This randomized controlled trial tested the Family Assessment and Feedback Intervention (FAFI), a new intervention to enhance family engagement with emotional and behavioral health services. The FAFI is a guided conversation with families about results of their multidimensional assessment that is set in the context of motivational enhancement. It differs from other assessment-with-feedback interventions by extending the focus of assessment beyond the target child to parents and the family environment, addressing parental emotional and behavioral problems and competencies, spanning a broad range of children’s and parents’ strengths and difficulties, and being generalizable to many settings and practitioners. Participants were 81 families in primary care pediatrics. The FAFI was associated with a significant increase in parental mental health literacy and with an increase in parental attitudinal engagement with health supports and services that closely approached statistical significance (p = .052), while controlling for children’s age and gender and family socioeconomic status.
This randomized controlled trial tested the Vermont Family Based Approach (VFBA) in primary care pediatrics. The VFBA is a model of healthcare delivery that shifts the focus from the individual to the family, emphasizes emotional and behavioral health, and uses evidence-based health promotion/prevention along with the treatment of emotional and behavioral problems. Participants were 81 families of 3–15-year-olds. For children, the VFBA was associated with greater reductions than the Control condition on the Child Behavior Checklist Emotionally Reactive, Withdrawn, Sleep Problems, Aggressive Behavior and Total Problems scales. For parents, the VFBA was associated with greater reductions than the Control condition on the Adult Self-Report Anxious/Depressed, Rule-Breaking Behavior, Internalizing Problems and Total Problems scales. The VFBA was also associated with greater improvement than the Control condition in the parents’ health-related quality of life, as indicated by all scales of the Medical Outcomes Study Health Survey.
This pilot RCT tested the Vermont Family-Based Approach (VFBA) in pediatrics. The VFBA is an innovative approach to population health care that focuses on the family, recognizes the central role of emotional/behavioral health in development, and uses evidence-based health promotion in addition to treatment. We previously reported that across family members, the VFBA group demonstrated increased engagement with mindfulness, music training, and psychotherapy compared with the control group. This poster will present more in-depth analyses of who in the family benefited from these supports/services.
The shifting health care landscape is ripe for new methods of delivering evidence-based care. The Vermont Family-Based Approach (VFBA) is a prime example of a creative health care model. This paradigm moves health care from an individual to the family as a whole. Mounting evidence indicates that health "runs in families," with children showing similar health vulnerabilities to their parents. Evidence also strongly suggests that emotional/behavioral health is a cornerstone to all health. Thus, the emotional and behavioral health of the family unit should be a focus for services in order to engage in health promotion and aide in early identification and/or prevention of illness. Here we aim to identify how this model has been implemented within an outpatient child/adolescent psychiatry clinic by reviewing provider engagement and patient satisfaction.
Peripartum has been reported as a period of both enhanced motivation for wellness engagement and also of heightened barriers. Although there is substantial evidence that wellness-based interventions, such as exercise, yoga, mindfulness, parenting, and community involvement, have positive outcomes in the general population, it is unknown how women across a range of demographic risk will engage in these programs if freely offered.
Child and adolescent psychiatrists generally operate in a model that focuses on the identification and treatment of illness once a youth is symptomatic, yet this belies the substantial and growing literature addressing effective primary and secondary prevention measures to scaffold healthy brain development. This Workshop familiarizes attendees with the significant base of behavioral and neuroscientific evidence for multiple specific wellness-based interventions and demonstrates the inclusion of family-based approaches to mental health assessment and prevention models, as supported by the literature on the importance of parental well-being for positive developmental outcomes of children.
This pilot RCT tested the Vermont Family-Based Approach (VFBA) in a primary care pediatric clinic. The VFBA is an innovative population health approach that focuses on the entire family, recognizes the central role of emotional and behavioral health in child development, uses evidence-based health promotion in addition to treatment, and intervenes early in children’s lives. The RCT tested the following: 1) the feasibility of the VFBA in a primary care pediatric setting; and 2) its effects on family health.
Although 5000 and 10,000 steps per day constitute sedentary and healthy active lifestyles, respectively, few studies have investigated step counting across pregnancy. Evidence suggests that distributing activity trackers as a wellness intervention increase activity for 12 weeks before levels return to baseline. However, it is unclear how pregnancy will affect this given the heightened motivation and barriers surrounding engagement in wellness behaviors associated with this period.
It is becoming increasingly important to differentiate complex mixtures, especially in forensics. Cachaça, the most popular alcoholic beverage in Brazil, is made from distilled and fermented sugar cane juice. It contains a mixture of naturally occurring polyphenols known as tannins, whose composition is dictated by the type of wood used to age the beverage. These tannins can be differentiated in an Indicator Displacement Assay (IDA) using peptide-based ternary sensing ensembles. This investigation demonstrates a technique for fingerprinting the identity of the woods used to age cachaças. Unknown cachaça samples were tested against a training set of Brazilian woods in addition to oaks from different countries. Results obtained from the analysis showed that 62.5% of the samples were correctly identified. Furthermore, four samples anonymously added to the pool of unknowns from the training set were identified with 100% accuracy, emphasizing both the promising results obtained from this method of differentiation and the importance of analyzing same-age samples.
Abstract State employment agency policies and practices vary widely in their level of commitment to improving access to integrated employment for people with intellectual and developmental disabilities (IDD). State IDD agencies are charged to seek creative approaches to policy formation, organizational change, and service provision that directly influence the development of employment opportunities. The goal of this study was to understand the promising practices and strategies being used by state intellectual and developmental disabilities agencies in order to understand what factors make these strategies successful, the lessons learned from implementation, and how the themes derived from this analysis can help to further articulate integrated employment as the preferred outcome for individuals with IDD. Semistructured, one-on-one telephone interviews with key state IDD agency personnel revealed six themes that were common across 30 state agency practices. These were (a) identifying barriers, (b) forming a coalition, (c) developing a mission and strategic plan, (d) aligning the infrastructure with vision and policies, (e) building stakeholder capacity, and (f) measuring progress and monitoring implementation. Recommendations are offered to state agency administrators to broaden perceptions about methods for expanding integrated employment options and outcomes at the systems level.