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McCabe EM, Best NC, Bennett S, Johnson E, Jameson BE. Expanding Child Health Screenings Through School-Community Partnerships. Am J Nurs 2024; 124:53-57. [PMID: 39185984 DOI: 10.1097/01.naj.0001050820.21339.31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/27/2024]
Abstract
ABSTRACT Child health screenings are a critical, but often overlooked, aspect of children's medical care. School-community partnerships to conduct screenings and ensure that diagnostic follow-up and treatment occur can help achieve optimal child health outcomes. Such partnerships also serve to mitigate the impact of social determinants of health on children's well-being, address health disparities, and promote health equity. This article reviews four essential childhood health screenings-vision, hearing, dental, and mental health-and discusses how schools and community partners can collaborate to offer these screenings.
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Affiliation(s)
- Ellen M McCabe
- Ellen M. McCabe is an assistant professor at the Hunter-Bellevue School of Nursing in New York City, from which Emma Johnson recently graduated. Nakia C. Best is an assistant professor at the Sue and Bill Gross School of Nursing at the University of California, Irvine. Sheryl Bennett is an assistant professor at the Orvis School of Nursing at the University of Nevada, Reno. Beth E. Jameson is an assistant professor at the Seton Hall University College of Nursing in South Orange, NJ. Contact author: Ellen M. McCabe, . The authors have disclosed no potential conflicts of interest, financial or otherwise
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Graham KL, Paun O. Effects of Adverse Childhood Experiences in Black Older Adults. J Psychosoc Nurs Ment Health Serv 2024; 62:9-12. [PMID: 38315975 DOI: 10.3928/02793695-20240109-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
Adverse childhood experiences (ACEs) are socially complex events that affect children early in their lives. Research indicates that experiencing multiple ACEs increases an individual's risk for chronic physical and mental illness and premature death. Multigenerational traumas, including slavery, segregation, and institutional racism, have created an environment that perpetuates social and economic inequalities, ultimately leading to an increased risk of ACEs in Black individuals. ACEs' effects can manifest in Black older adults as physical health problems and mental health and social issues. Addressing the disparities in ACEs among Black older adults requires a multifaceted approach. Culturally sensitive and trauma-informed approaches are vital in supporting the mental and physical health of Black older adults who experienced ACEs. Clinicians, researchers, and policymakers need to advocate for supportive policies and interventions that address systemic racism, promote economic opportunities, and ensure equitable access to resources. [Journal of Psychosocial Nursing and Mental Health Services, 62(2), 9-12.].
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Bounds DT, Rodrigues SM, Milburn NG. Strengthening Families to Disrupt Intergenerational Health Inequities With Adolescents at Risk for Commercial Sexual Exploitation, Substance Use, and HIV. Am J Public Health 2023; 113:S124-S128. [PMID: 37339412 PMCID: PMC10282847 DOI: 10.2105/ajph.2023.307284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2023] [Indexed: 06/22/2023]
Affiliation(s)
- Dawn T Bounds
- Dawn T. Bounds is with the Sue & Bill Gross School of Nursing at the University of California Irvine and, at the time of this study, was in the section of Community Behavioral Health in the Department of Psychiatry and Behavioral Sciences and College of Nursing at Rush University Medical Center, Chicago, IL. Sarah M. Rodrigues is a graduate student researcher and PhD candidate in the Sue & Bill Gross School of Nursing at the University of California Irvine. Norweeta G. Milburn is with the Department of Psychiatry and Biobehavioral Sciences at the University of California Los Angeles Semel Institute Center for Community Health and the Nathanson Family Resilience Center at the University of California Los Angeles. She is also a guest editor of this special issue
| | - Sarah M Rodrigues
- Dawn T. Bounds is with the Sue & Bill Gross School of Nursing at the University of California Irvine and, at the time of this study, was in the section of Community Behavioral Health in the Department of Psychiatry and Behavioral Sciences and College of Nursing at Rush University Medical Center, Chicago, IL. Sarah M. Rodrigues is a graduate student researcher and PhD candidate in the Sue & Bill Gross School of Nursing at the University of California Irvine. Norweeta G. Milburn is with the Department of Psychiatry and Biobehavioral Sciences at the University of California Los Angeles Semel Institute Center for Community Health and the Nathanson Family Resilience Center at the University of California Los Angeles. She is also a guest editor of this special issue
| | - Norweeta G Milburn
- Dawn T. Bounds is with the Sue & Bill Gross School of Nursing at the University of California Irvine and, at the time of this study, was in the section of Community Behavioral Health in the Department of Psychiatry and Behavioral Sciences and College of Nursing at Rush University Medical Center, Chicago, IL. Sarah M. Rodrigues is a graduate student researcher and PhD candidate in the Sue & Bill Gross School of Nursing at the University of California Irvine. Norweeta G. Milburn is with the Department of Psychiatry and Biobehavioral Sciences at the University of California Los Angeles Semel Institute Center for Community Health and the Nathanson Family Resilience Center at the University of California Los Angeles. She is also a guest editor of this special issue
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Bounds DT, Stiles-Shields C, Schueller SM, Odgers CL, Karnik NS. Ethical considerations for developing pediatric mhealth interventions for teens with socially complex needs. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2023; 36:7-16. [PMID: 36134754 PMCID: PMC9898213 DOI: 10.1111/jcap.12396] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 08/03/2022] [Accepted: 09/11/2022] [Indexed: 02/06/2023]
Abstract
TOPIC Mobile Health (mHealth) stands as a potential means to better reach, assess, and intervene with teens with socially complex needs. These youth often face overlapping adversities including medical illness and a history of experiencing adverse childhood experiences (ACEs). Clinicians are faced with navigating ethical decisions when developing mHealth tools for teens who have socially complex needs. Many tools have been developed for adults from the general population. However, despite the development of thousands of mHealth interventions, developers tend to focus on designing for usability, engagement, and efficacy, with less attention on the ethical considerations of making such tools. PURPOSE To safely move mHealth interventions from research into clinical practice, ethical standards must be met during the design phase. In this paper we adapt the Four Box Model (i.e., medical indications, preferences of patients, quality of life, and contextual features) to guide mHealth developers through ethical considerations when designing mHealth interventions for teens who present with a medical diagnosis and a history of ACEs. SOURCES A review of language, inclusive features, data sharing, and usability is presented using both the Four Box Model and potential scenarios to guide each consideration. CONCLUSIONS To better support designers of mHealth tools we present a framework for evaluating applications to determine overlap with ethical design and are well suited for use in clinical practice with underserved pediatric patients.
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Affiliation(s)
- Dawn T Bounds
- Irvine, Sue & Bill Gross School of Nursing, University of California, Irvine, California, USA
- Department of Psychiatry and Behavioral Sciences, Section of Community Behavioral Health, Rush University, Chicago, Illinois, USA
| | - Colleen Stiles-Shields
- Department of Psychiatry and Behavioral Sciences, Section of Community Behavioral Health, Rush University, Chicago, Illinois, USA
- Institute for Juvenile Research, University of Illinois at Chicago, Illinois, USA
| | - Stephen M Schueller
- Department of Psychological Science, University of California-Irvine, Irvine, California, USA
| | - Candice L Odgers
- Department of Psychological Science, University of California-Irvine, Irvine, California, USA
- Social Science Research Institute, Duke University, Durham, North Carolina, USA
| | - Niranjan S Karnik
- Department of Psychiatry and Behavioral Sciences, Section of Community Behavioral Health, Rush University, Chicago, Illinois, USA
- Institute for Juvenile Research, University of Illinois at Chicago, Illinois, USA
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Ilyas Y, Hassanbeigi Daryani S, Kiriella D, Pachwicewicz P, Boley RA, Reyes KM, Smith DL, Zalta AK, Schueller SM, Karnik NS, Stiles-Shields C. Geolocation Patterns, Wi-Fi Connectivity Rates, and Psychiatric Symptoms amongst Urban Homeless Youth Using Self-Report and Smartphone Data: Pilot Study (Preprint). JMIR Form Res 2022; 7:e45309. [PMID: 37071457 PMCID: PMC10155082 DOI: 10.2196/45309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 02/17/2023] [Accepted: 03/06/2023] [Indexed: 03/08/2023] Open
Abstract
BACKGROUND Despite significant research done on youth experiencing homelessness, few studies have examined movement patterns and digital habits in this population. Examining these digital behaviors may provide useful data to design new digital health intervention models for youth experiencing homelessness. Specifically, passive data collection (data collected without extra steps for a user) may provide insights into lived experience and user needs without putting an additional burden on youth experiencing homelessness to inform digital health intervention design. OBJECTIVE The objective of this study was to explore patterns of mobile phone Wi-Fi usage and GPS location movement among youth experiencing homelessness. Additionally, we further examined the relationship between usage and location as correlated with depression and posttraumatic stress disorder (PTSD) symptoms. METHODS A total of 35 adolescent and young adult participants were recruited from the general community of youth experiencing homelessness for a mobile intervention study that included installing a sensor data acquisition app (Purple Robot) for up to 6 months. Of these participants, 19 had sufficient passive data to conduct analyses. At baseline, participants completed self-reported measures for depression (Patient Health Questionnaire-9 [PHQ-9]) and PTSD (PTSD Checklist for DSM-5 [PCL-5]). Behavioral features were developed and extracted from phone location and usage data. RESULTS Almost all participants (18/19, 95%) used private networks for most of their noncellular connectivity. Greater Wi-Fi usage was associated with a higher PCL-5 score (P=.006). Greater location entropy, representing the amount of variability in time spent across identified clusters, was also associated with higher severity in both PCL-5 (P=.007) and PHQ-9 (P=.045) scores. CONCLUSIONS Location and Wi-Fi usage both demonstrated associations with PTSD symptoms, while only location was associated with depression symptom severity. While further research needs to be conducted to establish the consistency of these findings, they suggest that the digital patterns of youth experiencing homelessness offer insights that could be used to tailor digital interventions.
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Affiliation(s)
- Yousaf Ilyas
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States
| | | | - Dona Kiriella
- School of Medicine, City University of New York, New York, NY, United States
| | - Paul Pachwicewicz
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States
| | - Randy A Boley
- Institute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States
- Center for Health Equity using Machine Learning and Artificial Intelligence (CHEMA), College of Medicine, University of Illinois Chicago, Chicago, IL, United States
| | - Karen M Reyes
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States
| | - Dale L Smith
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States
- Institute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States
- Center for Health Equity using Machine Learning and Artificial Intelligence (CHEMA), College of Medicine, University of Illinois Chicago, Chicago, IL, United States
| | - Alyson K Zalta
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States
- Department of Psychological Science, School of Social Ecology, University of California Irvine, Irvine, CA, United States
| | - Stephen M Schueller
- Department of Psychological Science, School of Social Ecology, University of California Irvine, Irvine, CA, United States
| | - Niranjan S Karnik
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States
- Institute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States
- Center for Health Equity using Machine Learning and Artificial Intelligence (CHEMA), College of Medicine, University of Illinois Chicago, Chicago, IL, United States
| | - Colleen Stiles-Shields
- Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States
- Institute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States
- Center for Health Equity using Machine Learning and Artificial Intelligence (CHEMA), College of Medicine, University of Illinois Chicago, Chicago, IL, United States
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Bounds DT, Posey PD. A Resistance Framework for Racially Minoritized Youth Behaviors During the Transition to Adulthood. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2022; 32:959-980. [PMID: 35980807 PMCID: PMC9543550 DOI: 10.1111/jora.12792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The transition from adolescence to adulthood is a challenging time marked by rapid changes in relational connections, housing status, and academic or work trajectories. We emphasize how structural inequality shapes racially minoritized youth behaviors and center the potential for resistance, arguing that a resistance lens allows us to deepen our understanding of the transition to adulthood for racially minoritized youth. Throughout the paper, we include research on how racially minoritized youth experience marginalizing institutional structures concurrently across multiple systems and their resulting behaviors. We end with the clinical and research implications of a resistance framework to illuminate resistance-informed responses such as rethinking risk and creating spaces for youth-led self-making, youth-adult partnerships to scaffold transitions, and cultivating youth activism.
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