Multilingual Postpartum Depression Screening in Pediatric Community Health Clinics

2019 ◽  
Author(s):  
Margo Cohen
Author(s):  
Margo Cohen ◽  
Crystal T. Doan Stephens ◽  
Aaron Zaheer ◽  
Susan Instone ◽  
Karen A. Macauley

JAMA ◽  
1968 ◽  
Vol 203 (10) ◽  
pp. 902-903
Author(s):  
E. M. Pattison

2017 ◽  
Vol 4 ◽  
pp. 233339281773452 ◽  
Author(s):  
Praise O. Iyiewuare ◽  
Colleen McCullough ◽  
Allison Ober ◽  
Kirsten Becker ◽  
Karen Osilla ◽  
...  

Introduction: Community health clinics (CHCs) are an opportune setting to identify and treat substance misuse. This study assessed the characteristics of patients who presented to a CHC with substance misuse. Methods: Personnel at a large CHC administered a 5-question screener to patients between June 3, 2014, and January 15, 2016, to assess past 3-month alcohol use, prescription opioid misuse, or illicit drug use. We stratified screen-positive patients into 4 diagnostic groups: (1) probable alcohol use disorder (AUD) and no comorbid opioid use disorder (OUD); (2) probable heroin use disorder; (3) probable prescription OUD, with or without comorbid AUD; and (4) no probable substance use disorder. We describe substance use and mental health characteristics of screen-positive patients and compare the characteristics of patients in the diagnostic groups. Results: Compared to the clinic population, screen-positive patients (N = 733) included more males ( P < .0001) and had a higher prevalence of probable bipolar disorder ( P < .0001) and schizophrenia ( P < .0001). Eighty-seven percent of screen-positive patients had probable AUD or OUD; only 7% were currently receiving substance use treatment. The prescription opioid and heroin groups had higher rates of past bipolar disorder and consequences of mental health conditions than the alcohol only or no diagnosis groups ( P < .0001). Conclusions: Patients presenting to CHCs who screen positive for alcohol or opioid misuse have a high likelihood of having an AUD or OUD, with or without a comorbid serious mental illness. Community health clinics offering substance use treatment may be an important resource for addressing unmet need for substance use treatment and comorbid mental illness.


2016 ◽  
Vol 23 (3) ◽  
pp. 287-308 ◽  
Author(s):  
Melissa A. Rodgers ◽  
Jeane Ann Grisso ◽  
Paul Crits-Christoph ◽  
Karin V. Rhodes

Community health workers (CHWs) provide peer support in diverse health care settings, but few studies have evaluated CHW interventions for intimate partner violence (IPV). We assessed the feasibility, acceptability, and safety of CHW outreach in four urban community health clinics and characterized the experiences and barriers to providing safe and effective services for women experiencing IPV. CHWs successfully enrolled and engaged IPV victims, who indicated satisfaction and increased safety with program participation. However, complex psychosocial barriers prevented many from achieving safety and security. More work is needed to assess the impact of well-integrated IPV-trained CHWs in primary care medical homes.


JAMA ◽  
1968 ◽  
Vol 203 (10) ◽  
pp. 902
Author(s):  
E. Mansell Pattison

2016 ◽  
Vol 40 (3) ◽  
pp. 302-309 ◽  
Author(s):  
Connie L. Arnold ◽  
Alfred Rademaker ◽  
Michael S. Wolf ◽  
Dachao Liu ◽  
Jill Hancock ◽  
...  

Author(s):  
Ted Lankester

This chapter explores how to set up and develop community health clinics which not only treat illness but become a focus for health promotion and community involvement. It encourages programmes to use or strengthen existing primary health centres or health posts and to work in collaboration with the government. It discusses types of clinic, who might use the clinic, and clinic capacity and location. It works through practical aspects such as when the clinic should start, centre design, setting up clinic stations, and keeping and transferring records. It describes systems of payment, affordability, and the welcome and affirmation of those attending. It describes referral systems and preparing for serious illness and accidents. It mentions the value of mobile clinics as an integral part of a community-based system.


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