The authors of this study used participatory and interpretive methods to capture the lived experience, strengths, and needs of homeless mothers. The interview data obtained challenge unfounded stereotypes and provide information about women's coping behaviors and resilience. The findings were developed in collaboration with shelter guests and staff and have important implications for public and university policy and shelter programs. For example, researchers need to become more aware of the limitations of current psychological theories and assessment tools designed to measure "effective coping" in disenfranchised individuals. To accomplish this goal, increased collaboration among researchers, activists, policy makers, and homeless families is recommended (e.g., by instituting roundtable discussions as a standard part of shelter programs). It is also suggested that professional staff who work with women living in poverty avoid using deficit-oriented, victim-based models of intervention, and that staff provide women with opportunities to participate in the development of the curriculum for parenting classes.
The goals of this study were to (a) describe an Integrated Behavioral Health Care (IBHC) program within a university health center and (b) assess provider and patient acceptability and satisfaction with the IBHC program, including behavioral health screening and clinical services of integrated behavioral health providers (BHPs). Fifteen providers (nine primary care providers and six nurses) and 79 patients (75% female, 65% Caucasian) completed program ratings in 2010. Providers completed an anonymous web-based questionnaire that assessed satisfaction with and acceptability of behavioral health screening and the IBHC program featuring integrated BHPs. Patients completed an anonymous web-based questionnaire that assessed program satisfaction and comfort with BHPs. Providers reported that behavioral health screening stimulated new conversations about behavioral health concerns, the BHPs provided clinically useful services, and patients benefited from the IBHC program. Patients reported satisfaction with behavioral health services and reported a willingness to meet again with BHPs. Providers and patients found the IBHC program beneficial to clinical care. Use of integrated BHPs can help university health centers support regular screening for mental and behavioral health issues. Care integration increases access to needed mental health treatment.
Cochrane Database of Systematic Reviews REFERENCES References to studies included in this review Cantekin 1983 {published data only} Cantekin EI, Mandel EM, Bluestone CD, Rockette HE, Paradise JL, Stool SE, et al. Lack of e icacy of a decongestantantihistamine combination for otitis media with e usion ("secretory" otitis media) in children. Results of a doubleblind, randomized trial.
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