marginalized Appalachians regarding where they live. Given the cultural tendency for Appalachians to rely on family and kinship networks for healthcare support and the findings in this study, medical professionals should develop innovative programs to incorporate family into healthcare visits, and disease management interventions for people living in...
Source: Families, Systems, and Health - August 21, 2023 Category: International Medicine & Public Health Source Type: research
Benefits of expanding behavioral health screening in a pediatric diabetes clinic to include anxiety and caregiver reports in youth 12 years and younger.
Discussion: Utilizing anxiety and proxy-report measures may identify youth likely to benefit from behavioral health support who are not identified when only a self-report depression measure is used in screening. Research should evaluate whether utilizing multiple measures and screening children under 13 years old improve detection and connection to care for youth experiencing difficulty managing diabetes. Early identification and intervention could subsequently mitigate the negative impacts of social–emotional difficulties on diabetes management. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Famil...
Source: Families, Systems, and Health - August 17, 2023 Category: International Medicine & Public Health Source Type: research
Health and care utilization among youth with a history of parental incarceration and homelessness.
Discussion: Findings suggest that PI may be overrepresented among recently homeless youth and that youth with such dual experience possess distinct, and often elevated, health service needs. Health, education, housing, and other systems may need intersectoral strategies to better identify and support this at-risk subset of youth through clinical and policy approaches. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - July 27, 2023 Category: International Medicine & Public Health Source Type: research
Brief conjoint visits between an embedded behavioral health provider and primary care team member: When are they used and what are the barriers and facilitators?
The objectives were to describe the use and features of conjoint visits and identify barriers and facilitators as described by BHPs in integrated settings. Method: Three hundred and forty-five BHPs who worked in integrated primary care, a majority identifying as female and white, completed an online survey between October 2018 and July 2019. Results: Results indicated common reasons for conjoint visits were for mental or behavioral health concerns. Though they reported high comfort using conjoint visits (M = 4.3/5), 56.5% of BHPs participated in them less than monthly or never. Using a constant comparison approach, qualita...
Source: Families, Systems, and Health - July 20, 2023 Category: International Medicine & Public Health Source Type: research
Bidirectional, longitudinal associations between chronic pain and family functioning in youth with spina bifida.
We examined longitudinal, bidirectional associations between chronic pain and family functioning in spina bifida (SB). We hypothesized a bidirectional association between pain and family functioning (cohesion and conflict); youth chronic pain status would be associated with maladaptive family functioning and maladaptive family functioning would be associated with youth chronic pain status. Method: Participants were from an ongoing longitudinal study of adolescents with SB (N = 140, 53.6% female, ages 8–15 at Time 1). Data were collected every 2 years, with this study using data from Times 1 and 2 (T1, T2; T1: 2006–2009...
Source: Families, Systems, and Health - July 20, 2023 Category: International Medicine & Public Health Source Type: research
Family strain, but not family support, is linked to worse pain interference among midlife adults reporting new chronic pain.
Discussion: Findings build on prior studies to suggest that not only are stressful family relationships likely associated with the odds of developing chronic pain, but they are also linked to the interference of that chronic pain when it develops. We recommend biopsychosocial screening in primary care that captures family relationship quality and can inform best practices for nonpharmacological, family-based pain management. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - July 6, 2023 Category: International Medicine & Public Health Source Type: research
“A tight knot of social maladies”.
Families, Systems, & Health, Vol 41(2), Jun 2023, 287-289; doi:10.1037/fsh0000815In this column, the author says that despite its pervasive influence, poverty remains unmitigated and out of focus as a target of economic and policy intervention. The daily experience of living in poverty is excruciating and more pronounced than crossing a line. Mathew Desmond’s (2023) description provides dimensions to the pernicious, cumulative influence of poverty when he writes: “Poverty is often material scarcity piled on chronic pain piled on incarceration piled on depression piled on addiction—on and on it goes. Poverty isn’t a...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Catatonia.
Families, Systems, & Health, Vol 41(2), Jun 2023, 286; doi:10.1037/fsh0000776In this poem, the author/doctor describes a female teenage patient with catatonia. The author asks her what she is thinking of. Her mother delays among the sleepers in the waiting room, touches the author's sleeve, blessing the faint music, fleet as hope. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Five visits with Diane.
Families, Systems, & Health, Vol 41(2), Jun 2023, 284-285; doi:10.1037/fsh0000775This brief article is based on a patient’s experience the author witnessed as a medical oncology scribe. The article describes five visits with a cancer patient named Diane as she started chemotherapy. Mere months since Diane’s first visit, she died. The doctor read a slip of paper on her desk and told the author with tears in her eyes. The author turned over the visits she had with Diane, trying to find solace in the comfort she had in the end. It had all gone so fast, though. Four visits and she was gone. (PsycInfo Database Record (c) 20...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Miraculous existence.
Families, Systems, & Health, Vol 41(2), Jun 2023, 283; doi:10.1037/fsh0000768In this poem, the author, who is an MD, relates that she is a woman with caramel skin who is trying to learning a healing art. At times she finds herself wanting to give up the pursuit, questioning whether her sacrifice was worth it, whether she belongs in this hallowed profession. She allows herself to consider that the simple fact of her improbable existence is a miracle. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
My first day in the ER: Should I be worried about.
Families, Systems, & Health, Vol 41(2), Jun 2023, 282; doi:10.1037/fsh0000746In this poem, a medical resident describes his first day in the emergency room. He describes the patient bleeding and his plummeting pulse. The resident wonders if he worries too much or whether, when it truly matters, he will be enough. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Behavioral health integration and specialty medical care: Opportunities for applying knowledge from primary care integration.
Families, Systems, & Health, Vol 41(2), Jun 2023, 278-281; doi:10.1037/fsh0000812While education and advocacy regarding behavioral health (BH) integration in primary care have been in full force at the state and national level for many years, specialty care BH integration has not received the same attention in terms of practice transformation, workforce development, and payment reform. Models of BH care have been tested in primary care and can be easily adapted to improve specialty patient care. There are many opportunities for using the knowledge base gained from integrated primary care to help move integration forward in...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
Clinician’s commentary to accompany “Unmet need for mental health services utilization among under-resourced Black and Latinx adults”.
Families, Systems, & Health, Vol 41(2), Jun 2023, 276-277; doi:10.1037/fsh0000813Comments on the article by T. B. Loeb et al. (see record 2023-28006-001), which highlights a need to understand mental health service (MHS) utilization among Black and Latinx individuals given disparate and detrimental outcomes associated with underdiagnosis and untreated mental health disorders. The present author addresses four questions related to the article: (1) How does this article, written by researchers, resonate with your experience as a clinician? (2) What is one thing you might do differently in your practice after reading this art...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research
