COVID-19 pandemic experiences.
Families, Systems, & Health, Vol 41(1), Mar 2023, 126; doi:10.1037/fsh0000766Article presents a poem which relates a COVID-19 pandemic experience. (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
A health care experience from an immigrant educator.
Families, Systems, & Health, Vol 41(1), Mar 2023, 124-125; doi:10.1037/fsh0000730Over the last 2 years in their role as a director of diversity, the author had a sense of fulfillment from hosting small group discussions with medical students on implicit bias. Many of these discussions are centered around cases they developed to mirror their own experiences. As an educator having small group discussions was important for the author. Their goal was to train well-rounded health care professionals with diverse thoughts and skills to serve everyone regardless of how they speak or where they are from. The author wanted to engage...
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research
When one is the other.
Families, Systems, & Health, Vol 41(1), Mar 2023, 123; doi:10.1037/fsh0000779This poem is inspired by Brian Sinclair, an Indigenous Canadian man who passed away in 2008 after waiting 34 hours to be seen in an emergency department in Winnipeg, Manitoba. His death was entirely preventable. He died due in part to groupthink, ignorance, and systemic racism. This poem explores the “othering” that many Indigenous individuals, such as Brian, experience in healthcare settings. (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 physician’s fix.
Families, Systems, & Health, Vol 41(1), Mar 2023, 121-122; doi:10.1037/fsh0000709I invite readers to ponder the complexities of modern medicine and the impacts of treatments on individuals, their families, and their quality of life. I want readers to challenge themselves- asking difficult questions regarding what really matters during end of life- personhood, dignity, and an acknowledgement that a person is much more than only functioning physiology. (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
Why getting tele-behavioral health policy right is so important for Medicare.
Families, Systems, & Health, Vol 41(1), Mar 2023, 117-120; doi:10.1037/fsh0000793Given the seismic shift of the behavioral health care delivery system to virtual care since the COVID-19 pandemic, as well as the growing need for these services, policy decisions around tele-behavioral health are ones that Congress and the administration must address in order to close the gap between what Americans need and what services are available. The Bipartisan Policy Center (BPC) took an in-depth look at the use of telehealth services by traditional Medicare beneficiaries during the COVID-19 pandemic. Based on the results, we offer our...
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research
Review of Headspace: Meditation and sleep.
Families, Systems, & Health, Vol 41(1), Mar 2023, 114-116; doi:10.1037/fsh0000737Americans today report facing multiple stressors, including the COVID-19 pandemic (American Psychological Association, 2020), anxiety disorders (American Psychiatric Association, n.d.), chronic stress (Bergland, 2017), and more. As smartphones become increasingly ingrained in our society, many adults seek out self-directed stress management techniques facilitated via smartphone. A plethora of options are available, and mobile health applications have become increasingly popular in recent years (Lau et al., 2020). With over 70 million downloads...
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research
Clinician commentary to accompany “Adapting a preschool disruptive behavior group for the underserved in pediatric primary care practice”.
Families, Systems, & Health, Vol 41(1), Mar 2023, 112-113; doi:10.1037/fsh0000797Comments on the original article by Bignall et al (see record 2023-07853-001) regarding adapting a preschool disruptive behavior group for the underserved in pediatric primary care practice. The commentator states their belief that the article is genuinely applied research and reading the article reiterates the importance of adapting some of their practices to engage in more culturally sensitive strategies. (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
A biopsychosocial-spiritual wellness check program for internal medicine residents: A brief report.
We report the preliminary findings from our quality improvement pilot effort at Loma Linda University Health (LLUH). Method: Residents participated in biannual sessions with licensed therapists employed by Loma Linda University, Office of Physician Vitality (OPV). Visits consisted of an evidence-guided discussion about general wellbeing, relationships, family life, coping strategies, and referrals. Archived, confidential WCP session notes between July 1, 2019 and December 31, 2019 were reviewed and a simple tally system was used to record coping strategies, concerns, and referrals made. Results: Partner and family issues w...
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research
Embracing measurement-based care within integrated primary care settings.
Families, Systems, & Health, Vol 41(1), Mar 2023, 1-6; doi:10.1037/fsh0000789“Why should I care about doing Measurement-Based Care (MBC)?” This is a phrase that the editor often hears, either explicitly or implied, when working to champion and implement MBC within integrated primary care (IPC) settings. As an implementation and education specialist within the Veterans Health Administration (VHA) healthcare system, the editor has attended many MBC presentations and meetings where this question is uttered by frontline IPC clinicians, often frustrated with the growing demands on their practice. Many of these sentiments ar...
Source: Families, Systems, and Health - March 23, 2023 Category: International Medicine & Public Health Source Type: research
Whole person care: Outcomes from a 5-year care model integrating primary care into a behavioral health clinic.
Discussion: This reverse integration co-location program demonstrates that positive health outcomes can be achieved through evidence-based care, adaptable clinic arrangements, and robust community connections and support. More work is needed to generate positive health outcomes in medically complex patients. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - March 16, 2023 Category: International Medicine & Public Health Source Type: research
Leveraging the electronic medical record to measure fidelity to the primary care behavioral health model: Implications for clinical and research pursuits.
Discussion: Leveraging EMR data to support PCBH fidelity measurement has the potential to strengthen clinical quality improvement efforts and enable more consistent measurement and reporting of PCBH fidelity data in research. Future efforts should aim to parse out the relative contribution of different variables to the success of PCBH integration and evaluate the effectiveness of implementation strategies at supporting high fidelity. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - January 12, 2023 Category: International Medicine & Public Health Source Type: research
Community-recruited parent perspectives of concern dismissal by pediatric providers.
This study aimed to explore the prevalence of, and factors related to, parental perceptions of concern dismissal by pediatric providers. Method: In Spring 2020, 270 community-recruited parents of children ages 6–12 years (74% White, 74% female, 69% married) responded to an online survey about perceived concern dismissal experiences with their children. Characteristics of concern dismissal, differences in concern dismissal occurrence by parent factors, and emotional and practical impacts were assessed and explored. Results: Thirty-three percent reported having experienced concern dismissal, most often in pediatric primary...
Source: Families, Systems, and Health - January 12, 2023 Category: International Medicine & Public Health Source Type: research
COVID-19 and practice transformation: Building an office-based opioid treatment program in a family medicine residency practice.
Discussion: FMRPs striving for significant practice transformation, such as implementing an OBOT program during a pandemic, may benefit from synergistic guidance and resources including established theory, strategies from the implementation science literature, and resident-led quality improvement efforts. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 22, 2022 Category: International Medicine & Public Health Source Type: research
Unmet need for mental health services utilization among under-resourced Black and Latinx adults.
Discussion: The unmet need for MHS in this sample of Black and Latinx individuals highlights the importance of addressing the systemic roots of trauma and adversity burden, and eliminating structural barriers to treatment to reduce existing health and mental health inequities. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 15, 2022 Category: International Medicine & Public Health Source Type: research
Finding hearts at peace: A new workforce competency.
Families, Systems, & Health, Vol 40(4), Dec 2022, 617-619; doi:10.1037/fsh0000763While there is no single agreed upon set of competencies for the behavioral health workforce in primary care, there is a consensus about the importance of communication, the role of the behavioral health provider as part of a larger team, and the critical need to value diverse perspectives. In this column, the current and incoming Presidents of the Collaborative Family Healthcare Association (CFHA) present a framework that focuses on a “way of being”; a lens to reflect and process the sense of division and injustice, and to pave the path a...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
