Abbott Construction’s Post

Integrated psychiatric care We have long advocated and supported the integration of psychiatric care into general physical health care. Here at Carilion, our department’s staff and faculty are integrated into treatment programs with (for example) family and community medicine, emergency medicine, internal medicine, geriatrics, pediatrics, obstetrics and gynecology, neurology, pain management, and acute hospital-based sepsis care. The field is now broadly recognizing the value and importance of such programs in terms of improved patient outcomes, reduced total cost of care, increased access to behavioral health services, improved patient and clinician satisfaction, and reduced stigma and disparity. A great summary of this work is available in a concise form courtesy of the American Hospital Association. https://lnkd.in/gfTKeBaW It is a straight-forward and thoughtful summary of the reasons why we are committed to this work of integrated care.

Behavioral Health is extremely important.

“Clinical trial evidence that informs care focuses primarily on preventing future events, optimizing disease-specific outcomes, or extending survival. These outcomes are defined by investigators, not by patients who vary in the outcomes that matter most to them,” write the authors of a new JAMA Internal Medicine Viewpoint, Mary Tinetti, Melissa Hladek, and Deborah Ejem, PhD, MA. Addressing health inequities begins by recognizing the uncertain benefit of many guidelines-driven interventions, the variable health priorities of individuals, and the importance of currently considered non-medical interventions. 👉 Read the full story here: https://lnkd.in/eNMaTmUF 📚 Read the publication: https://lnkd.in/eyJHYP8M The John A. Hartford Foundation Yale Department of Internal Medicine Johns Hopkins School of Nursing University of Alabama at Birmingham #healthinequalities #healthequity #healthcare #patientcentricity #healthpriorities

Hello LinkedIn community! As this is my first time using this platform, I would like my first post to be a Critically Appraised Topic for my Evidence-Based Practice course at the University of St. Augustine for Health Sciences in Dallas, Tx. My specialty of interest is the pediatric setting, and one condition that is commonly seen in this population is congenital torticollis. That being said, my research discusses the influence that early intervention physical therapy has on infants with this condition. Below I have attached my CAT. Please leave your thoughts and comments. #physicaltherapy #earlyintervention #torticollis #CAT #SPT #pediatrictherapy

Measurement-based care works, even in acute care settings! Also, doing MBC well is *hard work*!! I have lived and witnessed this truth over and over in my own work and in my work with many customers around the country. What I also know to be true, is that MBC is the key to unlocking potential in clients, teams, and organizations. At its core, MBC is data-driven decision making applied to behavioral health care. There is always a need to understand our strengths and improve upon our areas of weakness. In this way, we can continue to "raise the bar" and ensure that our patients are receiving the high quality care they deserve. This paper, much like my journey with MBC, was a labor of love born of many many years of hard work. Thank you to my amazing collaborators Susan Douglas, Ph.D., ACTC, PCC, ESIA Ariane Willson @Tyrena M. Lester, LICSW and Stephanie Daly, MD. If you feel so inclined, read about our implementation of MBC in a youth partial hospitalization program here: https://lnkd.in/e7w6eZVs #measurementbasedcare #behavioralhealth #evidencebased

Care for our elders, a ticking time-bomb or an opportunity? Great report by Kaiser Family Foundation. Discover why we're faced with this looming concern and what measures we can adopt to counteract the shortage of specialists in the field. Aging adults aren't just statistics. They are our parents, our teachers, our mentors. They deserve care that respects their dignity and enhances their quality of life. We're on the cusp of a new era in health tech, one where innovative solutions can make a real difference. Let's explore how we can harness it to improve care for our elder citizens. https://lnkd.in/dgm-GxMg

This paper suggests that younger docs are as good as their older colleagues and mentors. They are more evidence-based in their approaches and rely more on what the research says rather than their gut. This could suggest that experience teaches little of value. But I have a different explanation. Back as far as the 1970s there was evidence that patients seeing young psychiatrists got better than those seeing more senior and experienced docs. The difference? Newer psychiatrists had not become disillusioned. They were enthusiastic and expected to help much more than those who had practiced for years. Their curiosity, optimism and caring were contagious and more of their patients got better. In terms of this study, I believe that younger docs have not been worn down (yet) by restrictions on how they can practice, how long they can spend time with their patients, and how many they must see each day to meet their quotas. They want and expect to make a difference and, as a result, they more likely do. We need to find a way to reduce the stress on doctors, give back more autonomy and allow them to do their best work. #medicalcare

We have 2 new resources about integration! Integrating Oral Health Care and Primary Care Learning Collaborative: A State and Local Partnership Final Report https://lnkd.in/emieMqsA This report describes programmatic efforts to integrate oral health care and prenatal care with both a state and a local component. Project teams consisted of members from state oral health programs and local community health centers. The project was implemented from 2022 through 2024. The report discusses project team selection, the state-level approach, the local-level approach, use of stipend funds and in-kind support, and integration of interprofessional oral health core clinical competencies into prenatal care at the participating clinic site. The report’s executive summary is also available separately. Integrating Oral Health Care into Primary Care: Five Successful, Long-Standing, Statewide Programs Providing Care for the Maternal and Child Health Population https://lnkd.in/eY42U92a This report spotlights five programs focused on integrating oral health care into primary care serving the maternal and child health population. Spotlights include a program overview; a description of the program’s inception and early years; information about funding, notable strengths, notable evaluation activities, and evaluation methodology; select evaluation findings; and resources to learn more about evaluation. The report also describes key elements for program success and challenges common across all programs that support or limit program success. Stand-alone spotlights of each program are also available: Cavity Free at Three (Colorado) Colorado Medical Dental Integration Project (Colorado) From the First Tooth (Maine) I-Smile and Cavity Free Iowa (Iowa) Into the Mouths of Babes (North Carolina) The Oral Health Learning Café (https://lnkd.in/eZqPrQZC) will be sharing an overview of the report and featuring each of these programs in a series of webinar presentations from August 13–January 2025. View the webinar program and subscribe to the Café discussion list to receive webinar announcements.

Thanks to Patient Education and Counseling for publishing our new special issue (5 interactional studies!). We examine questioning practices, which illuminate possibilities and constraints on fully engaging children in their care and health decisions. [Editorial introduction: https://lnkd.in/ggkqCz3i] Michelle O’Reilly and Nikki Kiyimba examine the ‘fact-checking’ functions of declarative questions in child mental health assessments. https://lnkd.in/gmyWjg66 Aleksandr Shirokov reveals how pediatricians navigate challenges engaging children in reporting symptoms “Responsibility to report symptoms: Pursuing symptom reports from children in paediatric encounters.” https://lnkd.in/g6wTKpqP Laura Jenkins and co-authors’ article considers good reasons for a question that creates interactional problems– the question may enable a child’s participation on their terms. https://lnkd.in/gkPje32X Janet Watts and co-authors examine questions and acknowledged responses from children who communicate primarily through vocalizations and embodied conduct. https://lnkd.in/gJC7aNhz My co-authors and I analyze how pediatric oncologists use questions and coordinate efforts with children of color and caregivers to achieve child-centered care. https://lnkd.in/gYJsaZWh Collectively, the articles offer real-world examples and evidence to inform the theory and practice of child-centered care. These studies also contribute the growing work on pediatric interactions in primary and specialty care. See @LaalaaJenkins et al.’s recent review https://lnkd.in/gsMDkkJN Thank you to PEC editors, contributors, co-editors, the HEAL-R Collaborative, and everyone who made it possible for us to share this research. Please reach out if you need access to articles. #ChildHealth #Pediatrics #EMCA

"Many primary care clinics are literally traumatized. Traumatized clinics manifest many of the same symptoms as traumatized people. They can be reactive, detached, hierarchical, and fragmented. Traumatized clinics are traumatizing to both patients and the people who work within them." Bri Twombly, LMSW talked about how organizations get organized around trauma, impacting their ability to serve patients, during last week's Tend Collective webinar. So great to see it being discussed. We can work together to move from trauma-organized to trauma-informed. https://lnkd.in/g2DJf_aC