Difficult binds: A systematic review of facilitators and barriers to treatment among mothers with substance use disorders.

Background: The United States and Canada have observed sharp increases in substance use disorder among women of child-bearing or child-rearing age. Substance use disorder can have deleterious effects on children, families, and communities. Many evidence-based treatments exist, but engaging mothers in treatment is difficult.

Obstacles to diagnosis and treatment of Lyme disease in the USA: a qualitative study.

Objective: For many individuals with Lyme disease, prompt treatment leads to rapid resolution of infection. However, severe complications can occur if treatment is delayed. Our objective was to identify themes around belated diagnosis or treatment of Lyme disease using the General Model of Total Patient Delay (GMTPD).

From Discovery to Practice: Translating and Transforming Work-Family Research for the Health of Families.

The aim of this paper is to examine the meaning of translational research in the work and family field. Specifically, we review findings from a longitudinal study of low-wage workers across the transition to parenthood and examine how this basic discovery research informs the next step in translational research, that of clinical practice. The authors describe three specific sets of findings that hold direct and immediate implications for interventions and policy that could support working families.

Innovations in the Identification and Referral of Mothers at Risk for Depression: Development of a Peer-to-Peer Model.

This paper describes a feasibility study of a peer-delivered prevention intervention to identify mothers at high risk for depression and facilitate engagement in mental health services for their emotional health. Sixteen family peer advocates and their supervisors partnered with academic researchers over a period of six months to develop a four-session intervention that focused on identifying symptoms of depression, providing education about depression and treatment, actively linking caregivers to treatment for their own emotional health, and assisting caregivers in becoming active participants in their mental health care. Collaborating with peers to develop the model enhanced its perceived relevance and utility, and resulted in an intervention that was complimentary to their roles and the mission of peer-delivered support services.

Outcome domains in child mental health research since 1996: have they changed and why does it matter?

Objective: Child mental health treatment and services research yields more immediate public health benefit when they focus on outcomes of relevance to a broader group of stakeholders. We reviewed all experimental studies of child and adolescent treatment and service effectiveness published in the last 15 years (1996-2011) and compared the distribution and types of outcome domains to a prior review that focused on studies from the prior 15 years (1980-1995).

Method: Studies were included if they focused on children from birth to 18 years of age with specific or general psychiatric conditions, employed randomized designs, and examined intervention effects with a six-month or longer post-treatment assessment in treatment studies or a 6-month or longer post-baseline assessment for services studies.