Contributions of Medical Family Therapy to the Changing Health Care System

Doherty, William J.; McDaniel, Susan H.; Hepworth, Jeri

doi:10.1111/famp.12092

Cited by 36 publications

(42 citation statements)

References 28 publications

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“…The inclusion of PHC as an explanatory factor of this disease should take all of the characteristics of its health actions into consideration, guided by the following attributes: first contact access, longitudinality, comprehensiveness, health care coordination, family orientation and community orientation 5 . It is important to take not only the care given during the acute episodes into account, because factors related to health care and health communication provided routinely for child, mother and family can be reflected in child health 6 .…”

Section: Introductionmentioning

confidence: 99%

Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study

Pina

Moraes

Freitas³

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:to evaluate the association of primary health care and other potential factors in relation to hospitalization due to pneumonia, among children aged under five years. Method:epidemiological study with a case-control, hospital-based design, which included 345 cases and 345 controls, matched according to gender, age and hospital. Data were collected using a pre-coded questionnaire and the Primary Care Assessment Tool, analyzed by means of multivariate logistic regression, following the assumptions of a hierarchical approach. Results:the protective factors were: family income >US$216.12 (OR=0.68), weight gain during pregnancy ≥10 kg (OR=0.68), quality of Primary Health Care (OR for scores >3.41=0.57; OR for scores >3.17 and ≤3.41=0.50), gastro-esophageal reflux (OR=0.55), overweight (OR=0.37) and birth interval ≥48 months (OR=0.28). The risk factors included: parity (2 childbirths: OR=4.60; ≥3 childbirths: OR=3.25), out-of-date vaccination (OR=2.81), undernutrition (OR=2.53), history of wheezing (≥3 episodes OR=2.37; 1 episode: OR=2.13), attendance at daycare center (OR=1.67), and use of medicines over the past month (OR=1.67). Conclusion:primary health care and its child health care practices, such as nutritional monitoring, immunization, care to prevalent illnesses, prenatal care and family planning need to be prioritized to avoid child hospitalization due to pneumonia.

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Section: Introductionmentioning

confidence: 99%

Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study

Pina

Moraes

Freitas³

et al. 2017

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

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“…Similarly, systemic models of health intervention are needed to address family stress pathways associated with disease management (Wood, Miller, & Lehman, 2015). Medical family therapy programs enhance clinical health outcomes through an interprofessional and coordinated approach to treatment (Doherty, McDaniel, & Hepworth, 2014). Therefore, systemic approaches to health may be important additions to training, practice, and policy.…”

Section: Discussionmentioning

confidence: 99%

Relationship Distress as a Mediator of Adverse Childhood Experiences and Health: Implications for Clinical Practice with Economically Vulnerable Racial and Ethnic Minorities

et al. 2018

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Adverse childhood experiences (ACE) are interpersonal sources of distress negatively correlated with physical and mental health, as well as maladaptive intimate partner conflict strategies in adulthood. Economically vulnerable racial and ethnic minorities report the greatest disparities in exposure to ACE, as well as relationship distress and health. Yet, little is known about the connections between ACE, relationship distress, and health. We therefore tested a theoretical model for the mediating role of relationship distress to explain the ACE-health connection with a sample (N = 96) predominantly racial/ethnic minorities (87%) with low income. We applied partial least squares structural equation modeling with bootstrapping (N = 500). Relationship distress strengthened the predictive relationship between ACE and health, and accounted for 42% of the variance in health. The results provide preliminary support for relationship distress as a social determinant of health disparities with implications for interdisciplinary health intervention.

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“…A grant submission has been more likely to find funding if it focuses on a specific disease entity, that is, type I diabetes or bipolar disorder, or a specific aspect of a specific disease. Doherty and McDaniel and colleagues have written extensively (Doherty, McDaniel, & Hepworth, 2014;McDaniel & Doherty, 2015). (Perhaps in response to this trend, we are seeing the reemergence of transdiagnostic psychotherapy approaches for children and adolescents; Weisz, Bearmen, Santucci, & Jensen-Doss, 2017.…”

Section: Discussionmentioning

confidence: 99%

Integrated, Family‐based, Partial Hospital Treatment for Complex Pediatric Illness

et al. 2018

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This paper describes a unique treatment program for complex pediatric illness. The Hasbro Children's Partial Hospital Program uses a family systems orientation, integrated care, and a partial hospital setting to treat children with a wide range of pediatric illnesses that have failed outpatient and inpatient treatments. We have treated more than 2000 children with at least 80 different ICD-9 diagnoses. The multidisciplinary treatment team functions as a meta-family for children and their families who present with illness and family beliefs that impede successful outcomes with standard care. The three features: family systems orientation, integrated care, and partial hospital setting, hopefully interact to create an environment that helps families expand and modify their explanatory models regarding participating in effective medical care. The goal of treatment is for both children and their parents to feel empowered to take control of the illness. Parents completing standardized measures at intake describe their children and families as experiencing significant emotional distress, low levels of general family functioning, and poor quality of life. Although the children are described as having distinct behavioral differences, the families are described as responding to the experience of a seriously ill child in similar ways. A treatment program that addresses the noncategorical aspects of how families respond to illness while addressing the specific diseases of the children can allow children and their families to respond favorably to treatment.

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Contributions of Medical Family Therapy to the Changing Health Care System

Cited by 36 publications

References 28 publications

Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study

Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study

Relationship Distress as a Mediator of Adverse Childhood Experiences and Health: Implications for Clinical Practice with Economically Vulnerable Racial and Ethnic Minorities

Integrated, Family‐based, Partial Hospital Treatment for Complex Pediatric Illness

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