In the United States, the issue of child health disparities, marked by inadequate access to high-quality physical and behavioral health services, and inadequate social support, is widespread and deeply problematic. The disproportionate health burdens faced by marginalized children stem from larger societal health inequities, leading to preventable variations in population wellness outcomes. Primary care, and specifically the pediatric patient-centered medical home (P-PCMH) model, though theoretically well-suited for addressing the comprehensive health and well-being of the entire child, frequently falls short of achieving equitable outcomes for marginalized communities. This article presents the case for psychologists' integration within P-PCMH programs, advocating for its role in promoting equitable child health outcomes. Equity is the explicit focus of this discussion, which examines the spectrum of roles (clinician, consultant, trainer, administrator, researcher, and advocate) psychologists can adopt. The roles are structured around addressing structural and ecological drivers of inequities, emphasizing interprofessional cooperation within and across child-serving systems, with a commitment to community-based shared decision-making approaches. The ecobiodevelopmental model is essential in structuring psychologists' roles in advancing health equity, considering the overlapping ecological (environmental and social determinants), biological (chronic illness, intergenerational morbidity), and developmental (developmental screening, support, and early intervention) influences that perpetuate health inequities. The article champions the P-PCMH platform, aiming to advance child health equity by promoting policy, practice, prevention, and research, acknowledging the crucial role psychologists play within this model. The American Psychological Association's exclusive copyright encompasses the entire 2023 PsycInfo Database record.
To adopt, implement, and sustain evidence-based practices (EBPs), implementation strategies, which consist of specific methods and techniques, are crucial. Adaptation of implementation strategies is essential to address contextual variations, especially in resource-constrained environments, where diverse patient populations, spanning racial and ethnic groups, are commonly observed. An optimization pilot of the ATTAIN integrated care model for children with autism and comorbid mental health conditions, implemented in an FQHC near the U.S./Mexico border, utilized the FRAME-IS framework to chronicle adaptations to evidence-based implementation strategies. The initial ATTAIN feasibility pilot, involving 36 primary care providers, yielded both quantitative and qualitative data, which was used to inform necessary alterations. An iterative template analysis was used to map adaptations to the FRAME-IS, enabling a pilot optimization program at a FQHC, one year following the commencement of the COVID-19 pandemic. During the feasibility pilot, four implementation strategies—training and workflow reminders, provider/clinic champions, periodic reflections, and technical assistance—were utilized. These strategies were subsequently adjusted for the optimization pilot to accommodate the specific requirements of the FQHC and the pandemic-driven service delivery changes. Findings from the study reveal that the FRAME-IS approach proves beneficial in streamlining the enhancement of evidence-based practices within a Federally Qualified Health Center that provides care for underserved communities. These findings are designed to inform future research initiatives in low-resourced primary care settings regarding the implementation of integrated mental health models. https://www.selleckchem.com/products/4-phenylbutyric-acid-4-pba-.html The findings encompass provider perceptions of ATTAIN at the FQHC, alongside its implementation outcomes. The APA claims exclusive copyright for the 2023 PsycINFO database record, safeguarding all rights.
Since the inception of the United States, equitable access to good health has remained elusive. Psychology's potential to understand and lessen these disparities is explored in this special issue. The introductory section establishes the rationale for psychologists' crucial role in advancing health equity, leveraging their expertise and training through innovative collaborations and models of care delivery. To ensure a health equity perspective, this guide provides psychologists with strategies for engaging and maintaining this lens in their advocacy, research, education/training, and practical work, and readers are invited to adapt their work through this lens. This special issue comprises 14 articles revolving around three key themes: the coalescence of care, the interplay of social determinants of health, and the intersection of social systems. These articles coalesce around a common theme: a need for new theoretical frameworks to guide research, learning, and practical application; the importance of interdisciplinary partnerships; and the crucial task of collaborating with community members in cross-system alliances to address the social determinants of health, systemic inequalities, and contextual vulnerabilities, all of which perpetuate health disparities. Psychologists, uniquely equipped to probe the origins of disparities, devise interventions for health equity, and push for policy reform, have unfortunately been underrepresented in broader national discussions on these subjects. All psychologists will be motivated by the examples of existing equity work presented in this issue to either commence or strengthen their efforts in health equity, with a renewed commitment and original ideas. Please return the PsycINFO database record, copyright 2023 American Psychological Association, all rights reserved.
The inability to identify robust correlates of suicidal thoughts or behaviors represents a substantial weakness in current suicide research. Assessment instruments for suicide risk, which vary across study cohorts, may compromise the feasibility of pooling data in international research projects.
The following analysis of this issue adopts a dual method. One involves an exhaustive review of the existing research examining the reliability and concurrent validity of standard instruments; the other comprises aggregation of data (N=6000 participants) from the ENIGMA Major Depressive Disorder and ENIGMA-Suicidal Thoughts and Behaviour working groups to assess the concurrent validity of existing instruments measuring suicidal ideation or behaviour.
The measures demonstrated a moderate to high correlation, which is consistent with the wide range of values reported (0.15-0.97 in terms of magnitude, and 0.21-0.94 in terms of correlation coefficients) previously. The Columbia Suicide Severity Rating Scale and the Beck Scale for Suicidal Ideation, two frequently used multi-item instruments, exhibited a strong positive correlation (r = 0.83). Sensitivity analyses revealed heterogeneous factors, such as the time span of the instrument and whether data was gathered through self-reporting or a clinical interview. In the final analysis, construct-specific investigations suggest that suicide ideation questions in widely used psychiatric questionnaires are most consistent with the suicide ideation construct of multi-item instruments.
Our findings indicate that tools assessing a range of suicidal thoughts and behaviors provide insightful information, yet share a limited core factor with instruments focusing on single measures of suicidal ideation. Feasible retrospective, multi-site collaborative projects using differing instruments necessitate either harmonization across these instruments, or a concentration on particular constructs related to suicidal tendencies. germline epigenetic defects The PsycINFO database record, dated 2023, is subject to the complete copyright control of the American Psychological Association.
Our results suggest that tools measuring multiple aspects of suicidal ideation and behavior provide significant information on diverse dimensions but exhibit a moderate commonality with measures of suicidal ideation using a single item. Retrospective, multisite projects utilising distinct tools should be viable if their measurements align or if their attention is limited to particular aspects of suicidal thoughts. The PsycINFO database record, copyright 2023 APA, with all rights reserved, is to be returned.
This special issue compiles distinct methodologies for refining the concordance of past (i.e., archival) and forthcoming research datasets. We predict the full deployment of these methods will improve research on a variety of clinical conditions by affording researchers the ability to address more intricate questions using considerably more ethnically, socially, and economically diverse samples than those previously studied. Osteoarticular infection This JSON schema, a list of sentences, returns the APA-copyright-protected PsycINFO database record from 2023.
Physicists and chemists are actively engaged in the intricate study of global optimization techniques. Through the application of soft computing (SC) techniques, the process has been simplified by reducing nonlinearity and instability, thereby improving its technological richness. Through this perspective, the foundational mathematical models inherent in the most efficient and commonly used SC techniques of computational chemistry are analyzed to determine the global minimum energy structures of chemical systems. In this perspective, we explore the global optimization strategies employed by our research team on diverse chemical systems, leveraging Convolutional Neural Networks (CNNs), Particle Swarm Optimization (PSO), Firefly Algorithms (FA), Artificial Bee Colony (ABC) algorithms, Bayesian Optimization (BO), and several hybrid approaches, two of which were combined to enhance outcomes.
A new initiative, the BMRC Scientific Statement papers, has been introduced by the Behavioral Medicine Research Council. Through the improvement of behavioral medicine research and practice, the statement papers will lead to the dissemination and translation of research, which will significantly advance the field. This PsycINFO Database Record (c) 2023 APA, which claims all rights reserved, necessitates the return of this document.
Open Science is characterized by the registration and publication of study protocols, explicitly detailing hypotheses, primary and secondary outcomes, and analysis plans, accompanied by the provision of preprints, research materials, anonymized datasets, and analytic coding.