The aftermath of a diagnosis: From resistance to reconciliation.
Families, Systems, & Health, Vol 40(4), Dec 2022, 615-616; doi:10.1037/fsh0000764The author, a doctor, describes the aftermath of being diagnosed with attention deficit hyperactivity disorder (ADHD) in his late 30s. He was incredulous and immediately resented the diagnosis. He reluctantly agreed to try the prescribed medication but struggled with that as well. Instead of rejecting the ADHD label, he later began reading and watching informative videos about ADHD and the many ways that executive functioning deficits affect behavior, including impulsive outbursts. The communication gap with his psychiatrist widened because of...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
There is more to the story.
Families, Systems, & Health, Vol 40(4), Dec 2022, 613-614; doi:10.1037/fsh0000759For most patients, primary care and generalist settings are the first clinical touchpoints to accessing medical care. As such, they present the formative opportunity for stories to be communicated and trust to be developed between patients and the health care system. The skills of listening, supporting, communicating, and empathizing are essential in providing patient care and promoting strong patient–physician relationships. They are particularly crucial for people who have experienced interpersonal violence. In this piece, I reflect on my ...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Integrating legal services to improve behavioral health, a challenge met from a different angle.
Families, Systems, & Health, Vol 40(4), Dec 2022, 609-612; doi:10.1037/fsh0000773The United States’ current healthcare delivery system is not prepared to address the expanding behavioral health (BH) crisis without treatment of upstream social determinants that contribute to downstream BH exacerbations. Medical Legal Partnerships (MLP) utilize lessons from integrated BH to create efficiencies, augment the reach of the current BH workforce, network community resources, and likely provide BH prevention at the family unit. Payment policy changes are needed, however, to provide sustainable access to these services. The curren...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
A commentary and call to action for inclusive workforce development.
Families, Systems, & Health, Vol 40(4), Dec 2022, 606-608; doi:10.1037/fsh0000772I have the privilege of serving as the Director for the Washington State Allied Health Center of Excellence; one of 12 Centers of Excellence (each representing a different “driver” industry) devoted to addressing the workforce needs of the State. The Center provides statewide leadership in workforce education and training within the health care sector: Allied Health–Nursing–Behavioral Health–Health Sciences. We serve as a state-wide hub, connecting with the state’s community and technology college system as well as health care indu...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Developmental/behavioral training innovation in a high-need, low-resource state: The child health and development promotion fellowship.
Discussion: The CHDP Fellowship is a novel, immersive, and interdisciplinary training experience demonstrating positive initial training outcomes in Mississippi. The model and experience may serve as a roadmap for bolstering a skilled early childhood workforce in other underserved and high-need states. Aspects regarding scale of reach, funding, and accreditation are discussed as barriers. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Assessing for socioeconomic background diversity in behavioral health workforce development programs.
Families, Systems, & Health, Vol 40(4), Dec 2022, 592-595; doi:10.1037/fsh0000751Assessing workforce diversity is an increasing area of evolution. A comprehensive assessment of socioeconomic diversity is important in that it can help identify needs and enable planned inclusion across a range of students. Subsequently, a more comprehensive set of background indicators is needed. The purpose of this brief report is to describe the approach we are using to determine socioeconomic background among individuals participating in a behavioral health workforce program. By using 3 strategies to assess background, we were able to det...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Advancing the behavioral health workforce: An innovative integrated care and substance use disorder training model to improve outcomes for people in medically underserved communities.
This article describes the significance and innovation of (a) an IC training program, (b) an implementation plan for sustained change within systems of care, and (c) evaluative methodology to assess and improve IC and SUD service delivery and training. These data will be used to create a template for other academic and health care systems nationally. Discussion: It is the mission of this program to use an innovative training, implementation, and evaluation design to enhance IC and SUD services, bolster the behavioral health workforce trained to provide high-quality IC, and inform replications of this model in other geograp...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Alumni perspectives on interprofessional experiential learning and interprofessional collaborative practice in health care settings.
This study utilized a mixed-methods design using descriptive statistics and a phenomenological approach. Participants included Doctor of Physical Therapy (DPT) and Master of Arts in Marriage and Family Therapy (MAMFT) alumni who previously participated as graduate students in Balanced Families (BF), an interprofessional EL program. Sixty-four alumni were contacted through e-mail, of which 17 (27%) agreed to be interviewed. Results: Quantitative data were analyzed utilizing descriptive statistics to describe demographics and summarize Likert scale responses. Qualitative data were analyzed using an interpretative phenomenolo...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Training health service psychology students in an in-person and telehealth integrated behavioral health service delivery model in primary care.
Families, Systems, & Health, Vol 40(4), Dec 2022, 572-577; doi:10.1037/fsh0000752Telehealth has become an integral part of integrated behavioral health (IBH) service delivery in light of the global pandemic. In order to accommodate the rapid changes in service delivery, integrated behavioral health settings have transformed to provide services via telehealth alongside in-person services. While traditionally believed to be an in-person model, this article demonstrates the potential for using telehealth technology to continue offering training and service delivery in an IBH setting in response to the COVID-19 pandemic and be...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Leveraging community health workers in extending pediatric telebehavioral health care in rural communities: Evaluation design and methods.
Conclusion: The THR program aims to bring childserving systems of care together, cultivate relationships with rural communities, empower and increase workforce capacity in health care and education, and build trust to enhance acceptance and thus program sustainability. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Expanding interprofessional teams: Training future health care professionals in screening, brief intervention, and referral to treatment (SBIRT).
In this study, SBIRT knowledge, training satisfaction, and efficacy were evaluated among undergraduate and graduate health and behavioral health students before and after exposure to a series of online training modules. Results: On completion of the training, there were positive percent increases in overall mean knowledge and self-efficacy when compared with pretraining. At posttraining, graduate level students, regardless of discipline, reported greater knowledge than undergraduate students; there were no differences in efficacy or satisfaction among the groups. Additional analysis at the graduate level evaluated differen...
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Interdisciplinary training academy for integrated substance/opioid use disorder prevention and health care: A workforce catalyst report.
Discussion: In sum, we offer a new concept for remote field education that engages learners as curriculum developers, educators, and emerging practitioners with expertise across ecological systems. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Advancing integrated care through cotraining of residents and psychology postdoctoral fellows.
This article describes the creation and implementation of a cotraining curriculum and provides recommendations for other programs and residencies preparing their residents and future PCP psychologists to practice and teach skills in integrated care. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
Out of textbook and [almost] into the clinic: Case simulation in integrated care training.
Discussion: Increased utilization of interprofessional case simulation training in masters and doctoral level behavioral health programs could help accelerate the development of a competent integrated care workforce. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
An innovative behavioral health care curriculum: The integrated advanced practice addictions nursing subspecialty.
Discussion: Implementation of similar innovative curricula across health disciplines may significantly improve the care delivered to patients with problematic substance use in traditional medical settings. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: Families, Systems, and Health)
Source: Families, Systems, and Health - December 12, 2022 Category: International Medicine & Public Health Source Type: research
