Essential Knowledge and Competencies for Psychologists Working in Neonatal Intensive Care Units

Saxton, Sage N.; Dempsey, Allison G.; Willis, Tiffany; Baughcum, Amy E.; Chavis, Lacy; Hoffman, Casey; Fulco, Celia J.; Milford, Cheryl A.; Steinberg, Zina

doi:10.1007/s10880-019-09682-8

Cited by 13 publications

(8 citation statements)

References 16 publications

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“…Parent mental health and engagement have been identified as important predictors of developmental, medical, and emotional outcomes in children. While multiple neonatal intensive care unit (NICU) behavioral health programs have been described in the literature (e.g., Hall et al 33 and Saxton et al 34 ), there have been no specific family behavioral health interventions described or recommended for the mechanical ventilation population. Similar to our findings, parents participating in NICU mental health interventions demonstrated reductions in distress, shorter lengths of stay, and more positive engagement behaviors 35,36 .…”

Section: Discussionmentioning

confidence: 99%

A novel behavioral health program for family caregivers of children admitted to a transitional chronic ventilator unit

Borschuk

Williams

McClure

et al. 2021

Pediatric Pulmonology

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Background: The care of mechanically ventilated pediatric patients is complex and burdensome. It is essential to adequately support the family caregivers of these children to optimize outcomes; however, there is no literature describing interventions for caregivers in this population.Research Question: This study described a novel behavioral health program and examined its impact on family caregiver engagement and psychological distress on a pediatric inpatient chronic ventilator unit. Study Design and Methods: Electronic chart review was completed with retrospective and prospective participant enrollment for the purposes of longitudinal evaluation of caregiver engagement. For analytic purposes, participants were grouped into three categories: (1) preprogram, (2) postprogram, and (3) postprogram with completion of psychotherapy. Results: The behavioral health program was associated with increased caregiver participation in rounds, t = 7.76, p = < .001. Parents who completed a course of psychotherapy within the behavioral health program demonstrated reduced time to training completion (F = 5.89; p < .01), higher staff-rated caregiver engagement (F = 3.69; p < .05), and significantly reduced levels of caregiver distress (t = 2.09; p < .05).

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Section: Discussionmentioning

confidence: 99%

A novel behavioral health program for family caregivers of children admitted to a transitional chronic ventilator unit

Borschuk

Williams

McClure

et al. 2021

Pediatric Pulmonology

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“…It is also relevant to behavioral health professionals, including psychiatrists, psychologists, and advanced practice providers who frequently serve as consultants for ICU patients and often could be and are helpful in meeting the needs of these patients' families. In addition, although often not the case in ICUs with adults, ICUs that serve pediatric populations increasingly are incorporating behavioral health professionals on their integrated care teams in order to ensure that the psychological well-being of these youth and their families is a top priority ( 8 ). Ideally, moving forward, family-systems oriented behavioral health professionals can be added to ICU teams caring for adult patients to help ensure that the best biopsychosocial-cultural care is provided for these individuals and their families.…”

Section: Making Family—centered Care For Adults In the Icu A Realitymentioning

confidence: 99%

Making Family-Centered Care for Adults in the ICU a Reality

et al. 2022

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Despite the value of family-centered care (FCC) in intensive care units (ICUs), this approach is rarely a reality in this context. This article aims to increase the likelihood that ICU-based care incorporates best practices for FCC. Consistent with this goal, this article begins by overviewing FCC and its merits and challenges in ICUs. It then offers a systemic framework for conceptualizing FCC in this challenging environment, as such a model can help guide the implementation of this invaluable approach. This systemic framework combined with previous guidelines for FCC in the ICU are used to inform the series of recommended best practices for FCC in the ICU that balance the needs and realities of patients, families, and the interprofessional healthcare team. These best practices reflect an integration of the existing literature and previously published guidelines as well as our experiences as healthcare providers, family members, and patients. We encourage healthcare leaders and interprofessional ICU healthcare teams to adopt these best practices and modify them for the specific healthcare needs of the patients they serve and their families.

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“…Starting in March 2020 members of the National Network of NICU Psychologists (NNNP) participated in weekly calls to share and develop strategies for better supporting infants, families, staff, and one another during the pandemic. NICU psychologists typically consider the infant–parent dyad and relationship as the primary focus of their work and interventions usually seek to enhance these important relationships (Saxton et al., 2020 ). Thus, discussion largely focused on ways to address parental mental health, infant–parent attachment, developmental care, and staff support (Hynan, 2020 ).…”

Section: Strategies To Enhance Connectionmentioning

confidence: 99%

Adaptation of infant mental health services to preterm infants and their families receiving neonatal intensive care unit services during the COVID‐19 pandemic

Kelleher

Dempsey

Takamatsu

et al. 2022

Infant Mental Health Journal

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Multiple changes and stressors at the family, hospital, and societal levels have resulted from the COVID‐19 pandemic that impact the early social environment of infants in Neonatal Intensive Care Unit (NICU) settings. This manuscript reviews these pandemic‐related adversities, including hospital‐wide visitor restrictions, mask requirements that interfere with caregiver facial expressions, parental anxiety about virus transmission, and reduced support services. We will further describe adaptations to mental health service delivery and approaches to care in the NICU to mitigate increased risk associated with pandemic‐related adversities. Adaptations include integration of technology, staff education and support, and delivery of activity kits to encourage parent–infant bonding. Data was collected as part of routine program evaluation of infant mental health services from one 50‐bed NICU setting and describes family concerns, barriers to visitation, and utilization of mental health services during the pandemic. Concerns related to COVID‐19 rarely emerged as the primary presenting issue by the families referred for infant mental health services from April through December of 2020. However, a number of families indicated that infection concerns and visitation restrictions posed significant challenges to their parenting and/or coping. There were significant discrepancies noted between the visitation patterns of families with public and private insurance. Several adaptations were developed in response to the multiple challenges and threats to infant mental health present during the COVID‐19 pandemic.

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Essential Knowledge and Competencies for Psychologists Working in Neonatal Intensive Care Units

Cited by 13 publications

References 16 publications

A novel behavioral health program for family caregivers of children admitted to a transitional chronic ventilator unit

A novel behavioral health program for family caregivers of children admitted to a transitional chronic ventilator unit

Making Family-Centered Care for Adults in the ICU a Reality

Adaptation of infant mental health services to preterm infants and their families receiving neonatal intensive care unit services during the COVID‐19 pandemic

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