As is often the case with scientific breakthroughs, Lister was not satisfied with prevailing explanations for high post-surgical mortality. Instead, he looked elsewhere, guided by observation. In hindsight, it is striking how long established—yet incorrect—explanations persisted. These were not only scientific but cognitive: reinforced by shared assumptions that made alternative interpretations difficult to see. In […]
There was nothing particularly remarkable about that day. It wasn’t sunny. It didn’t rain. The clouds offered no movement, no promises of new shapes with hidden messages. It was just a gray day, like so many others. And yet, it became a day I would remember. It all started with a call about a patient […]
There is a copy of a Thich Nhat Hanh book in her exam room. I imagine it as an amulet, or maybe a mantra, quietly working on her behalf: “I am a continuation, like the rain is a continuation of the cloud.” She cannot be anything less, anything more. In fifteen minutes, she is expected to earn […]
Collaborative documentation is far more than a technique for writing notes. When used intentionally, it becomes a foundation for partnership‑based care and serves multiple meaningful functions that shape the clinical encounter itself. The Functions of Collaborative Documentation A Process and an Outcome Collaborative documentation turns the note into both a shared activity and a tangible […]
For these practices, an Integrated Psychiatry approach—directly informed by the Primary Care Behavioral Health (PCBH) model—provides a flexible, population‑focused alternative. PCBH emphasizes rapid access, same‑day consultation, brief interventions, and team‑based care embedded directly within primary care workflows. Applying these principles, Integrated Psychiatry brings psychiatric expertise into the pediatric medical home, enhancing access, reducing stigma, strengthening […]
Two LMFTs explore career choice through the lens of family-of-origin and a drive towards systems change–Part II of II Reflections on an Unusual Upbringing This two-part blog was inspired by a conversation I had with Jess at the CFHA Conference in Raleigh. We shared stories about our unique upbringings and decided to collaborate on a […]
The question is: how can a design philosophy rooted in early modernism help us create healthcare spaces that are more human, efficient, holistic, and equitable? The answer might partially lie in six Bauhaus ideas that seem to align perfectly with the aims of integrated care. 1. Form Follows Function At the core of Bauhaus design […]
The Firestarter Framework: Fueling Passion and Purpose Dr. Thomas opened her session delving into the Firestarter Framework to explore our personal journeys in Integrated Care leadership and inspire participants to carry the CFHA “spark” home after the conference, igniting ongoing passion for integration. This framework classifies drivers of change into three groups. These Firestarter types […]
The Value of a Pearls Gathering At the end of the first pandemic year, BHCs from multiple sites at the Pediatric Physicians’ Organization at Children’s (PPOC) convened to reflect on what we called the “Pearls of 2020 – Staying Integrated During the Pandemic.” The Pearls initiative identified six key elements of integration, each of which […]
Third Culture Kids (TCKs) are children of expatriates who spend a significant part of their upbringing in a culture different from their own or their parents’ nationality. The term TCK stems from the presence of three cultural influences in their lives: their heritage culture(s), the host country culture(s), and the culture of expatriates and other TCKs. […]
A True Story of Solidarity in Action Just weeks earlier, on September 20, Hurricane Maria struck Puerto Rico, claiming many lives and leaving widespread destruction in its wake. In response, the people of Holyoke, Massachusetts, mobilized. Residents and local leaders joined forces to send food and clothing to the island and to welcome newly arrived […]
Addressing vaccine hesitancy requires tailored, evidence-based strategies to address the causes. WHO grouped these determinants into contextual, individual, and group influences and vaccine/vaccination-specific issues. However, most vaccine hesitancy measurement tools have limited psychometric validation. Further studies correlating measurements with vaccination behavior and validating these tools in different populations, including pediatric populations, are warranted. Evidence-based strategies for […]
It has been suggested that psychology’s role in this post-truth era should be to help people differentiate between beliefs and facts by studying and developing the meta-cognitive skills necessary for searching, evaluating, and applying information. This would entail developing practical tools to foster critical thinking and reflexivity and exploring ways to make psychological information accessible […]
It is nighttime, the sky is cloudy, and the sea is dark. Giant radio antennae gyrate as a voice over a speaker says, “Your position” to obtain the boat coordinates. Of course, the question can also serve as an interpellation for the spectator on their position on the issue. Rosi’s camera accompanies members of the […]
1. Clarify Overlapping and Distinct Goals 2. Leverage the CCBHC Funding to Enhance PCBH Capacity 3. Enhance Care Coordination Across Both Models 4. Address Workforce Challenges 5. Leverage Technology and Data 6. Communicate a Unified Vision to Staff and Leadership 7. Culture, culture, culture! References Reiter, J. T., Dobmeyer, A. C., & Hunter, C. L. […]
Patients experience primary care firsthand, offering valuable insights into the accessibility, scope, coordination, and continuity of services. Their feedback can help identify gaps, refine innovations, and ensure that enhancements truly improve patient-centered care. By integrating patient perspectives, healthcare systems can more effectively tailor and assess improvements in the 4Cs, leading to more responsive, efficient, and […]
The review underscores the importance of integrating behavioral health into the public health agenda, opposing the health-detrimental effects of anti-immigration policies and calling for collective efforts to advocate for policy changes. This call for action urges healthcare professionals, policymakers, and advocates to evaluate the intersection of immigration policies and behavioral health, emphasizing that global health […]
A Shakespearean Influence Hamlet’s poignant dilemma, “To be or not to be,” has significantly contributed to illustrating ambivalence as an integral part of the human experience. And research has highlighted its role in moderating the relationship between attitudes and behavior. However, there are still questions about when ambivalence leads to more resistance or susceptibility to […]
