Shanti J. Kulkarni, Marie White, Kelley Reinsmith-Jones, Kelly Powers
Effective team-based care is necessary for implementation of the integrated care models recommended to improve behavioral health access. Many models rely on social workers who are trained to deliver behavioral health care as an interprofessional team member. In this article, we highlight two social work programs utilizing interprofessional education to enhance team-based care competence.
{"title":"Behavioral Health Access and Workforce Competence for Integrated Care: Highlighting Interprofessional Initiatives from Two North Carolina Social Work Programs","authors":"Shanti J. Kulkarni, Marie White, Kelley Reinsmith-Jones, Kelly Powers","doi":"10.18043/001c.117216","DOIUrl":"https://doi.org/10.18043/001c.117216","url":null,"abstract":"Effective team-based care is necessary for implementation of the integrated care models recommended to improve behavioral health access. Many models rely on social workers who are trained to deliver behavioral health care as an interprofessional team member. In this article, we highlight two social work programs utilizing interprofessional education to enhance team-based care competence.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gary H. McCullough, Kelly Powers, Jaimee Watts-Isley, Paige Brown, Susan Smith, Jacqueline T. Vaughn
Interprofessional education (IPE) continues to evolve as a critical component of providing quality health care. Emerging evidence suggests IPE is most effective if it exists across the continuum of academia to clinical practice. This article provides current evidence and models for IPE delivery to students beginning in their academic programs.
{"title":"Interprofessional Education at the University Level: Evidence, Models, and Future Directions","authors":"Gary H. McCullough, Kelly Powers, Jaimee Watts-Isley, Paige Brown, Susan Smith, Jacqueline T. Vaughn","doi":"10.18043/001c.117088","DOIUrl":"https://doi.org/10.18043/001c.117088","url":null,"abstract":"Interprofessional education (IPE) continues to evolve as a critical component of providing quality health care. Emerging evidence suggests IPE is most effective if it exists across the continuum of academia to clinical practice. This article provides current evidence and models for IPE delivery to students beginning in their academic programs.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conquering Health Care Complexity as a Team: Evolution of Interprofessional Education in North Carolina","authors":"Peter J. Morris","doi":"10.18043/001c.117085","DOIUrl":"https://doi.org/10.18043/001c.117085","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phillip M. Hughes, I. Annis, Neal A deJong, Robert B. Christian, Scott A. Davis, Kathleen C. Thomas
Prevalence of substance use disorders (SUD) is high among adolescents and young adults (AYAs) with complex medical needs. Little is known about risk factors for SUD in this population. This retrospective cohort study used electronic health record data from a large academic hospital system (2015–2019) to identify adolescents (aged 10–17) and young adults (aged 18–27) with intellectual/developmental disorders, psychiatric conditions, or complex medical conditions. Logistic regression was used to identify demographic, clinical, and neighborhood-level risk factors associated with SUD in this population. A total of 149 adolescents and 536 young adults had a SUD diagnosis (6.7% and 20.6%, respectively). Among adolescents, notable risk factors for SUD included age (adjusted odds ratio [aOR] = 1.42, 95% confidence interval [CI] = [1.31, 1.54]), Hispanic ethnicity (aOR = 2.10, 95% CI = [1.10, 3.99]), additional psychoactive medication classes (aOR = 1.27, 95% CI = [1.11, 1.46]), and living in a “high” child opportunity index (COI) (aOR = 2.06, 95% CI [1.02, 4.14]) or a “very high” COI (aOR = 3.04, 95% CI [1.56,5.95]) area. Among young adults, notable risk factors included being male (aOR = 2.41, 95% CI [1.91, 3.05]), being Black (aOR = 1.64, 95% CI [1.28, 2.09]), and additional non-psychoactive (aOR = 1.07, 95% CI [1.03, 1.11]) or psychoactive medication classes (aOR = 1.17, 95% CI [1.07, 1.28]). These descriptive analyses are limited to one large academic hospital system in North Carolina and may not be representative of all high-need AYAs in the state. Several demographic, clinical, and neighborhood risk factors are associated with SUD in high-need AYAs.
在有复杂医疗需求的青少年和年轻成人（AYAs）中，药物使用障碍（SUD）的发病率很高。人们对这一人群出现药物滥用障碍的风险因素知之甚少。这项回顾性队列研究使用了一家大型学术医院系统（2015-2019 年）的电子健康记录数据，以识别患有智力/发育障碍、精神疾病或复杂医疗状况的青少年（10-17 岁）和年轻成人（18-27 岁）。采用逻辑回归法来确定与该人群中 SUD 相关的人口统计学、临床和邻里层面的风险因素。共有 149 名青少年和 536 名青壮年被诊断患有药物滥用症（分别占 6.7% 和 20.6%）。99]）、额外的精神活性药物类别（aOR = 1.27，95% CI = [1.11，1.46]）、生活在 "高 "儿童机会指数（COI）（aOR = 2.06，95% CI [1.02，4.14]）或 "非常高 "COI（aOR = 3.04，95% CI [1.56，5.95]）地区。在年轻人中，显著的风险因素包括男性（aOR = 2.41，95% CI [1.91，3.05]）、黑人（aOR = 1.64，95% CI [1.28，2.09]）、额外的非精神活性药物（aOR = 1.07，95% CI [1.03，1.11]）或精神活性药物类别（aOR = 1.17，95% CI [1.07，1.28]）。这些描述性分析仅限于北卡罗来纳州的一家大型学术医院系统，可能并不代表该州所有高需求亚健康人群。有几个人口、临床和邻里风险因素与高需求亚裔的 SUD 相关。
{"title":"Factors Associated with Substance Use Disorder among High-Need Adolescents and Young Adults in North Carolina","authors":"Phillip M. Hughes, I. Annis, Neal A deJong, Robert B. Christian, Scott A. Davis, Kathleen C. Thomas","doi":"10.18043/001c.117077","DOIUrl":"https://doi.org/10.18043/001c.117077","url":null,"abstract":"Prevalence of substance use disorders (SUD) is high among adolescents and young adults (AYAs) with complex medical needs. Little is known about risk factors for SUD in this population. This retrospective cohort study used electronic health record data from a large academic hospital system (2015–2019) to identify adolescents (aged 10–17) and young adults (aged 18–27) with intellectual/developmental disorders, psychiatric conditions, or complex medical conditions. Logistic regression was used to identify demographic, clinical, and neighborhood-level risk factors associated with SUD in this population. A total of 149 adolescents and 536 young adults had a SUD diagnosis (6.7% and 20.6%, respectively). Among adolescents, notable risk factors for SUD included age (adjusted odds ratio [aOR] = 1.42, 95% confidence interval [CI] = [1.31, 1.54]), Hispanic ethnicity (aOR = 2.10, 95% CI = [1.10, 3.99]), additional psychoactive medication classes (aOR = 1.27, 95% CI = [1.11, 1.46]), and living in a “high” child opportunity index (COI) (aOR = 2.06, 95% CI [1.02, 4.14]) or a “very high” COI (aOR = 3.04, 95% CI [1.56,5.95]) area. Among young adults, notable risk factors included being male (aOR = 2.41, 95% CI [1.91, 3.05]), being Black (aOR = 1.64, 95% CI [1.28, 2.09]), and additional non-psychoactive (aOR = 1.07, 95% CI [1.03, 1.11]) or psychoactive medication classes (aOR = 1.17, 95% CI [1.07, 1.28]). These descriptive analyses are limited to one large academic hospital system in North Carolina and may not be representative of all high-need AYAs in the state. Several demographic, clinical, and neighborhood risk factors are associated with SUD in high-need AYAs.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jaimee Watts-Isley, Mitchell T. Heflin, Lori Byrd, Maria P. Turnley
Population growth in North Carolina is contributing to health care workforce shortages, particularly in rural and underserved areas. Professions affected most include public health, nursing, behavioral health, and direct care. We describe efforts to grow this workforce by promoting health professions careers, aligning training with current trends, and improving job satisfaction and retention.
{"title":"Building an Interprofessional Health Workforce through Pathways, Training, and Retention","authors":"Jaimee Watts-Isley, Mitchell T. Heflin, Lori Byrd, Maria P. Turnley","doi":"10.18043/001c.117221","DOIUrl":"https://doi.org/10.18043/001c.117221","url":null,"abstract":"Population growth in North Carolina is contributing to health care workforce shortages, particularly in rural and underserved areas. Professions affected most include public health, nursing, behavioral health, and direct care. We describe efforts to grow this workforce by promoting health professions careers, aligning training with current trends, and improving job satisfaction and retention.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ingrid L. Tablazon, Avinash Shetty, Candice J. McNeil
{"title":"Syndemic Approaches Are Needed to Address Maternal Substance Use and Syphilis in North Carolina","authors":"Ingrid L. Tablazon, Avinash Shetty, Candice J. McNeil","doi":"10.18043/001c.94880","DOIUrl":"https://doi.org/10.18043/001c.94880","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Zomorodi, Lorraine Alexander, Philip T. Rodgers
Innovative models that prepare students for careers in rural health are of increasing interest. The UNC Rural Interprofessional Health Initiative (RIPHI) is an intentional interprofessional model that has been in existence since 2017. This article provides an overview of this work, lessons learned, and opportunities for future partnerships.
{"title":"The Rural Interprofessional Health Initiative","authors":"M. Zomorodi, Lorraine Alexander, Philip T. Rodgers","doi":"10.18043/001c.117214","DOIUrl":"https://doi.org/10.18043/001c.117214","url":null,"abstract":"Innovative models that prepare students for careers in rural health are of increasing interest. The UNC Rural Interprofessional Health Initiative (RIPHI) is an intentional interprofessional model that has been in existence since 2017. This article provides an overview of this work, lessons learned, and opportunities for future partnerships.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeffery Stewart, DDS, MS, a consultant to the American Dental Education Association, met with Meg Zomorodi, PhD, RN, ANEF, FAAN, of UNC-Chapel Hill, to discuss the latest revisions to the IPEC Core Competencies for Interprofessional Collaborative Practice. Released in November 2023, these updated competencies build on previous versions from 2011 and 2016 to incorporate the perspectives of seven new IPEC member organizations and reflect the continuously evolving research, policy, education, and practice landscape.
{"title":"Developing IPEC Competencies for an Evolving Professional Landscape: Q&A with Jeffery Stewart, DDS","authors":"M. Zomorodi","doi":"10.18043/001c.117092","DOIUrl":"https://doi.org/10.18043/001c.117092","url":null,"abstract":"Jeffery Stewart, DDS, MS, a consultant to the American Dental Education Association, met with Meg Zomorodi, PhD, RN, ANEF, FAAN, of UNC-Chapel Hill, to discuss the latest revisions to the IPEC Core Competencies for Interprofessional Collaborative Practice. Released in November 2023, these updated competencies build on previous versions from 2011 and 2016 to incorporate the perspectives of seven new IPEC member organizations and reflect the continuously evolving research, policy, education, and practice landscape.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In Search of Shared Language: Professional Associations and Interprofessional Practice in North Carolina","authors":"Hugh H. Tilson, A. Zolotor","doi":"10.18043/001c.117226","DOIUrl":"https://doi.org/10.18043/001c.117226","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
High-functioning teams can positively impact health care delivery and support population health. The authors discuss enabling and interfering factors that impact team-based care delivery and how the AHEC system can promote interprofessional education and practice across North Carolina.
{"title":"Building and Supporting Interprofessional Teams to Support Population Health","authors":"Kae Rivers Livsey, Sofia Aliaga, Jennifer Wells","doi":"10.18043/001c.117213","DOIUrl":"https://doi.org/10.18043/001c.117213","url":null,"abstract":"High-functioning teams can positively impact health care delivery and support population health. The authors discuss enabling and interfering factors that impact team-based care delivery and how the AHEC system can promote interprofessional education and practice across North Carolina.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141003154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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