Psychological flexibility is the ACE we need: A commentary on ACEs screening in adolescent primary care: Psychological flexibility as a moderator.
This article shows how important it is to screen psychological flexibility. Going forward, clinicians would benefit from understanding the relationship between adverse childhood experiences (ACEs), psychological flexibility, and other common presenting issues, such as anxiety, eating disorders, and school refusal. And then extend the findings of ACE and psychological flexibility screening into trauma-informed care. (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

Policies during COVID-19 and their impact on immigrant families’ psychological well-being: A critically engaged practice.
This article uses a critically engaged practice (CEP) framework to examine three policies and their implications for the health and well-being of immigrant families during the COVID-19 pandemic (a) Detention and Removal of Alien Parents or Legal Guardians policy, (b) Order Suspending the Right to Introduce Certain Persons from Countries where a Quarantinable Communicable Disease Exists, and (c) Field Guidance on Deportability and Inadmissibility on Public Charge Grounds. Results: Our article presents a CEP framework to empower clinicians in integrated healthcare settings to better understand and communicate policies with t...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research

Peer review: The jury duty of science.
In conclusion, the efforts of this editorial team to maintain a robust reviewer pool by inspiring, rewarding, training, and growing diversity cannot be the only efforts in this area. Those who “decline” jury duty may experience punitive consequences; however, there are no direct consequences for a qualified professional who declines to review, even routinely. Ultimately, the scientific community suffers, with a slower process that can then deteriorate. As a collective of professionals who value the contributions of science, we must all work to protect and grow participation in reviewing. (PsycInfo Database Record (c) 2...
Source: Families, Systems, and Health - June 19, 2023 Category: International Medicine & Public Health Source Type: research

Open to interpretation: An integrated primary care behavioral health training approach for treating linguistically diverse patients.
This article concludes with recommendations for implementation and dissemination of our training model on other sites. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - May 25, 2023 Category: International Medicine & Public Health Source Type: research

Implementation of a universal screening and follow-up care system for pediatric developmental and behavioral health in federally qualified health center sites.
Conclusions: Implementation of a multicomponent developmental and behavioral health screening and follow-up care intervention enabled FQHC sites to meet AAP recommendations and provide follow-up support. Disseminating the intervention may support population-level improvement in early detection and intervention for developmental delays and behavioral health concerns. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - May 25, 2023 Category: International Medicine & Public Health Source Type: research

Primary care provider perspectives on virtual and in-person depression management during the COVID-19 pandemic.
Conclusions: During the pandemic, there has been heightened PCP concern for patients’ emotional well-being and adaptations of clinic processes to meet needs for depression care. While PCPs were optimistic about new virtual care options for depression management, virtual care transfers remained poorly defined and the extent to which patient care experiences and health outcomes have been disrupted remains unknown. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - May 25, 2023 Category: International Medicine & Public Health Source Type: research

Adapting psychotherapy in collaborative care for treating opioid use disorder and co-occurring psychiatric conditions in primary care.
We describe our team’s efforts to test our psychotherapy program in a large primary care network as part of an ongoing three-arm randomized controlled trial. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - May 25, 2023 Category: International Medicine & Public Health Source Type: research

Perceived family functioning within Chinese pregnant women and husband dyads: Levels, consistency, and correlates.
We examined consistency and differences in perceived family functioning between pregnant women and their husbands. Results: Most pregnant women (76.6%) and husbands (71.4%) perceived their family functioning as effective. Pregnant women and their husbands shared poor consistency in family functioning, with an intraclass correlation of 0.25 and most weighted kappa coefficients of individual items (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - May 11, 2023 Category: International Medicine & Public Health Source Type: research

Employment and leave while parenting children with medical complexity.
This study examines caregiving obligations of parents of CMC, the availability and appropriateness of FMLA in facilitating their roles as caregivers and employees, and how these challenges affect employment and financial security. Method: Parents of CMC were recruited from a primary care pediatric care management program for semistructured interviews. An integrated approach, using both deductive and inductive codes, was used to conduct a thematic analysis. Results: All 16 respondents were female, with half working full-time, five working part-time, and three not employed at the time of participation. On average, their CMC ...
Source: Families, Systems, and Health - May 11, 2023 Category: International Medicine & Public Health Source Type: research

Learnings from the implementation of standardized content and processes for integrated behavioral health prevention visits.
Discussion: Results indicated a high level of concordance between provider self-ratings and independent coder ratings of fidelity. Findings suggest that a prevention-based, universal, standardized model of care with a psychosocially complex population was feasible to develop and adhere to. Learnings generated from this study may guide other programs seeking to develop standardization interventions and fidelity processes that can ensure high-quality, evidence-based care. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - April 27, 2023 Category: International Medicine & Public Health Source Type: research

Delay and nonreceipt of needed healthcare in U.S. adults with household family members with serious health needs.
This study examines the odds of U.S. adults' own unmet healthcare needs due to cost when living with a family member who has serious health needs. Methods: In this cross-sectional analysis of 2018 National Health Interview Survey data, we use multivariate logistic regression models to estimate the odds of U.S. adults' own delay and nonreceipt of care when living with a spouse or partner, child under age 18, or parent/parent-in-law with a limiting chronic condition or high volume of past-year healthcare use. Results: Of 56,165 adults surveyed, 51.7% were female, and 63.1% were non-Hispanic White. Adults who had a household ...
Source: Families, Systems, and Health - April 10, 2023 Category: International Medicine & Public Health Source Type: research

Reflections on the signs and science of belonging in integrated care.
Families, Systems, & Health, Vol 41(1), Mar 2023, 131-133; doi:10.1037/fsh0000788For this inaugural reflection, the author began by thinking about what the Collaborative Family Healthcare Association (CFHA) has been for them, and they suspect for many others. As a naïve early career professional, the author joined CFHA with wide-eyed optimism about the future of the integrated care movement and the giddy excitement only a true nerd can appreciate when you get to befriend the individuals who have made one's career possible. This community is the space where peers and leaders sharpened the author's knowledge and where they ...
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research

C-WHO 2022 Don Bloch award.
Families, Systems, & Health, Vol 41(1), Mar 2023, 129-130; doi:10.1037/fsh0000795On October 15th, 2022, Cornerstone Whole Healthcare Organization became the first organization to receive the Don Bloch Award, CFHA’s primary organizational award of significance. Named after Don Bloch, MD, a seminal founder of CFHA and the award’s very first recipient, the Don Bloch award recognizes an individual, and now an organization, whose work and character exemplify Don Bloch and thus advances the field of integrated care, regardless of career stage. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research

Nomination for 2022 CFHA Don Bloch award.
This article focuses on Jennifer Yturrionbeitia and the C-WHO team, who were nominated for the annual Don Bloch Award. This award is the quintessential organizational award for members who have advanced the field of collaborative care, and who show intellectual, behavioral, and relational qualities. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research

The selflessness of an 8-year-old.
Families, Systems, & Health, Vol 41(1), Mar 2023, 127; doi:10.1037/fsh0000760This short 55-word story highlights an Internal Medicine resident’s experience talking to the family of a patient dying while on life support in the ICU, and the family dynamic while the resident discusses end of life care and withdrawal of life support. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research