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

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https://read.qxmd.com/read/30920271/caring-is-complex-and-it-always-has-been
#1
Andrew S Valeras
Einstein once said, "Everything must be made as simple as possible, but not one bit simpler." If the health care system continues to value and push oversimplified solutions to complex problems, we sacrifice context. We lose connection to the very system we seek to influence. We put at risk the very value Collaborative Family Healthcare Association (CFHA) was founded on-relationship. As CFHA celebrated its 20th annual conference as a change organization, we came together in Rochester, NY to reflect on two decades of work, innovation, and, above all, relationships-relationships with each other, with the communities we serve, and the health care systems we seek to improve...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920270/cfha-don-bloch-award-acceptance-speech-2018
#2
John S Rolland
Provides John S. Rolland's acceptance speech for the 2018 CFHA Don Bloch Award. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920269/nomination-of-john-s-rolland-md-mph-for-the-2018-cfha-don-bloch-award
#3
Larry Mauksch, Susan McDaniel
Article provides the nomination of John S. Rolland, MD, MPH for the 2018 CFHA Don Bloch Award. John Rolland is the author of 70 journal articles and book chapters, and three books, translated into multiple languages, all focused on understanding the intersection of family function, illness, and health care. Google Scholar shows that his publications have been cited several thousand times, placing his intellectual contributions above 95% of all academic health care authors. John brought us an understanding of the psychosocial aspects of various diseases, their developmental course, and the potential for skew in relationships because of illness...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920268/the-story-of-my-dis-ability-three-poems
#4
Rama Cousik
A road accident had me bedridden for a whole month. During my recovery, I reached a new level of empathy for children with multiple disabilities and chronic illnesses. Traumatic events offer opportunities to reflect, ruminate, and transform selves. Undeniably, there is pain, discomfort, anxiety, irritability, and anger, but there is a deeper, inner growth happening too. Through the poems presented here, I illustrate how I experienced the ableistic world, my struggles, triumphs, and aches and pains. (PsycINFO Database Record (c) 2019 APA, all rights reserved)...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920267/mortality-s-wisdom
#5
Cory J Ingram
Presents a poem about wisdom, choices, and learning from the past. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920266/-bending-down-bedside
#6
Christopher Magoon
Presents a poem about a doctor that wishes to comfort a dying patient. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920265/review-of-helping-couples-and-families-navigate-illness-and-disability-an-integrated-approach
#7
Mary R Talen
Reviews the book, Helping Couples and Families Navigate Illness and Disability: An Integrated Approach by John S. Rolland (see record 2018-14404-000). Many health care providers have traveled with their patients and families on the journey of disease, disability, and death. This journey is often filled with unanticipated twists and turns: changes in physical functioning, intense emotional experiences, and demands on intimate relationships. In Helping Couples and Families Navigate Illness and Disability: An Integrated Approach , John Rolland has provided clinicians with a map of the territory, guiding them through the challenges of intersecting systems of family relationships, cultural values, and health care practices...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920264/review-of-integrating-behavioral-health-into-the-medical-home-a-rapid-implementation-guide
#8
Lisa K Kearney
Reviews the book, Integrating Behavioral Health into the Medical Home: A Rapid Implementation Guide by Kent A. Corso, Christopher L. Hunter, Owen Dahl, Gene A. Kallenberg, and Lesley Manson (see record 2016-51034-000). This practical how-to book is written specifically for an audience working to implement integrated primary care (IPC) from the ground up, moving beyond the clinical competencies required for success in these settings to the business operational requirements to facilitate implementation. The book is divided into three sections, beginning with an introduction to key concepts and tools for successfully IPC practices...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920263/promoting-health-payment-reform-literacy-does-integrated-care-save-money
#9
Marci Nielsen, Natalie Levkovich
INTRODUCTION: Under the current payment environment, the challenges to implementing and sustaining integrated behavioral health care are substantial. One key barrier for clinicians, administrators, researchers, and patients/families is a lack of clarity about who pays for integrated health care in the United States, and a lack of consensus about whether bending the health care cost curve is a fundamental goal of integrated care, and for whom. Clinicians caring for patients and families in integrated care settings would benefit from honing their "payment reform literacy skills" in order to advocate for integrated care...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920262/youth-self-reported-health-and-their-experience-of-parental-incarceration
#10
Kathryn Hiolski, Marla E Eisenberg, Rebecca J Shlafer
INTRODUCTION: Mass incarceration is becoming one of this country's most detrimental public health problems. Children are particularly affected by this phenomenon, as parental incarceration is associated with a host of adverse outcomes, including children's engagement in health-risk behaviors that may negatively influence their mental and physical health. This study compares physical health indicators of youth with currently and formerly incarcerated parents with youth with no history of parental incarceration...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920261/listening-to-adolescents-with-uncontrolled-diabetes-their-parents-and-medical-team
#11
Harold Starkman, Kathleen Fisher, Nicole L Pilek, Gloria Lopez-Henriquez, Laura Lynch, Briana L Bilkins-Morgis
INTRODUCTION: Few studies have reviewed concurrent perspectives and experiences of parents, health care providers (HCPs), and adolescents themselves, when their Type 1 diabetes (T1D) is uncontrolled. We utilized a qualitative interview approach to explore these feelings and interactions. METHOD: Nine adolescents, age 13-18 years with T1D > 1 year and A1C > 9.0%, their parents, and 10 HCPs participated in semistructured interviews. The 7 girls and 2 boys were interviewed with their parents present and the 10 HCPs participated in separate interviews...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920260/all-systems-go-an-ecological-perspective-of-behavioral-health-for-youth-with-type-1-diabetes
#12
David V Wagner, Natalie Koskela-Staples, Michael A Harris, Samantha A Barry
INTRODUCTION: Youth with type 1 diabetes (T1D) experiencing self-management difficulties are at risk of irreversible long-term health problems and consume a disproportionate amount of health care resources. Behavioral health interventions for this population have shown limited long-term effects, perhaps because of limited research on and intervention in relevant environments. To effectively intervene, providers must first thoroughly understand how risk factors interact with various contexts (e...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30920259/why-and-how-to-use-patient-oriented-research-to-promote-translational-research
#13
Nadiya Sunderji, Emily Nicholas Angl, Jodi Polaha, Chloe Gao
As we discussed in our first editorial in the December 2018 issue (Polaha & Sunderji, 2018), an emerging science of knowledge translation (also known as implementation and dissemination science) aims to bridge the disconnect between evidence and practice. Researchers are increasingly engaging with knowledge users and other stakeholders as a key strategy to promote uptake. This may include policymakers, payers, and-the focus of this editorial-patients. Patient-oriented research is featured in national research agendas around the world including in Canada (Canadian Institutes of Health Research, 2018) and the United States (Patient-Centered Outcomes Research Institute, see https://www...
March 2019: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://read.qxmd.com/read/30614723/functional-concerns-and-treatment-priorities-among-veterans-receiving-vha-primary-care-behavioral-health-services
#14
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://read.qxmd.com/read/30614722/using-patient-aligned-care-team-marketing-to-identify-cognitive-impairment-in-primary-care
#15
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://read.qxmd.com/read/30614721/perceived-stress-and-obesity-promoting-eating-behaviors-in-adolescence-the-role-of-parent-adolescent-conflict
#16
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://read.qxmd.com/read/30589273/couples-treatment-preferences-for-insomnia-experienced-during-pregnancy
#17
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://read.qxmd.com/read/30589331/assessing-social-determinants-of-health-in-primary-care-liability-or-opportunity
#18
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://read.qxmd.com/read/30589330/symmetry
#19
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://read.qxmd.com/read/30589329/knowing
#20
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
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