scholarly journals The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

2020 ◽  
Vol 11 ◽  
pp. 215013272093606
Author(s):  
Christine A. Limbers ◽  
Abbi Gutierrez ◽  
L. Adelyn Cohen
Keyword(s):  
Mental Health ◽  
Regression Analysis ◽  
Parenting Stress ◽  
Medical Home ◽  
Children With Autism ◽  
Patient Centered Medical Home ◽  
Maternal Perceptions ◽  
Patient Centered ◽  
Children With Asd ◽  
Maternal Reports

Objective: This study examined the correlations between receiving care in patient-centered medical home and maternal reports of their mental health and parenting stress in a national sample of mothers of children with autism spectrum disorder (ASD). Method: Participants were 1108 mothers of children with ASD (average age = 10.6 years; 81% male) from the 2011-2012 National Survey of Children’s Health. Multiple linear regression analysis and polynomial logistic regression analysis were used to evaluate if having a child with ASD cared for in a patient-centered medical home was significantly associated with maternal reports of their parenting stress and mental health. We also assessed whether 5 indicators of the American Academy of Pediatrics medical home definition were differentially associated with maternal outcomes. Results: Receiving care in a patient-centered medical home was associated with maternal reports of less parenting stress (standardized β = −0.201; P < .001) and better mental health (odds ratios range from 0.204 to 0.360; P < .001) after controlling for sociodemographic variables. Of the 5 indicators of the medical home definition, only effective care coordination was significantly associated with maternal perceptions of their parenting stress and mental health. Conclusion: Future longitudinal studies are needed to assess the temporal associations between patient-centered medical home status and maternal perceptions of their mental health and parenting stress in mothers of children with ASD.

scholarly journals Mental Health Recovery in the Patient-Centered Medical Home

2015 ◽  
Vol 105 (9) ◽  
pp. 1926-1934 ◽  
Author(s):  
Marisa Sklar ◽  
Gregory A. Aarons ◽  
Maria O’Connell ◽  
Larry Davidson ◽  
Erik J. Groessl
Keyword(s):  
Mental Health ◽  
Medical Home ◽  
Mental Health Recovery ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals Patient-Centered Medical Home Care for Adolescents in Need of Mental Health Treatment

2018 ◽  
Vol 63 (2) ◽  
pp. 172-180
Author(s):  
Juliet C. Yonek ◽  
Neil Jordan ◽  
Dorothy Dunlop ◽  
Rachel Ballard ◽  
Jane Holl
Keyword(s):  
Mental Health ◽  
Home Care ◽  
Medical Home ◽  
Mental Health Treatment ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Health Treatment

scholarly journals Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

2015 ◽  
Vol 30 (12) ◽  
pp. 1828-1836 ◽  
Author(s):  
Audrey L. Jones ◽  
Susan D. Cochran ◽  
Arleen Leibowitz ◽  
Kenneth B. Wells ◽  
Gerald Kominski ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Service ◽  
Medical Home ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Provider Characteristics

scholarly journals Patient-Centered Medical Home Knowledge and Attitudes of Residents and Faculty: Certification Is Just the First Step

2015 ◽  
Vol 7 (4) ◽  
pp. 580-588 ◽  
Author(s):  
Fadya El Rayess ◽  
Roberta Goldman ◽  
Christopher Furey ◽  
Rabin Chandran ◽  
Arnold R. Goldberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Situated Learning ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Individual Interviews ◽  
Knowledge And Attitudes ◽  
Positive Attitudes ◽  
Level 3 ◽  
The Impact

ABSTRACT Background The patient-centered medical home (PCMH) is an accepted framework for delivering high-quality primary care, prompting many residencies to transform their practices into PCMHs. Few studies have assessed the impact of these changes on residents' and faculty members' PCMH attitudes, knowledge, and skills. The family medicine program at Brown University achieved Level 3 PCMH accreditation in 2010, with training relying primarily on situated learning through immersion in PCMH practice, supplemented by didactics and a few focused clinical activities. Objective To assess PCMH knowledge and attitudes after Level 3 PCMH accreditation and to identify additional educational needs. Methods We used a qualitative approach, with semistructured, individual interviews with 12 of the program's 13 postgraduate year 3 residents and 17 of 19 core faculty. Questions assessed PCMH knowledge, attitudes, and preparedness for practicing, teaching, and leading within a PCMH. Interviews were analyzed using the immersion/crystallization method. Results Residents and faculty generally had positive attitudes toward PCMH. However, many expressed concerns that they lacked specific PCMH knowledge, and felt inadequately prepared to implement PCMH principles into their future practice or teaching. Some exceptions were faculty and resident leaders who were actively involved in the PCMH transformation. Barriers included lack of time and central roles in PCMH activities. Conclusions Practicing in a certified PCMH training program, with passive PCMH roles and supplemental didactics, appears inadequate in preparing residents and faculty for practice or teaching in a PCMH. Purposeful curricular design and evaluation, with faculty development, may be needed to prepare the future leaders of primary care.

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