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  1. 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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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2017: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: From Discovery to Practice: Translating and Transforming Work-Family Research for the Health of Families.

    Perry-Jenkins, Maureen / Herman, Rachel J / Halpern, Hillary Paul / Newkirk, Katie

    Family relations

    2017  Volume 66, Issue 4, Page(s) 614–628

    Abstract: The aim of this paper is to examine the meaning of translational research in the work and family field. Specifically, we review findings from a longitudinal study of low-wage workers across the transition to parenthood and examine how this basic ... ...

    Abstract The aim of this paper is to examine the meaning of translational research in the work and family field. Specifically, we review findings from a longitudinal study of low-wage workers across the transition to parenthood and examine how this basic discovery research informs the next step in translational research, that of clinical practice. The authors describe three specific sets of findings that hold direct and immediate implications for interventions and policy that could support working families. The paper closes with a discussion of how both translational and transdisciplinary research have the potential to inform evidence-based practice, social policy, and effective social action to decrease physical and mental health disparities among low-income, working families.
    Language English
    Publishing date 2017-12-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2026606-6
    ISSN 1741-3729 ; 0197-6664
    ISSN (online) 1741-3729
    ISSN 0197-6664
    DOI 10.1111/fare.12267
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  3. Article ; Online: Obstacles to diagnosis and treatment of Lyme disease in the USA: a qualitative study.

    Hirsch, Annemarie G / Herman, Rachel J / Rebman, Alison / Moon, Katherine A / Aucott, John / Heaney, Christopher / Schwartz, Brian S

    BMJ open

    2018  Volume 8, Issue 6, Page(s) e021367

    Abstract: Objective: For many individuals with Lyme disease, prompt treatment leads to rapid resolution of infection. However, severe complications can occur if treatment is delayed. Our objective was to identify themes around belated diagnosis or treatment of ... ...

    Abstract Objective: For many individuals with Lyme disease, prompt treatment leads to rapid resolution of infection. However, severe complications can occur if treatment is delayed. Our objective was to identify themes around belated diagnosis or treatment of Lyme disease using the General Model of Total Patient Delay (GMTPD).
    Design: We conducted a qualitative interview study using indepth telephone interviews.
    Setting: Participants were patients from a large, integrated health system in the state of Pennsylvania, USA.
    Participants: There were 26 participants. Participants had to have a diagnosis of Lyme disease between 2014 and 2017 and a positive IgG western blot. We used a stratified purposeful sampling design to identify patients with and without late Lyme disease manifestations. To ensure variation in care experiences, we oversampled patients diagnosed outside of primary care.
    Outcome measures: We asked participants about their experience from first Lyme disease symptoms to treatment. We applied an iterative coding process to identify key themes and then synthesised codes into higher order codes representing the GMTPD stages: appraisal delay (symptom to recognition of illness); illness delay (inferring illness to deciding to seek help); behavioural delay (deciding to seek help to the act of seeking help); scheduling delay (seeking help to attending an appointment); and treatment delay (attending appointment to treatment).
    Results: Appraisal delay themes included symptom misattribution, intermittent symptoms and misperceptions about the necessity of a bull's-eye rash. Health insurance status was a driver of illness and behavioural delays. Scheduling delay was not noted by participants, in part, because 10 of the 26 patients went to urgent care or emergency department settings. Misdiagnoses were more common in these settings, contributing to treatment delay.
    Conclusion: Our study identified potentially modifiable risk factors for belated treatment. Targeting these risk factors may minimise time to treatment and reduce the occurrence of preventable complications.
    MeSH term(s) Adolescent ; Adult ; Aged ; Delayed Diagnosis ; Diagnostic Errors/statistics & numerical data ; Emergency Service, Hospital ; Female ; Humans ; Interviews as Topic ; Lyme Disease/diagnosis ; Lyme Disease/drug therapy ; Lyme Disease/psychology ; Male ; Middle Aged ; Patient Acceptance of Health Care ; Pennsylvania ; Primary Health Care ; Qualitative Research ; Time Factors ; Time-to-Treatment ; Young Adult
    Language English
    Publishing date 2018-06-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2747269-3
    ISSN 2044-6055 ; 2044-6055 ; 2053-3624
    ISSN (online) 2044-6055
    ISSN 2044-6055 ; 2053-3624
    DOI 10.1136/bmjopen-2017-021367
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Innovations in the Identification and Referral of Mothers at Risk for Depression: Development of a Peer-to-Peer Model.

    Acri, Mary / Olin, S Serene / Burton, Geraldine / Herman, Rachel J / Hoagwood, Kimberly E

    Journal of child and family studies

    2014  Volume 23, Issue 5, Page(s) 837–843

    Abstract: This paper describes a feasibility study of a peer-delivered prevention intervention to identify mothers at high risk for depression and facilitate engagement in mental health services for their emotional health. Sixteen family peer advocates and their ... ...

    Abstract This paper describes a feasibility study of a peer-delivered prevention intervention to identify mothers at high risk for depression and facilitate engagement in mental health services for their emotional health. Sixteen family peer advocates and their supervisors partnered with academic researchers over a period of six months to develop a four-session intervention that focused on identifying symptoms of depression, providing education about depression and treatment, actively linking caregivers to treatment for their own emotional health, and assisting caregivers in becoming active participants in their mental health care. Collaborating with peers to develop the model enhanced its perceived relevance and utility, and resulted in an intervention that was complimentary to their roles and the mission of peer-delivered support services. Peer/professional partnerships may be beneficial for enhancing the feasibility and acceptability of research efforts; the impact of peers' participation in the current project and the need for future research to develop and study peer-delivered models is discussed.
    Language English
    Publishing date 2014-06-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2016750-7
    ISSN 1573-2843 ; 1062-1024
    ISSN (online) 1573-2843
    ISSN 1062-1024
    DOI 10.1007/s10826-013-9736-z
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  5. Article ; Online: Outcome domains in child mental health research since 1996: have they changed and why does it matter?

    Hoagwood, Kimberly Eaton / Jensen, Peter S / Acri, Mary C / Serene Olin, S / Eric Lewandowski, R / Herman, Rachel J

    Journal of the American Academy of Child and Adolescent Psychiatry

    2013  Volume 51, Issue 12, Page(s) 1241–1260.e2

    Abstract: Objective: Child mental health treatment and services research yields more immediate public health benefit when they focus on outcomes of relevance to a broader group of stakeholders. We reviewed all experimental studies of child and adolescent ... ...

    Abstract Objective: Child mental health treatment and services research yields more immediate public health benefit when they focus on outcomes of relevance to a broader group of stakeholders. We reviewed all experimental studies of child and adolescent treatment and service effectiveness published in the last 15 years (1996-2011) and compared the distribution and types of outcome domains to a prior review that focused on studies from the prior 15 years (1980-1995).
    Method: Studies were included if they focused on children from birth to 18 years of age with specific or general psychiatric conditions, employed randomized designs, and examined intervention effects with a six-month or longer post-treatment assessment in treatment studies or a 6-month or longer post-baseline assessment for services studies. Two hundred (n=200) studies met criteria. Reported outcome measures were coded into conceptual categories drawn from the 1980-1995 review.
    Results: There was a five-fold increase in the total number of studies (38 versus 200) across the two 15-year time periods, with the largest increase in the number of studies that focused on consumer-oriented outcomes (from eight to 47 studies, an almost sixfold increase); two new domains, parent symptoms and health-related outcomes, were identified. The majority of studies (more than 95%) continued to focus on symptoms and diagnoses as an outcome. Impact ratings were higher among studies examining four or more outcomes versus one to two outcomes in all categories with the exception of Posttraumatic Stress Disorder.
    Conclusions: Given major shifts in health care policy affecting mental health services, the emergence of health and parent-related outcomes as well as greater attention to consumer perspectives parallels emerging priorities in health care and can enhance the relevance of child outcome studies for implementation in the real world.
    MeSH term(s) Adolescent ; Child ; Comparative Effectiveness Research/standards ; Comparative Effectiveness Research/trends ; Humans ; Infant, Newborn ; Mental Disorders/therapy ; Mental Health/trends ; Mental Health Services/standards ; Mental Health Services/trends ; Quality Assurance, Health Care ; Randomized Controlled Trials as Topic/standards ; Randomized Controlled Trials as Topic/trends
    Language English
    Publishing date 2013-02-18
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 392535-3
    ISSN 1527-5418 ; 0890-8567
    ISSN (online) 1527-5418
    ISSN 0890-8567
    DOI 10.1016/j.jaac.2012.09.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Um IV Zs.163: Show issues Location:
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