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  1. Article ; Online: Examining School Based Health Service Utilization Among Marginalized Youth in Connecticut During COVID.

    Damian, April Joy / Oo, May

    Inquiry : a journal of medical care organization, provision and financing

    2022  Volume 59, Page(s) 469580221105998

    Abstract: Purpose: This study examines how the coronavirus disease 2019 (COVID-19) is affecting utilization of medical and behavioral health services through school based health centers (SBHC s).: Methods: We leveraged the electronic health records from one of ...

    Abstract Purpose: This study examines how the coronavirus disease 2019 (COVID-19) is affecting utilization of medical and behavioral health services through school based health centers (SBHC s).
    Methods: We leveraged the electronic health records from one of the largest sponsors of SBHCs in the country, and tested differences in SBHC utilization with chi-square tests one year prior to the pandemic (pre-pandemic: March 2019-February 2020) compared to one year into the pandemic period (March 2020-February 2021).
    Results: A significant difference in SBHC utilization was found between pre-pandemic and pandemic periods (P <.001). 63.5% of SBHC patients accessed medical services pre-pandemic compared to 51.2% during the pandemic. In contrast, 36.5% of SBHC patients accessed behavioral services pre-pandemic compared to 48.8% during the pandemic, representing a 12.3% increase in SBHC behavioral service utilization since the pandemic.
    Conclusions: SBHCs may serve as an invaluable means of ensuring youth, particularly those from disadvantaged communities, have access to needed behavioral health services during the current public health crisis.
    MeSH term(s) Adolescent ; COVID-19 ; Connecticut/epidemiology ; Health Services ; Humans ; School Health Services
    Language English
    Publishing date 2022-05-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 42153-4
    ISSN 1945-7243 ; 0046-9580
    ISSN (online) 1945-7243
    ISSN 0046-9580
    DOI 10.1177/00469580221105998
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Editorial: Mental health equity.

    Damian, April Joy / Miller, Benjamin F / Gallo, Joseph J

    Frontiers in psychiatry

    2023  Volume 14, Page(s) 1303277

    Language English
    Publishing date 2023-10-31
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2023.1303277
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  3. Article ; Online: Advancing the Role of School-Based Health Centers in Driving Health Justice.

    Damian, April Joy / Boyd, Robert

    The Journal of school health

    2021  Volume 91, Issue 4, Page(s) 274–276

    MeSH term(s) Humans ; School Nursing ; Schools
    Language English
    Publishing date 2021-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 952835-0
    ISSN 1746-1561 ; 0022-4391
    ISSN (online) 1746-1561
    ISSN 0022-4391
    DOI 10.1111/josh.12999
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  4. Article: Telehealth and Beyond: Promoting the Mental Well-Being of Children and Adolescents During COVID.

    Damian, April Joy / Stinchfield, Katy / Kearney, R Timothy

    Frontiers in pediatrics

    2022  Volume 10, Page(s) 793167

    Language English
    Publishing date 2022-02-14
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2022.793167
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  5. Article ; Online: Dismantling racism in research.

    Damian, April Joy / Gonzalez, Melanie

    Lancet (London, England)

    2020  Volume 396, Issue 10246, Page(s) 237

    MeSH term(s) African Americans ; Humans ; Medicine ; Racism
    Language English
    Publishing date 2020-07-25
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(20)31534-8
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  6. Article ; Online: Models of care for populations with chronic conditions and mental/behavioral health comorbidity.

    Damian, April Joy / Gallo, Joseph J

    International review of psychiatry (Abingdon, England)

    2019  Volume 30, Issue 6, Page(s) 157–169

    Abstract: Recent decades have seen increased interest in the integration of mental and physical healthcare. Healthcare reform in the US has provided an opportunity for integration of evidence-based mental health programmes. Three quarters of patients with ... ...

    Abstract Recent decades have seen increased interest in the integration of mental and physical healthcare. Healthcare reform in the US has provided an opportunity for integration of evidence-based mental health programmes. Three quarters of patients with behavioural health disorders are seen in medical settings, where behavioural problems are largely unaddressed. The human and economic toll of unaddressed mental and behavioural health needs is enormous and often hidden from view, since the behavioural or mental health implications of medical conditions like heart disease and diabetes have only recently begun to be appreciated. This paper has three goals: (1) to review models of integrated services delivery, providing a framework for making sense of strategies for integration; (2) to consider some evidence for clinical outcomes when care is integrated; and (3) to highlight some factors that enhance or impede integration in practice. The review concludes with comments on where the field is going.
    MeSH term(s) Chronic Disease/therapy ; Comorbidity ; Delivery of Health Care, Integrated/organization & administration ; Humans ; Mental Disorders/therapy ; Mental Health Services/organization & administration ; Primary Health Care/organization & administration ; Psychiatry
    Language English
    Publishing date 2019-03-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1018090-4
    ISSN 1369-1627 ; 0954-0261
    ISSN (online) 1369-1627
    ISSN 0954-0261
    DOI 10.1080/09540261.2019.1568233
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  7. Article ; Online: The rise of adverse childhood experiences during the COVID-19 pandemic.

    Bryant, Daniel J / Oo, May / Damian, April Joy

    Psychological trauma : theory, research, practice and policy

    2020  Volume 12, Issue S1, Page(s) S193–S194

    Abstract: Adverse childhood experiences, which is defined by different forms of abuse, neglect, and household dysfunction occurring before the age of 18 years, is a major public health problem in the United States that has the potential to worsen in the current ... ...

    Abstract Adverse childhood experiences, which is defined by different forms of abuse, neglect, and household dysfunction occurring before the age of 18 years, is a major public health problem in the United States that has the potential to worsen in the current COVID-19 pandemic. Moreover, the challenge is even greater for children and youth from low-income communities and communities of color. Thus, there is a greater need for investments in youth-serving systems within and beyond health care and public health to effectively address adverse childhood experiences and prevent its short- and long-term negative health and social sequelae well beyond the current public health crisis. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    MeSH term(s) Adverse Childhood Experiences ; COVID-19 ; Child ; Child Abuse ; Coronavirus Infections ; Exposure to Violence ; Humans ; Pandemics ; Pneumonia, Viral ; Psychological Trauma/diagnosis ; Psychological Trauma/etiology ; Psychological Trauma/therapy
    Keywords covid19
    Language English
    Publishing date 2020-06-18
    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/tra0000711
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Association of adverse childhood experiences (ACEs) and substance use disorders (SUDs) in a multi-site safety net healthcare setting.

    Bryant, Daniel J / Coman, Emil N / Damian, April Joy

    Addictive behaviors reports

    2020  Volume 12, Page(s) 100293

    Abstract: Background: Adverse childhood experiences (ACEs) and substance use disorders (SUDs) are highly prevalent public health challenges that have been shown to be strongly correlated. Although previous research has suggested a dose-response relationship ... ...

    Abstract Background: Adverse childhood experiences (ACEs) and substance use disorders (SUDs) are highly prevalent public health challenges that have been shown to be strongly correlated. Although previous research has suggested a dose-response relationship between ACEs and SUDs, less is known about this phenomenon and the prevalence of ACEs in lower income, racially/ethnically diverse populations. This study sought to examine these relationships in a population treated at a multi-site safety net provider.
    Methods: The ACEs survey was delivered as a standard assessment to all behavioral health patients seen at a large Federally Qualified Health Center (FQHC) in Connecticut. 4378 patients completed the questionnaire. Both total score and individual ACE questions were correlated with diagnostic history, according to chi-square and multiple-group structural equation modeling tests.
    Results: 84.8% of patients reported at least one ACE and 49.1% had an ACE score ≥ 4. Experiencing 1 or more ACEs predicted having any SUD, after controlling for race/ethnicity and gender. Parent substance use, physical abuse, and sexual abuse in particular were the strongest predictors of developing any SUD. Men and non-white individuals were more likely to develop an SUD with lower ACE scores than women and white individuals.
    Conclusions: While ACEs predict an increased likelihood of developing any SUD, the nature of this relationship differs by both gender and race/ethnicity. In this FQHC patient population there is no obvious dose-response relationship between ACEs and SUDs. Additional research is required to help understand why the relationship between ACEs and SUDs observed here differs from other populations.
    Language English
    Publishing date 2020-07-03
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2831558-3
    ISSN 2352-8532 ; 2352-8532
    ISSN (online) 2352-8532
    ISSN 2352-8532
    DOI 10.1016/j.abrep.2020.100293
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  9. Article ; Online: Patients' Perspectives on the Feasibility, Acceptability, and Impact of a Community Health Worker Program: A Qualitative Study.

    Chang, Wei / Oo, May / Rojas, Adriana / Damian, April Joy

    Health equity

    2021  Volume 5, Issue 1, Page(s) 160–168

    Abstract: Purpose: ...

    Abstract Purpose:
    Language English
    Publishing date 2021-04-09
    Publishing country United States
    Document type Journal Article
    ISSN 2473-1242
    ISSN (online) 2473-1242
    DOI 10.1089/heq.2020.0159
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  10. Article: Exploring the Psychosocial Impact of a Mindfulness Workforce Development Program on Instructors of Color: A Qualitative Descriptive Study.

    Damian, April Joy / McAfee, Ciara / Yoo, Sera / Mendelson, Tamar

    International journal of yoga therapy

    2021  Volume 31, Issue 1

    Abstract: A growing body of literature supports the use of mindfulness-based practices to increase resilience and reduce emotional and behavioral problems of low-income youth of color who are exposed to chronic trauma. The current study, the first of its kind, ... ...

    Abstract A growing body of literature supports the use of mindfulness-based practices to increase resilience and reduce emotional and behavioral problems of low-income youth of color who are exposed to chronic trauma. The current study, the first of its kind, addresses existing gaps in the literature by examining the social and emotional effects of mindfulness on instructors of color, a largely understudied population. All trainees (n = 25) in a year-long, mindfulness-based workforce development program in Baltimore were invited to participate in this qualitative descriptive study that involved semistructured interviews regarding the personal emotional impact of participating in the program, as well as possible changes in the subjects' perceptions of yoga and the potential role of yoga in their communities. We applied a transcript-based analysis approach to the data from the individual interviews and derived themes using the constant comparative method. Twenty-one trainees (84%) participated in semistructured interviews. Participants were between the ages of 18 and 29 and were predominantly male (71.4%) and African-American (85.7%). We identified four key themes related to participating in the program: (1) changes in emotional functioning and self-perception, (2) changes in interactions with others, (3) changes in perception of yoga and mindfulness, and (4) perceived real-world application of yoga and mindfulness. The current study adds to the literature by exploring the public health implications of mindfulness, particularly in addressing effects of chronic trauma in low-income communities of color. The workforce development program also merits further evaluation as a potential model for enabling local and national nonprofit organizations to offer low-income youth and youth of color employment options that enhance resources in trauma-affected communities.
    MeSH term(s) Adolescent ; Adult ; African Americans ; Humans ; Male ; Mindfulness ; Qualitative Research ; Workforce ; Yoga ; Young Adult
    Language English
    Publishing date 2021-01-13
    Publishing country United States
    Document type Journal Article
    ISSN 1531-2054
    ISSN 1531-2054
    DOI 10.17761/2021-D-19-00059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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