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Families, Systems & Health: the Journal of Collaborative Family Healthcare

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https://www.readbyqxmd.com/read/28068119/research-or-intervention-or-both-women-s-changes-after-participation-in-a-longitudinal-study-about-intimate-partner-violence
#1
Sandra K Burge, Robert L Ferrer, Erin L Foster, Johanna Becho, Melissa Talamantes, Robert C Wood, David A Katerndahl
INTRODUCTION: The tensions between risk and benefit in research are particularly evident in studies about intimate partner violence. Recalling and relating traumatic experiences may deepen posttraumatic stress or relieve the burden of terrible events long borne in secret. In this article, we examine the effects of study participation in a longitudinal investigation of intimate partner violence using both qualitative and quantitative data. METHOD: Researchers enrolled 200 women in moderately violent intimate relationships and asked them to report about their relationships every day for 12 weeks...
January 9, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27935727/how-to-write-a-health-policy-brief
#2
Shale L Wong, Larry A Green, Andrew W Bazemore, Benjamin F Miller
Although many health care professionals are interested in health policy, relatively few have training in how to utilize their clinical experience and scientific knowledge to impact policy. Developing a policy brief is one approach that health professionals may use to draw attention to important evidence that relates to policy. This article offers guidance on how to write a policy brief by outlining 4 steps: (a) define the problem, (b) state the policy, (c) make your case, and (d) discuss the impact. The steps and tips offer a starting point for health care professionals interested in health policy and translating research or clinical experience to impact policy...
December 1, 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27893262/reducing-barriers-to-mental-health-care-for-student-athletes-an-integrated-care-model
#3
Laura E Sudano, Greg Collins, Christopher M Miles
Research suggests that National Collegiate Athletic Association (NCAA) Division I student-athletes have higher levels of stress and other behavioral health issues, including substance use, than nonathletes. For several reasons, student-athletes may be less likely to admit to behavioral health issues and seek mental health care. Integrated care is a model of care that integrates behavioral health into a medical practice. This article explores the newly released NCAA Best Mental Health Practice guidelines and the application of integrated care to a Division I athletic training room setting using the three-worldview framework for successful integration, incorporating clinical outcomes, operational reliability, and financial stability...
November 28, 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27893261/implementation-of-behavioral-health-interventions-in-real-world-scenarios-managing-complex-change
#4
Khaya D Clark, Benjamin F Miller, Larry A Green, Frank V de Gruy, Melinda Davis, Deborah J Cohen
Introduction: A practice embarks on a radical reformulation of how care is designed and delivered when it decides to integrate medical and behavioral health care for its patients and success depends on managing complex change in a complex system. We examined the ways change is managed when integrating behavioral health and medical care. Method: Observational cross-case comparative study of 19 primary care and community mental health practices. We collected mixed methods data through practice surveys, observation, and semistructured interviews...
November 28, 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27869453/in-search-of-a-new-identity-an-institutional-consultation-at-a-sub-acute-inpatient-unit-in-a-general-hospital
#5
Carlos E Sluzki
Introduction: Hospitals are constantly morphing under the pressure of ever-evolving health care technologies, procedures, and reimbursement practices. In turn, healthy institutional identities and personnel allegiance contribute to counterbalance the potentially destabilizing effects of those changes. An institutional consultation was requested at a general hospital recently created sub-acute unit (SAU) due to malaise and dissatisfaction in the nursing staff. Method: The consultation included a total of 3 group meetings with the SAU nursing staff as well as observation of procedures and milieu in this and adjacent units...
November 21, 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27977292/better-together-collaborative-family-healthcare-association-and-the-promise-of-team-based-care
#6
Christine N Runyan
In this presidential column is a personal introduction of the new president of the Collaborative Family Healthcare Association (CFHA), Christine Runyan. As president she hopes to continue to support the existing organizational initiatives. CFHA remains a preeminent organization of experts to advocate for meaningful, patient-centered quality metrics and to educate, train, mentor, consult, and realize the vision we have been asserting for 25 years. (PsycINFO Database Record
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27977291/talk-to-her
#7
Alexandra Pârvan
The author presents a poem that was inspired by the compassionate care provided by a physician to a comatose person in the ICU, whose family member felt helpless in finding a way to care for her. The doctor's humanity revealed a dimension of care that was healing to all those present. (PsycINFO Database Record
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27977290/implementation-of-an-acceptance-and-mindfulness-based-group-for-depression-and-anxiety-in-primary-care-initial-outcomes
#8
Cara H Fuchs, Natasha Haradhvala, Daniel R Evans, Justin M Nash, Risa B Weisberg, Lisa A Uebelacker
INTRODUCTION: Depression and anxiety disorders are highly prevalent among primary care patients. Group visits provide a way of delivering interventions to multiple patients at the same time. Group visits for depression and anxiety present an opportunity to expand the reach of behavioral health services for primary care patients. The goal of the current study was to evaluate the implementation of an acceptance and mindfulness-based group for primary care patients with depression and anxiety...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27977289/somatic-symptoms-deserve-our-attention
#9
Kurt Kroenke
This commentary focuses on two articles in this issue which provide important insights regarding the diagnosis and management of medically unexplained symptoms (MUS). Up to half of all outpatient visits are prompted by a physical/somatic complaint of which at least a third are MUS. Analyzing data from the National Ambulatory Care Medical Survey, Gates, Petterson, Wingrove, Miller, and Klink (2016) confirmed the common finding that depression and anxiety in patients presenting with somatic symptoms are underrecognized...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27977288/our-continuing-exploration-of-medically-unexplained-symptoms
#10
Larry B Mauksch, Colleen T Fogarty
In this issue, the reader will find three articles examining different but converging perspectives on medically unexplained symptoms (MUS). In the first article, Gates, Petterson, Wingrove, Miller, and Klink (2016) examined 110,000 office visits to primary care providers between 2002 and 2010. In the second article, Clarke (2016), an internist and gastroenterologist, presents a model for diagnosing and treating MUS. The person most referenced in the first two articles and author of the landmark study-Kroenke (2016) writes the third article, an invited commentary...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27831698/psychosocial-interventions-for-use-in-pediatric-primary-care-an-examination-of-providers-perspectives
#11
Prerna G Arora, Sharon Hoover Stephan, Kimberly D Becker, Lawrence Wissow
INTRODUCTION: The integration of psychosocial interventions in primary care settings is 1 mechanism to increase access to mental health care to youth in need. Although the delivery of psychosocial interventions by primary care providers (PCPs) reflects 1 example of this integration, research indicates that various barriers to implementation by PCPs exist. With the goal of informing a framework to guide the selection of treatments amenable to PCP practice, the authors sought to examine which criteria might influence a PCP's intention to use a given psychosocial intervention...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27819439/veterans-mental-health-beliefs-facilitators-and-barriers-to-primary-care-mental-health-use
#12
Laura O Wray, Emily Pikoff, Paul R King, Dezarie Hutchison, Gregory P Beehler, Stephen A Maisto
INTRODUCTION: The Veterans Health Administration (VA) Primary Care-Mental Health Integration (PC-MHI) program aims to increase availability and acceptability of mental health (MH) care by integrating these services into primary care. Little is known about veterans' perceptions of this of method MH care delivery. This study explored the range of veterans' beliefs and perceptions of MH and MH services with the aim of describing potential facilitators and barriers to the uptake of PC-MHI services...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27762567/partner-expressed-emotion-and-diabetes-management-among-spouses-living-with-type-2-diabetes
#13
Zephon Lister, Colwick Wilson, Curtis Fox, R Patricia Herring, Cheryl Simpson, Lucretia Smith, Lincoln Edwards
INTRODUCTION: Expressed emotion has been consistently shown to be a significant predictor of relapse and poor disease management across numerous physical and mental health conditions, however very little research has been conducted on its relationship to the management practices of individuals living with Type 2 diabetes. This study examines the relationship between expressed emotion (EE) and diabetes management among couples where 1 spouse has Type 2 diabetes. METHODS: The authors surveyed 106 couples where 1 partner was diagnosed with Type 2 diabetes...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27736111/the-practice-integration-profile-rationale-development-method-and-research
#14
C R Macchi, Rodger Kessler, Andrea Auxier, Juvena R Hitt, Daniel Mullin, Constance van Eeghen, Benjamin Littenberg
Insufficient knowledge exists regarding how to measure the presence and degree of integrated care. Prior estimates of integration levels are neither grounded in theory nor psychometrically validated. They provide scant guidance to inform improvement activities, compare integration efforts, discriminate among practices by degree of integration, measure the effect of integration on quadruple aim outcomes, or address the needs of clinicians, regulators, and policymakers seeking new models of health care delivery and funding...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27736110/development-and-validation-of-a-measure-of-primary-care-behavioral-health-integration
#15
Rodger S Kessler, Andrea Auxier, Juvena R Hitt, C R Macchi, Daniel Mullin, Constance van Eeghen, Benjamin Littenberg
INTRODUCTION: We developed the Practice Integration Profile (PIP) to measure the degree of behavioral health integration in clinical practices with a focus on primary care (PC). Its 30 items, completed by providers, managers, and staff, provide an overall score and 6 domain scores derived from the Lexicon of Collaborative Care. We describe its history and psychometric properties. METHOD: The PIP was tested in a convenience sample of practices. Linear regression compared scores across integration exemplars, PC with behavioral services, PC without behavioral services, and community mental health centers without PC...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27732003/multiple-sclerosis-ms-in-the-life-cycle-of-the-family-an-interpretative-phenomenological-analysis-of-the-perspective-of-persons-with-recently-diagnosed-ms
#16
Archie de Ceuninck van Capelle, Leo H Visser, Frans Vosman
INTRODUCTION: In this study the authors explored how people with recently diagnosed multiple sclerosis (MS) experience their disease within their family lives. Ten people in various stages of the cycle of family life (leaving home, finding a partner, raising children, parenting adolescents, launching children) who had been diagnosed with MS were interviewed in half-structured conversational interviews. METHOD: Transcriptions were analyzed following a phenomenological approach...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27685322/deficits-awareness-in-persons-with-mild-cognitive-impairment-and-family-care-partners
#17
Jyoti Savla, Zhe Wang, Karen A Roberto, Rosemary Blieszner
INTRODUCTION: An emerging perspective of dyadic coping with chronic illness argues that concordance in the appraisal of illness is crucial for collaborative attempts at seeking information, making treatment decisions, and planning for long-term management of the illness and psychological and physical adjustments of both the care provider and care recipient. The present study examined whether persons with mild cognitive impairment (PwMCIs) and their family care partners (CPs) exhibited concordance in their awareness of deficits in the PwMCIs...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27669050/comparison-of-integrated-behavioral-health-treatment-for-internalizing-psychiatric-disorders-in-patients-with-and-without-type-2-diabetes
#18
Arthur R Andrews, Debbie Gomez, Austin Larey, Hayden Pacl, Dennis Burchette, Juventino Hernandez Rodriguez, Freddie A Pastrana, Ana J Bridges
INTRODUCTION: Type 2 diabetes is often comorbid with internalizing mental health disorders and associated with greater psychiatric treatment resistance. Integrating psychotherapy into primary care can help treat internalizing disorders generally. We explored whether such treatment had comparable effectiveness in patients with and without Type 2 diabetes. METHOD: Participants were 468 consecutive adults (23% male; 62% Hispanic, Mage = 41.46 years) referred by medical staff for psychotherapy appointments to address internalizing symptoms (e...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27598458/you-can-t-treat-what-you-don-t-diagnose-an-analysis-of-the-recognition-of-somatic-presentations-of-depression-and-anxiety-in-primary-care
#19
Kristin Gates, Stephen Petterson, Peter Wingrove, Benjamin Miller, Kathleen Klink
BACKGROUND: Research suggests that 13-25% of primary care patients who present with physical complaints have underlying depression or anxiety. OBJECTIVE: The goal of this paper is to quantify and compare the frequency of the diagnosis of depression and anxiety in patients with a somatic reason for visit among primary care physicians across disciplines. METHOD: Data obtained from the National Ambulatory Medical Care Survey (NAMCS) from 2002 to 2010 was used to quantify primary care patients with somatic presentations who were given a diagnosis of depression or anxiety...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27598457/parents-integration-in-the-treatment-of-adolescents-with-obesity-a-qualitative-study
#20
Catherine Chamay Weber, Nadia Camparini, Lydia Lanza, Françoise Narring
INTRODUCTION: Obesity during adolescence is particularly challenging. Our aims were to identify parents' and adolescents' perceptions regarding obesity, as well as family dynamics before and after family-based behavioral therapy (FBBT) to improve obesity. METHOD: Using a qualitative approach, 23 parents and 21 adolescents aged 12 to 18 years participated in 6 focus groups, before and after FBBT. Focus groups were audio-taped, transcribed verbatim, and analyzed using content analysis...
December 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
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