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

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https://www.readbyqxmd.com/read/30614723/functional-concerns-and-treatment-priorities-among-veterans-receiving-vha-primary-care-behavioral-health-services
#1
Paul R King, Gregory P Beehler, Laura J Buchholz, Emily M Johnson, Laura O Wray
INTRODUCTION: The Primary Care-Mental Health Integration program is a component of the Veterans Health Administration's patient-centered medical home, which emphasizes comprehensive, patient-centered care. One model of primary care-mental health integration, known as Primary Care Behavioral Health (PCBH), positions trained behavioral health providers as members of the primary care team. Whereas patient perspectives are essential to effective patient-centered care, little empirical information exists regarding patients' goals and priorities for addressing their biopsychosocial concerns in PCBH...
January 7, 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30614722/using-patient-aligned-care-team-marketing-to-identify-cognitive-impairment-in-primary-care
#2
Elizabeth Possis, Yelena Vorobyov, Michael Mallen, Paul Thuras, Kelly Moore, Samuel Hintz, Carrie Bronars, Haley Crowl, Beret Skroch, Douglas Olson
INTRODUCTION: Cognitive impairment is a growing concern that is costly for individuals and health care systems and is often undiagnosed. Early recognition of cognitive impairment allows patients and families the opportunity to discuss long-term care planning and to arrange financial and legal affairs. Identification of cognitive impairment allows for better evaluation and accommodation of functional deficits. Most individuals with cognitive impairment receive care exclusively through primary care...
January 7, 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30614721/perceived-stress-and-obesity-promoting-eating-behaviors-in-adolescence-the-role-of-parent-adolescent-conflict
#3
Katherine E Darling, Elizabeth B Ruzicka, Amy J Fahrenkamp, Amy F Sato
INTRODUCTION: Stress has been consistently related to obesity-promoting eating patterns (i.e., emotional, external, and restrained eating) throughout the life span, including during adolescence. One particularly salient source of stress within adolescence is parent-adolescent conflict. The current study sought to examine whether parent-adolescent conflict is a significant predictor of adolescent obesity-promoting eating patterns, beyond general adolescent stress. METHODS: A sample of adolescents (N = 51; 39...
January 7, 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589273/couples-treatment-preferences-for-insomnia-experienced-during-pregnancy
#4
Ivan Sedov, Joshua W Madsen, Sherryl H Goodman, Lianne M Tomfohr-Madsen
INTRODUCTION: Insomnia during pregnancy is prevalent, yet little is known about preferred treatments for the disorder. The current study investigated both pregnant women's and their partners' preferences for treatment of maternal insomnia, comparing the two most empirically supported therapies: cognitive-behavioral therapy for insomnia (CBT-I) and pharmacotherapy. METHOD: We recruited pregnant women and their partners ( N = 212) from a low-risk maternity clinic in Calgary, AB, Canada...
December 27, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30346187/capturing-patients-symptom-expression-and-spouses-cardiovascular-responses-continuously-the-feasibility-of-examining-a-mechanism-of-disease-risk-in-the-home
#5
Stephanie J Wilson, Lynn M Martire, Jennifer E Graham-Engeland
INTRODUCTION: Spousal caregivers face increased cardiovascular risks; lab studies suggest that autonomic reactivity to patients' physical suffering may play a role. To evaluate this mechanism in daily life, our pilot study characterized the feasibility of recruiting couples for a multimethod, in-home assessment. We examined the usability of the resulting data in an effort to link spousal cardiovascular changes to patient pain expression during couples' everyday interactions. METHOD: For two 48-hr periods, individuals with rheumatoid arthritis (RA) and their partners wore heart monitors while audio-recordings captured couples' in-home interactions...
October 22, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589331/assessing-social-determinants-of-health-in-primary-care-liability-or-opportunity
#6
Christine N Runyan
Health care is never boring. It changes rapidly based on political winds, financial models, novel terminology, and biomedical advances. In the past decade, there has been large-scale implementation of integrated health care, routine screening for common behavioral health conditions, and the rollout of alternative payment models in primary care. However, even before these advances have been inculcated as the standard of care, we are now witnessing the implementation of health coaches and recommendations to screen for social determinants of health...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589330/symmetry
#7
Sarah Hudson
In family medicine, there is a symmetry of physicians' involvement in patients' lives, shepherding families through life transitions in the beginning, middle, and end. As a teaching physician, the author bears witness to another "birth" in the development of resident physicians. This poem on symmetry was born on a particularly poignant day: helping a new intern "catch" his first baby in the morning, then gathering with the author's own family in the evening for the passing of her grandmother...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589329/knowing
#8
Christine Grosso
The author, a third-year medical school student, talks about her mother's treatment for cancer. As her mother moved through the phases of her treatment, she struggled to reconcile what she should know as a family member with what she needed to know as a medical student. She was far enough along in her training to be familiar with all the heavy, often daunting, details of diseases and their treatments but not far enough along to know how to handle the weight of this knowledge. The author had already known the importance of understanding the chief complaint and the history of present illness...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589328/review-of-integrated-care-a-guide-for-effective-implementation
#9
Alexander Brown
Reviews the book, Integrated Care: A Guide for Effective Implementation edited by Lori E. Raney, Gina B. Lasky, and Clare Scott. The book is separated into three main sections. Part 1 includes three chapters that focus primarily on considerations such as the importance of organizational support and leadership, team development, and culture change. Part 2 is a review of the roles, across three respective chapters, of the behavioral health provider, the primary care provider, and the consulting psychiatrist on an integrated care team...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589327/review-of-practice-based-research-a-guide-for-clinicians
#10
Nicholas C Polizzi
Reviews the book, Practice-Based Research: A Guide for Clinicians edited by R. Trent Codd III. As illuminated in this new book, clinicians are at the forefront of mental health care. They have the proverbial front row view of treatment implementation. Therefore, clinicians are ideally suited, compared with academic researchers, to conduct research that yields a quick and meaningful impact on the medical field. Therefore, clinicians conducting practice-based research are well situated to identify and answer questions of practical importance and direct impact on the medical field...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589326/review-of-integrated-healthcare-training-series
#11
Kent A Corso
Reviews the Integrated Healthcare Training Series, produced by the National Register of Health Service Psychologists (2017). The Integrated Health Care Training Series offers a convenient set of web-based resources for stakeholders of integrated behavioral health (IBH) and is available through the National Register of Health Service Psychologists (NRHSP) website. The series contains 42 videos and over 11 hr of professionally produced lectures classified into six categories: Models and Concepts, Implementation, Practice, Medical Management, Pharmacological Management, and Psychosocial Management...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589325/welcoming-relevant-media-reviews
#12
Kent A Corso
The journal editors hope that forthcoming issues of Families, Systems, and Health will provide valuable reviews of relevant media resources. Essential to this endeavor is our community- authors who identify key media items and submit reviews. As with all peer-reviewed publications, submission does not guarantee acceptance for publication. Media reviews for Families, Systems, and Health must reflect the scope of the journal (i.e., addressing one or more of the three domains: family functioning, systems thinking, or health)...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589324/relaunching-the-policy-and-management-section
#13
Marci Nielsen, Natalie Levkovich
Follow the money, the saying goes, and you will understand why things are the way they are. Serving as coeditors for Families, Systems, and Health's Policy and Management section, we seek to do just that. As new models of payment offer hope for improved delivery of integrated care for families, this newly relaunched section of the journal will highlight both the opportunities and the deeply rooted challenges in the evolving US payment system. While many of the challenges associated with integrated care payment are driven by public policy, others are driven by management and leadership decisions...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589323/adoption-and-reach-of-behavioral-health-services-for-behavior-problems-in-pediatric-primary-care
#14
Jodi Polaha, Karen E Schetzina, Katie Baker, Diana Morelen
INTRODUCTION: The field of implementation science provides the variables adoption and reach, which can be used to evaluate aspects to access, a primary incitement for integrated care. This study compared two integrated models: In Year 1, behavioral health consultants worked collaboratively with pediatricians to provide brief on-the-spot consultations to patients with behavioral concerns, and in Year 2, a structured, evidence-based treatment (EBT), the Family Check-Up, was developed to be delivered in conjunction with the existing collaborative model...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589322/observing-the-influence-of-the-physical-environment-on-family-involvement-in-a-rehabilitation-setting
#15
Kaylee Eady, Katherine A Moreau
INTRODUCTION: Health professionals and institutions need to understand how to facilitate family involvement within settings designed prior to the adoption of patient- and family-centered philosophies. This study sought to explore how the physical environment of an inpatient rehabilitation setting influenced family involvement in health care delivery. METHOD: We conducted this study on the inpatient acquired brain injury ward of a Canadian adult rehabilitation center...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589321/who-is-meeting-the-healthy-people-2020-objectives-comparisons-between-racially-ethnically-diverse-and-immigrant-children-and-adults
#16
Jerica M Berge, Angela Fertig, Allan Tate, Amanda Trofholz, Dianne Neumark-Sztainer
INTRODUCTION: To determine the prevalence of reaching multiple Healthy People 2020 (HP 2020) objectives including nutrition and weight status, sleep health, physical activity, health-related quality of life, social determinants of health, and education among low-income, diverse children and adults. METHODS: Children ages 5- to 7-years-old (n = 150; 47% female) and their parents (mean age = 35; 91% mothers) from 6 racial/ethnic and immigrant/refugee groups (n = 25 from each; African American, Native American, Hispanic, Hmong, Somali, White) participated in this cross-sectional mixed-methods study...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589320/opportunities-to-improve-measurement-based-care-practices-in-mental-health-care-systems-a-case-example-of-electronic-mental-health-screening-and-measurement
#17
Paul R King, Gregory P Beehler, Michael Wade, Laura J Buchholz, Jennifer S Funderburk, Kaitlin R Lilienthal, Christina L Vair
INTRODUCTION: Measurement-based care (MBC) involves the systematic collection of data to inform clinical decision-making and monitor treatment outcomes. In addition to benefitting patients and providers, data on MBC implementation can also be used to inform quality improvement efforts within existing health care systems. METHOD: The method was retrospective chart review. We collected data on electronic mental health (MH) screens and symptom measures recorded by MH providers...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30589319/a-vision-for-the-future-of-families-systems-health-focusing-on-science-at-the-point-of-care-delivery
#18
Jodi Polaha, Nadiya Sunderji
The authors are pleased to introduce themselves as the new co-editors. They are Nadiya Sunderji and Jodi Polaha, midcareer academic clinicians whose careers have balanced research, teaching, and clinical practice in integrated care. They continue the Families, Systems, & Health (FSH) tradition of interprofessional co-editor teams (Dr. Sunderji is a psychiatrist and Dr. Polaha is a psychologist) and add a new twist: international collaboration. Dr. Sunderji is Canadian, and they welcome the new contributors and readers this collaboration will bring...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30307267/to-go-or-not-go-patient-preference-in-seeking-specialty-mental-health-versus-behavioral-consultation-within-the-primary-care-behavioral-health-consultation-model
#19
Stacy A Ogbeide, Ryan R Landoll, Matthew K Nielsen, Kathryn E Kanzler
INTRODUCTION: Much of behavioral health care takes place within primary care settings rather than in specialty mental health settings. Access to specialty mental health care can be difficult due to limited access to mental health providers and wait times to receive mental health care. The purpose of this study is to determine patient satisfaction with behavioral health consultation visits that take place within the context of the primary care behavioral health consultation model. Patient likelihood to seek out specialty mental health care services if behavioral health consultation services were not provided was also examined...
October 11, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/30198744/integrated-primary-care-could-play-a-starring-role-in-the-amazon-jp-morgan-buffet-health-care-enterprise
#20
Christine N Runyan
Earlier this year, Amazon, J. P. Morgan, and Berkshire Hathaway announced plans to launch a joint health care company with more than a million covered lives. Dr. Atul Gawande, the prominent Boston-based surgeon and health care thought leader, will become the first chief executive officer of this health care venture, with a mission to get the best results at the lowest costs and remain free from profit-making incentives and constraints. In this presidential column, the author explores what this has to do with the mission in the Collaborative Family Health care Association (CFHA) and the promulgation of integrated health care...
September 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
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