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Article ; Online: Maintaining quality while adapting to a virtual work environment during the COVID-19 pandemic.

Barnett, Erin / Cheung, Agnes / Loudon, James

Journal of medical imaging and radiation sciences

2020 Volume 52, Issue 1, Page(s) 9–10

MeSH term(s)	COVID-19/epidemiology ; Delivery of Health Care/organization & administration ; Delivery of Health Care/standards ; Humans ; Interdisciplinary Communication ; Pandemics ; Patient Care Team/organization & administration ; Quality Assurance, Health Care ; Radiation Oncology/organization & administration ; Radiation Oncology/standards ; SARS-CoV-2 ; Teleworking
Language	English
Publishing date	2020-12-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2426513-5
ISSN	1876-7982 ; 1939-8654
ISSN (online)	1876-7982
ISSN	1939-8654
DOI	10.1016/j.jmir.2020.11.017
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Article ; Online: State-wide implementation and clinical outcomes associated with evidence-based psychotherapies for traumatized youth.

Barnett, Erin R / Jankowski, Mary K / Trepman, Alissa Z

Psychological trauma : theory, research, practice and policy

2019 Volume 11, Issue 7, Page(s) 775–783

Abstract: Background: Highly efficacious evidence-based psychotherapies (EBPs) exist for children and youth exposed to trauma, yet very few who need the treatments in the community receive them. Research within real-world settings is needed to better understand ... ...

Abstract	Background: Highly efficacious evidence-based psychotherapies (EBPs) exist for children and youth exposed to trauma, yet very few who need the treatments in the community receive them. Research within real-world settings is needed to better understand what is required to translate treatments into the community. Purpose: We aimed to examine the implementation and clinical outcomes of a multiyear project installing 2 EBPs for trauma-exposed youth in community agencies across the state of New Hampshire. Method: We invited clinicians to 2 days of training plus weekly group consultation calls for 9 or 12 months in Trauma-Focused Cognitive Behavioral Therapy or Child Parent Psychotherapy. Implementation metrics included clinician adherence to training, consultation, and treatment delivery expectations. Clinical outcomes included treatment dropout, as well as posttraumatic stress (PTS) symptoms. Results: Of the 292 clinicians meeting eligibility and agreeing to participate, 243 (83%) attended trainings, 168 (58%) began consultation calls, and 70 (24%) adhered to implementation expectations by attending 80% of consultation calls and beginning the treatment with 2 youths. According to (completing) clinicians' reports, of the 363 youths tracked over the 9 to 12 month consultation periods, 47% dropped out of treatment and 44% were ongoing. Pre-post PTS scores ( Conclusions: Clinical outcomes were robust for those who completed treatment, rivaling those of highly controlled trials. However, implementation outcomes indicate an uphill battle in reaching youth who need the treatment. Implementation outcomes were mixed compared with those of more resource-intensive implementation models. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
MeSH term(s)	Adolescent ; Adult ; Child ; Child, Preschool ; Cognitive Behavioral Therapy/economics ; Cognitive Behavioral Therapy/statistics & numerical data ; Cost-Benefit Analysis ; Evidence-Based Practice/economics ; Evidence-Based Practice/statistics & numerical data ; Family Therapy/economics ; Family Therapy/statistics & numerical data ; Female ; Guideline Adherence ; Humans ; Implementation Science ; Male ; Outcome and Process Assessment, Health Care/statistics & numerical data ; Parents ; Psychological Trauma/economics ; Psychological Trauma/therapy
Language	English
Publishing date	2019-02-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2497028-1
ISSN	1942-969X ; 1942-9681
ISSN (online)	1942-969X
ISSN	1942-9681
DOI	10.1037/tra0000444
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Article ; Online: Comparison of Bolus Materials to Highly Absorbent Polypropylene and Rayon Cloth.

Visscher, Scott / Barnett, Erin

Journal of medical imaging and radiation sciences

2016 Volume 48, Issue 1, Page(s) 55–60

Abstract: This study assesses the utility of a highly absorbent polypropylene and rayon cloth (HAPRC) as a bolus material in radiation therapy. A comparison of various bolus materials used clinically at our center to the test bolus material, water-saturated HAPRC, ...

Abstract	This study assesses the utility of a highly absorbent polypropylene and rayon cloth (HAPRC) as a bolus material in radiation therapy. A comparison of various bolus materials used clinically at our center to the test bolus material, water-saturated HAPRC, was conducted. The reproducibility of the physical density was assessed by computerized tomography (CT) scanning the water-saturated HAPRC on a uniform density block phantom on multiple occasions, allowing the cloth to dry fully between subsequent CT scans. The cloth was found to have a consistent physical density between 0.8 and 1.0 g/cm
Language	English
Publishing date	2016-10-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	2426513-5
ISSN	1876-7982 ; 1939-8654
ISSN (online)	1876-7982
ISSN	1939-8654
DOI	10.1016/j.jmir.2016.08.003
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Article ; Online: Difficult binds: A systematic review of facilitators and barriers to treatment among mothers with substance use disorders.

Barnett, Erin R / Knight, Erin / Herman, Rachel J / Amarakaran, Kieshan / Jankowski, Mary Kay

Journal of substance abuse treatment

2021 Volume 126, Page(s) 108341

Abstract: Background: The United States and Canada have observed sharp increases in substance use disorder among women of child-bearing or child-rearing age. Substance use disorder can have deleterious effects on children, families, and communities. Many evidence- ...

Abstract	Background: The United States and Canada have observed sharp increases in substance use disorder among women of child-bearing or child-rearing age. Substance use disorder can have deleterious effects on children, families, and communities. Many evidence-based treatments exist, but engaging mothers in treatment is difficult. No recent review is available to help systems and providers understand the facilitators of and barriers to treatment for mothers. Objective: To systematically identify facilitators and barriers to substance use and mental health treatment for mothers with substance use disorder who are pregnant or parenting young children in the United States and Canada. Methods: We systematically searched the literature using five online databases and performed a gray literature search. We included studies published in the past two decades focused on parent or provider perspectives. Results: Our search identified 23 high-quality papers. The majority of papers qualitatively examined the perspectives of treatment-seeking pregnant women and mothers diverse in race/ethnicity, region, and treatment settings. Our synthesis of findings revealed the compelling and complex centrality of motherhood, which served as both a facilitator and barrier. Motherhood often interacted with relational (e.g., perceiving stigma vs. support from providers, family, friends, partners) and structural (e.g., time commitments, childcare) factors to both hinder and help engagement in treatment. Conclusions: Our findings can help policy-makers and practitioners make tangible improvements to the financing and delivery of substance use treatment for mothers. Our review points to specific areas for future research, including an examination of the relationships between various structural factors and treatment outcomes.
MeSH term(s)	Canada ; Child, Preschool ; Female ; Humans ; Mothers ; Parenting ; Pregnancy ; Social Stigma ; Substance-Related Disorders/therapy
Language	English
Publishing date	2021-02-27
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Systematic Review
ZDB-ID	605923-5
ISSN	1873-6483 ; 0740-5472
ISSN (online)	1873-6483
ISSN	0740-5472
DOI	10.1016/j.jsat.2021.108341
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Article ; Online: Difficulty Obtaining Behavioral Health Services for Children: A National Survey of Multiphysician Practices.

Chien, Alyna T / Leyenaar, JoAnna / Tomaino, Marisa / Woloshin, Steven / Leininger, Lindsey / Barnett, Erin R / McLaren, Jennifer L / Meara, Ellen

Annals of family medicine

2022 Volume 20, Issue 1, Page(s) 42–50

Abstract: Purpose: In the United States, primary care practices rely on scarce resources to deliver evidence-based care for children with behavioral health disorders such as depression, anxiety, other mental illness, or substance use disorders. We estimated the ... ...

Abstract	Purpose: In the United States, primary care practices rely on scarce resources to deliver evidence-based care for children with behavioral health disorders such as depression, anxiety, other mental illness, or substance use disorders. We estimated the proportion of practices that have difficulty accessing these resources and whether practices owned by a health system or participating in Medicaid accountable care organizations (ACOs) report less difficulty. Methods: This national cross-sectional study examined how difficult it is for practices to obtain pediatric (1) medication advice, (2) evidence-based psychotherapy, and (3) family-based therapy. We used the National Survey of Healthcare Organizations and Systems 2017-2018 (46.9% response rate), which sampled multiphysician primary and multispecialty care practices including 1,410 practices that care for children. We characterized practices' experience as "difficult" relative to "not at all difficult" using a 4-point ordinal scale. We used mixed-effects generalized linear models to estimate differences comparing system-owned vs independent practices and Medicaid ACO participants vs nonparticipants, adjusting for practice attributes. Results: More than 85% of practices found it difficult to obtain help with evidence-based elements of pediatric behavioral health care. Adjusting for practice attributes, the percent experiencing difficulty was similar between system-owned and independent practices but was less for Medicaid ACO participants for medication advice (81% vs 89%; Conclusions: Most multiphysician practices struggle to obtain advice and services for child behavioral health needs, which are increasing nationally. Future studies should investigate the source of observed associations.
MeSH term(s)	Accountable Care Organizations ; Child ; Cross-Sectional Studies ; Health Services ; Humans ; Medicaid ; Medicare ; United States
Language	English
Publishing date	2022-01-24
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2171425-3
ISSN	1544-1717 ; 1544-1709
ISSN (online)	1544-1717
ISSN	1544-1709
DOI	10.1370/afm.2759
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Article ; Online: Family Engagement in Services During COVID-19: A Mixed-Methods Study of Caregiver and Staff Perspectives.

Barnett, Erin R / Knight-Zhang, Erin M / Haskell, Hannah G / Merriweather, Katherine A / Gaspar, Holly A / Parton, Rebecca R / Jankowski, Mary Kay

Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners

2022 Volume 37, Issue 2, Page(s) 142–152

Abstract: Introduction: We examined changes in family engagement before versus during the pandemic in pediatric and family services and perceived facilitators and barriers to family engagement.: Method: We employed a mixed-methods assessment of staff and ... ...

Abstract	Introduction: We examined changes in family engagement before versus during the pandemic in pediatric and family services and perceived facilitators and barriers to family engagement. Method: We employed a mixed-methods assessment of staff and caregiver perspectives related to pediatric and family medicine clinics and family resource centers in rural northern New England. We used narrative synthesis to analyze qualitative interviews (n = 29) and descriptive statistics for quantitative surveys (n = 108). Results: Staff felt they were not doing as well at engaging families during versus prepandemic, identifying numerous facilitators and barriers. We found differences in resources used by families before versus during the pandemic. We identified discordant perspectives between caregivers and staff regarding how well clinics and centers identified and responded to family needs. Discussion: Leaders in pediatrics, advanced practice nursing, and related fields can draw on our findings to decide what services and modalities they provide for postpandemic.
MeSH term(s)	Humans ; Child ; COVID-19 ; Caregivers ; Pandemics ; Surveys and Questionnaires ; New England
Language	English
Publishing date	2022-10-12
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	1036356-7
ISSN	1532-656X ; 0891-5245
ISSN (online)	1532-656X
ISSN	0891-5245
DOI	10.1016/j.pedhc.2022.10.002
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Article ; Online: Characterization of parental intention to vaccinate elementary school aged children in the state of California

Dudley, Matthew Z. / Barnett, Erin E. / Paulenich, Alex / Omer, Saad B. / Schuh, Holly / Proveaux, Tina M. / Buttenheim, Alison M. / Klein, Nicola P. / Delamater, Paul / McFadden, SarahAnn M. / Patel, Kavin M. / Salmon, Daniel A.

Vaccine. 2023 Jan., v. 41, no. 3 p.630-635

2023

Abstract: In October 2021, Emergency Use Authorization of Coronavirus Disease 2019 (COVID-19) vaccines was granted for children aged 5-11. To ensure vaccine uptake in children upon approval, California will implement a state-wide executive order mandating COVID-19 ...

Abstract	In October 2021, Emergency Use Authorization of Coronavirus Disease 2019 (COVID-19) vaccines was granted for children aged 5-11. To ensure vaccine uptake in children upon approval, California will implement a state-wide executive order mandating COVID-19 vaccination for school children following full US FDA approval. This study uses survey data collected between November 6th, 2020 and December 14th, 2020 (n = 2091) to identify how sociodemographic characteristics and attitudes towards childhood vaccines among California parents were associated with their intentions to vaccinate their child against COVID-19. About one quarter (26 %) of surveyed California parents did not intend to vaccinate their child, suggesting skepticism towards the COVID-19 vaccine for children and the potential for pushback to a COVID-19 vaccine school-entry mandate. However, 17 % were unsure of their decision, suggesting the potential for public health messaging to make a positive impact on COVID-19 vaccine confidence and uptake. This study identifies characteristics of hesitant parents in California to prioritize for research and outreach. These data also provide a baseline for parental attitudes towards vaccinating children against COVID-19 in California, which will be useful for characterizing changes in attitudes towards childhood COVID-19 vaccination over time.
Keywords	COVID-19 infection ; Food and Drug Administration ; childhood ; children ; elementary schools ; outreach ; public health ; surveys ; vaccination ; vaccines ; California ; Pediatric vaccination ; SARS-CoV-2 ; Vaccine hesitancy
Language	English
Dates of publication	2023-01
Size	p. 630-635.
Publishing place	Elsevier Ltd
Document type	Article ; Online
ZDB-ID	605674-x
ISSN	1873-2518 ; 0264-410X
ISSN (online)	1873-2518
ISSN	0264-410X
DOI	10.1016/j.vaccine.2022.12.030
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Children's behavioral health needs and satisfaction and commitment of foster and adoptive parents: Do trauma-informed services make a difference?

Barnett, Erin R / Cleary, Sarah E / Butcher, Rebecca L / Jankowski, Mary K

Psychological trauma : theory, research, practice and policy

2018 Volume 11, Issue 1, Page(s) 73–81

Abstract: Objective: Caring for children in foster or adoptive care with behavioral health needs can severely stress parents, contributing to adverse outcomes for children and families. Trauma-informed services from the child welfare and mental health sectors may ...

Abstract	Objective: Caring for children in foster or adoptive care with behavioral health needs can severely stress parents, contributing to adverse outcomes for children and families. Trauma-informed services from the child welfare and mental health sectors may help prevent poor outcomes by helping children and parents identify and understand trauma and its impact on children's behavioral health and receive effective treatment. To help understand the role of trauma-informed services for the child welfare population, we examined whether trauma-informed child welfare and mental health services moderated the relationship between children's behavioral health needs and parent satisfaction and commitment. Method: The researchers analyzed data from a cross-sectional statewide survey of foster and adoptive parents (n = 512 respondents, 42% of 1,206 contacted) from one state. Results: Foster (but not adoptive) parent ratings of trauma-informed mental health services significantly moderated the relationship between children's behavioral health needs and foster and adoptive parent satisfaction and commitment. As ratings of trauma-informed mental health services increased, the association between child behavioral health needs and parent satisfaction and commitment became nonsignificant, suggesting a buffering effect. Trauma-informed child welfare services did not moderate the relationship for foster or adoptive parents. Conclusions: Leaders and policymakers are urged to promote trauma-informed mental health services for children involved with child welfare to potentially buffer foster parents against lower parenting satisfaction and commitment. More research is needed to replicate and expand on these findings and to examine the effectiveness of trauma-informed services on other relevant child and family outcomes. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
MeSH term(s)	Adoption/psychology ; Child ; Child Welfare/psychology ; Cross-Sectional Studies ; Female ; Foster Home Care/psychology ; Humans ; Male ; Mental Health Services ; Middle Aged ; Parenting/psychology ; Parents/psychology ; Problem Behavior/psychology ; Quality of Health Care ; Stress, Psychological/etiology ; Stress, Psychological/prevention & control
Language	English
Publishing date	2018-05-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	2497028-1
ISSN	1942-969X ; 1942-9681
ISSN (online)	1942-969X
ISSN	1942-9681
DOI	10.1037/tra0000357
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Article ; Online: Psychotropic Polypharmacy and Antipsychotics in Children: A Survey of Caregiver's Perspectives.

McLaren, Jennifer L / Barnett, Erin R / Acquilano, Stephanie C / Concepcion Zayas, Milangel T / Drake, Robert E / Leyenaar, JoAnna K

Community mental health journal

2021 Volume 58, Issue 3, Page(s) 512–516

Abstract: Objective: We examined caregiver's knowledge, attitudes, and concerns about their child's psychotropic medication regimen and the potential side effects, describe how they seek information regarding treatment, and ascertain their perspectives toward ... ...

Abstract	Objective: We examined caregiver's knowledge, attitudes, and concerns about their child's psychotropic medication regimen and the potential side effects, describe how they seek information regarding treatment, and ascertain their perspectives toward deprescribing. Methods: We surveyed 48 caregivers of children 6-17 years old treated with two or more psychotropic medications or an antipsychotic medication, analyzing outcomes using descriptive statistics. Results: Almost all (N = 44, 92%) participants reported feeling very knowledgeable about why medications were prescribed, but only one-third (N = 16, 33%) reported feeling very knowledgeable about potential problems with long-term use or polypharmacy. Half of respondents (N = 24, 50%) reported asking their provider about reducing/stopping medications due to concerns about harmful effects, and nearly half (N = 20, 42%) reported stopping medications earlier than recommended. Conclusions: Interventions to engage caregivers in shared decision-making about complex medication regimens and to support prescribers to safely deprescribe psychotropic medications are needed to address caregivers' concerns regarding psychotropic medication use.
MeSH term(s)	Adolescent ; Antipsychotic Agents/adverse effects ; Caregivers ; Child ; Deprescriptions ; Humans ; Polypharmacy ; Psychotropic Drugs/adverse effects ; Surveys and Questionnaires
Chemical Substances	Antipsychotic Agents ; Psychotropic Drugs
Language	English
Publishing date	2021-05-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	215855-3
ISSN	1573-2789 ; 0010-3853
ISSN (online)	1573-2789
ISSN	0010-3853
DOI	10.1007/s10597-021-00845-2
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Article ; Online: Supporting Shared Decision-making for Children's Complex Behavioral Problems: Development and User Testing of an Option Grid™ Decision Aid.

Barnett, Erin R / Boucher, Elizabeth A / Daviss, William B / Elwyn, Glyn

Community mental health journal

2017 Volume 54, Issue 1, Page(s) 7–16

Abstract: There is a lack of research to guide collaborative treatment decision-making for children who have complex behavioral problems, despite the extensive use of mental health services in this population. We developed and pilot-tested a one-page Option Grid™ ... ...

Abstract	There is a lack of research to guide collaborative treatment decision-making for children who have complex behavioral problems, despite the extensive use of mental health services in this population. We developed and pilot-tested a one-page Option Grid™ patient decision aid to facilitate shared decision-making for these situations. An editorial team of parents, child psychiatrists, researchers, and other stakeholders developed the scope and structure of the decision aid. Researchers included information about a carefully chosen number of psychosocial and pharmacological treatment options, using descriptions based on the best available evidence. Using semi-structured qualitative interviews (n = 18), we conducted user testing with four parents and four clinical prescribers and field testing with four parents, four clinical prescribers, and two clinic administrators. The researchers coded and synthesized the interview responses using mixed inductive and deductive methods. Parents, clinicians, and administrators felt the Option Grid had significant value, although they reported that additional training and other support would be required in order to successfully implement the Option Grid and achieve shared decision-making in clinical practice.
MeSH term(s)	Child ; Child Behavior Disorders/psychology ; Child Behavior Disorders/therapy ; Decision Making ; Decision Support Techniques ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Parents/psychology
Language	English
Publishing date	2017-04-11
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	215855-3
ISSN	1573-2789 ; 0010-3853
ISSN (online)	1573-2789
ISSN	0010-3853
DOI	10.1007/s10597-017-0136-5
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