Pub Date : 2021-03-29eCollection Date: 2021-01-01DOI: 10.31478/202103c
Richard Bottner, John Weems, Lucas G Hill, Christopher Ziebell, Sharon Long, Sara Young, Mike Sasser, Aaron Ferguson, Carlos Tirado
{"title":"Addiction Treatment Networks Cannot Withstand Acute Crises: Lessons from 2021 Winter Storm Uri in Texas.","authors":"Richard Bottner, John Weems, Lucas G Hill, Christopher Ziebell, Sharon Long, Sara Young, Mike Sasser, Aaron Ferguson, Carlos Tirado","doi":"10.31478/202103c","DOIUrl":"10.31478/202103c","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406583/pdf/nampsp-2021-202103c.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39445003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01eCollection Date: 2021-01-01DOI: 10.31478/202103a
Ashwini Nadkarni, Nomi C Levy-Carrick, David S Kroll, David Gitlin, David Silbersweig
{"title":"Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19.","authors":"Ashwini Nadkarni, Nomi C Levy-Carrick, David S Kroll, David Gitlin, David Silbersweig","doi":"10.31478/202103a","DOIUrl":"https://doi.org/10.31478/202103a","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":"2021 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486422/pdf/nampsp-2021-202103a.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39512394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nakul Aggarwal, M. Ahmed, S. Basu, J. Curtin, Barbara J Evans, M. Matheny, S. Nundy, M. Sendak, C. Shachar, R. Shah, Sonoo Thadaney-Israni
Nakul Aggarwal, BS, University of Wisconsin-Madison; Mahnoor Ahmed, MEng, National Academy of Medicine; Sanjay Basu, MD, PhD, Harvard University; John J. Curtin, PhD, University of Wisconsin-Madison; Barbara J. Evans, JD, PhD, University of Florida; Michael E. Matheny, MD, MS, MPH, Vanderbilt University Medical Center and Tennessee Valley Healthcare System VA; Shantanu Nundy, MD, MBA, Accolade Inc.; Mark P. Sendak, MD, MPP, Duke University; Carmel Shachar, JD, MPH, Harvard University; Rashmee U. Shah, MD, MS, University of Utah; and Sonoo Thadaney-Israni, MBA, Stanford University
Nakul Aggarwal,学士,威斯康星大学麦迪逊分校;Mahnoor Ahmed, b孟,美国国家医学院;桑贾伊·巴苏,医学博士,哈佛大学;约翰·j·科廷博士,威斯康星大学麦迪逊分校;Barbara J. Evans,法学博士,佛罗里达大学;Michael E. Matheny,医学博士,硕士,公共卫生硕士,范德比尔特大学医学中心和田纳西谷医疗保健系统VA;Shantanu Nundy,医学博士,MBA, Accolade Inc.;Mark P. Sendak, MD, MPP,杜克大学;Carmel Shachar,法学博士,哈佛大学公共卫生硕士;Rashmee U. Shah, MD, MS,犹他大学;以及斯坦福大学工商管理硕士索努·萨达尼-伊斯拉尼
{"title":"Advancing Artificial Intelligence in Health Settings Outside the Hospital and Clinic.","authors":"Nakul Aggarwal, M. Ahmed, S. Basu, J. Curtin, Barbara J Evans, M. Matheny, S. Nundy, M. Sendak, C. Shachar, R. Shah, Sonoo Thadaney-Israni","doi":"10.31478/202011f","DOIUrl":"https://doi.org/10.31478/202011f","url":null,"abstract":"Nakul Aggarwal, BS, University of Wisconsin-Madison; Mahnoor Ahmed, MEng, National Academy of Medicine; Sanjay Basu, MD, PhD, Harvard University; John J. Curtin, PhD, University of Wisconsin-Madison; Barbara J. Evans, JD, PhD, University of Florida; Michael E. Matheny, MD, MS, MPH, Vanderbilt University Medical Center and Tennessee Valley Healthcare System VA; Shantanu Nundy, MD, MBA, Accolade Inc.; Mark P. Sendak, MD, MPP, Duke University; Carmel Shachar, JD, MPH, Harvard University; Rashmee U. Shah, MD, MS, University of Utah; and Sonoo Thadaney-Israni, MBA, Stanford University","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44956466","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}
In the midst of the COVID-19 pandemic, mental health care has become an increasingly important topic in light of the cumulative stressors of social isolation, economic insecurity, anxiety and fears of infection, fi nancial hardship, and the potential loss of friends or family. Evidence suggests that mental health disorders, including major depression disorder (MDD) and anxiety disorders, are increasing at an alarming rate in the setting of the COVID-19 pandemic, and access to mental health care remains limited. During this critical time, maternal mental health deserves special attention by researchers and policy makers for several reasons, but particularly because of growing evidence that maternal mental health has long-reaching eff ects on the physical, intellectual, and emotional development of a woman’s children [1]. Maternal mental health is therefore a true public health issue that ultimately affects every one of us. Beyond this compelling reason to focus on maternal mental health, a number of other unique aspects to the mental health of women complicate treatment. For example, women are more likely to be the victims of physical and sexual abuse, and the ebb and fl ow of reproductive hormones can trigger mood and anxiety symptoms in biologically and socioeconomically vulnerable women. Furthermore, treating mental health disorders during the reproductive years requires a specialized knowledge of what medications can be used during pregnancy and lactation and a desperate need for research into best management practices for treatment during this critical time period. The COVID-19 pandemic, by increasing the mental health needs of both women and men, has only served to emphasize the knowledge gaps and need for policy change that will ultimately improve mental health outcomes for not only women, but men as well. On December 2, 2019, the Committee on Population of the National Academies of Sciences, Engineering, and Medicine held a stakeholder meeting on maternal mental health and women’s mental health across the life course. The meeting was meant to build and expand upon a previous workshop—Women’s Mental Health across the Life Course through a Sex and Gender Lens held in March 2018 [11]—with a new focus on maternal mental health. During the meeting, experts and stakeholders discussed maternal mental health and specifi cally focused on the perinatal period. The discussion addressed topics such as risk factors, barriers to mental health care, areas in need of research, and potential policy interventions. The authors of this commentary will present some of these ideas with the added perspective of a reproductive psychiatrist—a psychiatrist who specializes in the mental health care of women during the reproductive years. This commentary will also highlight opportunities brought on by the COVID-19 pandemic that have a bearing on these discussions.
{"title":"Maternal Mental Health: Where Should Our Research and Policy Priorities Be?","authors":"J. Payne, D. Umberson, Erin Kellogg","doi":"10.31478/202011g","DOIUrl":"https://doi.org/10.31478/202011g","url":null,"abstract":"In the midst of the COVID-19 pandemic, mental health care has become an increasingly important topic in light of the cumulative stressors of social isolation, economic insecurity, anxiety and fears of infection, fi nancial hardship, and the potential loss of friends or family. Evidence suggests that mental health disorders, including major depression disorder (MDD) and anxiety disorders, are increasing at an alarming rate in the setting of the COVID-19 pandemic, and access to mental health care remains limited. During this critical time, maternal mental health deserves special attention by researchers and policy makers for several reasons, but particularly because of growing evidence that maternal mental health has long-reaching eff ects on the physical, intellectual, and emotional development of a woman’s children [1]. Maternal mental health is therefore a true public health issue that ultimately affects every one of us. Beyond this compelling reason to focus on maternal mental health, a number of other unique aspects to the mental health of women complicate treatment. For example, women are more likely to be the victims of physical and sexual abuse, and the ebb and fl ow of reproductive hormones can trigger mood and anxiety symptoms in biologically and socioeconomically vulnerable women. Furthermore, treating mental health disorders during the reproductive years requires a specialized knowledge of what medications can be used during pregnancy and lactation and a desperate need for research into best management practices for treatment during this critical time period. The COVID-19 pandemic, by increasing the mental health needs of both women and men, has only served to emphasize the knowledge gaps and need for policy change that will ultimately improve mental health outcomes for not only women, but men as well. On December 2, 2019, the Committee on Population of the National Academies of Sciences, Engineering, and Medicine held a stakeholder meeting on maternal mental health and women’s mental health across the life course. The meeting was meant to build and expand upon a previous workshop—Women’s Mental Health across the Life Course through a Sex and Gender Lens held in March 2018 [11]—with a new focus on maternal mental health. During the meeting, experts and stakeholders discussed maternal mental health and specifi cally focused on the perinatal period. The discussion addressed topics such as risk factors, barriers to mental health care, areas in need of research, and potential policy interventions. The authors of this commentary will present some of these ideas with the added perspective of a reproductive psychiatrist—a psychiatrist who specializes in the mental health care of women during the reproductive years. This commentary will also highlight opportunities brought on by the COVID-19 pandemic that have a bearing on these discussions.","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44838614","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}
The purpose of this Commentary is to explore the ways in which the key elements of integrated care (integrating behavioral health care with primary care in an eff ort to improve and streamline complete care for the patient) are being incorporated into the health care system and to examine new elements that have emerged in the years since the fi eld of integrated care was established in the 1990s [1]. In an integrated care approach, behavioral health and primary care providers work as a team to address patient concerns, whether that takes place in the same practice setting or through distance-based modalities. This team-based approach allows for easier access to care, the potential for more eff ective care coordination, use of an integrated medical record, and the inclusion of a range of professional and paraprofessional care providers. When services are provided in a coordinated manner, individuals are more likely to have their medical and behavioral health needs addressed [2]. As evidence demonstrating the value of integration for improving access to care grows, consideration needs to be given to the next generation of integrated care. The authors of this commentary were interested in hearing from executives in managed behavioral health care organizations and primary care safety net providers on whether the identifi ed elements of integrated care are suffi cient today or whether additional elements need to be considered.
{"title":"Components of the Next Generation of Integrated Care.","authors":"A. Ross, P. Greenberg","doi":"10.31478/202011e","DOIUrl":"https://doi.org/10.31478/202011e","url":null,"abstract":"The purpose of this Commentary is to explore the ways in which the key elements of integrated care (integrating behavioral health care with primary care in an eff ort to improve and streamline complete care for the patient) are being incorporated into the health care system and to examine new elements that have emerged in the years since the fi eld of integrated care was established in the 1990s [1]. In an integrated care approach, behavioral health and primary care providers work as a team to address patient concerns, whether that takes place in the same practice setting or through distance-based modalities. This team-based approach allows for easier access to care, the potential for more eff ective care coordination, use of an integrated medical record, and the inclusion of a range of professional and paraprofessional care providers. When services are provided in a coordinated manner, individuals are more likely to have their medical and behavioral health needs addressed [2]. As evidence demonstrating the value of integration for improving access to care grows, consideration needs to be given to the next generation of integrated care. The authors of this commentary were interested in hearing from executives in managed behavioral health care organizations and primary care safety net providers on whether the identifi ed elements of integrated care are suffi cient today or whether additional elements need to be considered.","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44190470","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":"Combatting the Stigma of Addiction - The Need for a Comprehensive Health System Approach.","authors":"J. Atkins, A. Dopp, Edna Boone Temaner","doi":"10.31478/202011d","DOIUrl":"https://doi.org/10.31478/202011d","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42876553","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":"What Happens After Disease X: Using One Health to Prevent the Next Pandemic.","authors":"G. Hansen, J. Mazet, J. Rushton, C. Stroud","doi":"10.31478/202011c","DOIUrl":"https://doi.org/10.31478/202011c","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44938335","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}
C. Sinsky, L. Biddison, Aditi Mallick, A. Dopp, J. Perlo, L. Lynn, Cynthia D. Smith
Christine A. Sinsky, MD, American Medical Association; Lee Daugherty Biddison, MD, MPH, Johns Hopkins Medicine; Aditi Mallick, MD, George Washington University; Anna Legreid Dopp, PharmD, American Society of Health-System Pharmacists; Jessica Perlo, MPH, Institute for Healthcare Improvement; Lorna Lynn, MD, American Board of Internal Medicine; and Cynthia D. Smith, MD, FACP, American College of Physicians
Christine A. Sinsky,医学博士,美国医学协会;Lee Daugherty Biddison,医学博士,公共卫生硕士,约翰霍普金斯医学院;Aditi Mallick医学博士,乔治华盛顿大学;Anna Legreid Dopp,药学博士,美国卫生系统药剂师协会;Jessica Perlo,公共卫生硕士,医疗保健改善研究所;Lorna Lynn,医学博士,美国内科委员会;以及Cynthia D. Smith,医学博士,美国内科医师学会FACP
{"title":"Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being.","authors":"C. Sinsky, L. Biddison, Aditi Mallick, A. Dopp, J. Perlo, L. Lynn, Cynthia D. Smith","doi":"10.31478/202011a","DOIUrl":"https://doi.org/10.31478/202011a","url":null,"abstract":"Christine A. Sinsky, MD, American Medical Association; Lee Daugherty Biddison, MD, MPH, Johns Hopkins Medicine; Aditi Mallick, MD, George Washington University; Anna Legreid Dopp, PharmD, American Society of Health-System Pharmacists; Jessica Perlo, MPH, Institute for Healthcare Improvement; Lorna Lynn, MD, American Board of Internal Medicine; and Cynthia D. Smith, MD, FACP, American College of Physicians","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48901646","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}
J. Maeseneer, J. Fisher, E. Iwu, B. Pálsdóttir, Katherine L. Perez, R. Rajatanavin, Wendi K. Schweiger, Zohray M Talib
Jan De Maeseneer, MD, PhD, FRCGP (Hon), Ghent University; Julian Fisher, BDS, MSc, MIH, State University of New York Upstate Medical University; Emilia Iwu, PhD, MSN, RN, APNC, FWACN, Rutgers University; Björg Pálsdóttir, MPA, Training for Health Equity Network (THEnet); Katherine L. Perez, The National Academies of Sciences, Engineering, and Medicine; Rajata Rajatanavin, MD, FRCP, FACP, FACE, Mahidol University; Wendi K. Schweiger, PhD, NCC, LCMHC, National Board for Certifi ed Counselors, Inc. & Affi liates; and Zohray Talib, MD, California University of Science and Medicine
Jan De Maesenier,医学博士,博士,FRCGP(荣誉),根特大学;Julian Fisher,BDS,理学硕士,MIH,纽约州立大学上州立医科大学;Emilia Iwu,博士,MSN,RN,APNC,FWACN,罗格斯大学;Björg Pálsdóttir,MPA,健康公平网络培训;Katherine L.Perez,美国国家科学院、工程院和医学院;Rajata Rajatanavin,医学博士,FRCP,FACP,FACE,Mahidol大学;Wendi K.Schweiger,博士,NCC,LCMHC,国家认证顾问委员会,股份有限公司及其附属机构;和Zohray Talib,医学博士,加州科学与医学大学
{"title":"Learning from the Global Response to the COVID-19 Pandemic: An Interprofessional Perspective on Health Professions Education.","authors":"J. Maeseneer, J. Fisher, E. Iwu, B. Pálsdóttir, Katherine L. Perez, R. Rajatanavin, Wendi K. Schweiger, Zohray M Talib","doi":"10.31478/202011b","DOIUrl":"https://doi.org/10.31478/202011b","url":null,"abstract":"Jan De Maeseneer, MD, PhD, FRCGP (Hon), Ghent University; Julian Fisher, BDS, MSc, MIH, State University of New York Upstate Medical University; Emilia Iwu, PhD, MSN, RN, APNC, FWACN, Rutgers University; Björg Pálsdóttir, MPA, Training for Health Equity Network (THEnet); Katherine L. Perez, The National Academies of Sciences, Engineering, and Medicine; Rajata Rajatanavin, MD, FRCP, FACP, FACE, Mahidol University; Wendi K. Schweiger, PhD, NCC, LCMHC, National Board for Certifi ed Counselors, Inc. & Affi liates; and Zohray Talib, MD, California University of Science and Medicine","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43030995","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}
Pub Date : 2020-10-26eCollection Date: 2020-01-01DOI: 10.31478/202010b
Carlos Blanco, Mir M Ali, Aaron Beswick, Karen Drexler, Cheri Hoffman, Christopher M Jones, Tisha R A Wiley, Allan Coukell
{"title":"The American Opioid Epidemic in Special Populations: Five Examples.","authors":"Carlos Blanco, Mir M Ali, Aaron Beswick, Karen Drexler, Cheri Hoffman, Christopher M Jones, Tisha R A Wiley, Allan Coukell","doi":"10.31478/202010b","DOIUrl":"10.31478/202010b","url":null,"abstract":"","PeriodicalId":74236,"journal":{"name":"NAM perspectives","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46196502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}