Families Systems & Health最新文献

The author presents a poem about how their brother, who was a medical was student was discriminated against. A patient refused to be touched by a Black person and the resident in charge did nothing, but told her brother to, "step back." (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Introduction: Structural social connectedness is the structure and size of a person's social network, including whether persons live with or have regular contact with others. The COVID-19 pandemic disrupted structures that facilitate social connectedness. This study investigated how a person's structural social connectedness influenced diabetes self-management strategies through the COVID-19 pandemic.

Method: The study followed an explanatory sequential mixed methods design. First, quantitative data were collected via surveys of 54 patients living with diabetes (67% female, M_age of 60 [12] years) in 2021. Then in 2022, we interviewed 25 patients (64% female, M_age of 62 [9] years) as a follow-up to the survey to help explain quantitative findings. Longitudinal mixed methods analysis integrated both phases to offer a holistic view of the factors influencing diabetes self-management.

Results: A full-factorial analysis of covariance tested home and workplace social connectedness effects onto glycemic control and four self-management measures. In integrated analysis, researchers categorized patients into four groups by level of home and workplace social connectedness. Individuals with home social connectedness were more likely to overcome pandemic-related self-management challenges than those without home social connectedness. Although the workplace provided social connectedness, it imposed structural barriers to self-management.

Discussion: Structural social connectedness influenced how patients navigated diabetes self-management challenges through the COVID-19 pandemic. Results suggest clinicians should consider how home and workplace connectedness interact to facilitate or impede patient self-management. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

This poem is a circular narrative about the trauma of loving someone with a substance use disorder, how our past creeps into clinical encounters, and the liminal spaces that only exist late at night. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Introduction: Despite the well-documented youth mental health crisis, there has been a lag in the development of a specialized workforce to meet needs of young people experiencing these challenges. Little is known about the comfort of primary care pediatricians when faced with children and adolescents with mental health care concerns.

Method: A brief online survey was conducted to assess patterns of behavioral and mental health concerns in pediatric practices affiliated with a pediatric health system in Alabama. The survey asked about frequency of conditions that providers encountered, comfort treating these conditions, and frequency of external referrals.

Results: Pediatric providers reported high volumes of children with mental health concerns and varying levels of comfort treating independently. Providers frequently refer externally.

Conclusions: High rates of referrals could further stress an already overloaded system of specialty care. Interventions must be implemented to ensure a workforce prepared to meet the growing needs of youth requiring support for mental and behavioral health conditions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Introduction: Addressing U.S. health disparities in behavioral health care requires innovative solutions to expand access beyond the traditional specialty behavioral health (BH) service model. One evidence-based strategy to increase access is task shifting, whereby tasks usually reserved for licensed clinicians are delegated to less specialized but uniquely capable health workers. Health care systems in the United States have been slow to adopt this approach, despite the widespread success of task shifting in other countries. However, two large government health care systems have employed unique task-shifting models for decades, integrating nonclinician health workers into BH settings: the Defense Health Agency (behavioral health technicians) and the Veterans Health Administration (peer specialists).

Method: This conceptual article provides overviews of these successful approaches. Challenges and opportunities, and the potential for other U.S. health care systems to adopt task shifting for behavioral health care with paraprofessionals such as community health workers (CHWs), are discussed.

Results: CHWs and other paraprofessionals are ideally situated to increase access to behavioral health care, but barriers must be overcome. Recommendations are provided based on lessons from these federal system approaches to task shifting.

Discussion: Expanding task-shifting paradigms as the Defense Health Agency and Veterans Health Administration have done may be vital to reaching more people who could benefit from BH intervention and prevention strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Introduction: Community ambassadors (CAs) are advocates that build trust with communities on behalf of service systems and facilitate access to resources. Whether and how CAs can support community engagement within a large initiative to build capacity to address the impact of trauma is unclear. This study explores how a Community Ambassador Network supported community engagement with "Innovations 2 Initiative" (INN 2), a 5-year initiative that addressed trauma across nine communities in Los Angeles County.

Method: CAs were recruited from nine community-based partnerships to participate in a focus group, which explored their roles and experiences with INN 2 and their impact on community engagement. Data were collected in 2022 and were analyzed using a pragmatic two-phase strategy for efficient qualitative data analysis. Twenty-six CAs participated in six focus groups. Participants mostly spoke English (82%), identified as Latinx (50%) or Black (23%) and as cisgender female (48%); average age was 40 years.

Results: CAs implemented workshops and provided health education to the community. They reported being the community's first point of contact with INN 2 and believed they improved credibility of the human service sector. While CAs felt supported by the Department of Mental Health, some wanted more trust from their supervisors.

Discussion: CAs described various ways that they engaged historically excluded communities in INN activities and the organizational supports that facilitated this work. Training in trauma informed principles and support from their supervisors were regarded essential to this work. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The editors feel so much gratitude for the opportunity that they had to witness, create, and develop published science. They absolutely loved working with hundreds of authors and seeing the fruition of their work, which they hope will be applied at the Point of Care delivery in practice settings for real-world impact. The editors feel indebted to so many partners in this work (see the Acknowledgments section). They welcome the new editors, CR Macchi and Rodger Kessler, whom we know we will strive to continue to increase the impact of work published in Families, Systems, & Health on the field of integrated care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The author presents a poem about his father teaching him how to whistle and he had to learn to make his own music after his father died. The poem is about grief, losing a parent, and being resilient. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The author discusses their psychiatric rotation experience with a teenage girl who had a history of self-harm and suicide attempts. The author talks about the girl's recovery and how she eventually shared how to she wanted to start an animal therapy business with lizards and other reptiles. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The author presents a poem about his experience with cancer and chemo. (PsycInfo Database Record (c) 2024 APA, all rights reserved).