RREACT: A mobile multidisciplinary response to overdose.

Opioid overdose is a leading cause of death in the United States, and engaging with patients following overdose to provide harm reduction and recovery resources can prove difficult. Quick response models use mobile, multidisciplinary teams to establish a time-sensitive connection between individuals who overdosed and harm reduction and recovery resources that improve outcomes. These quick response models are consistent with the broader field of mobile-integrated health programs that are growing in number and acceptability, though the literature base is sparse and programs vary.

Ohio Health Care Professionals' Pandemic-Related Help-Seeking Knowledge, Behaviors, and Concerns.

Background: Health care professionals (HCPs) historically exhibit high rates of stress, burnout, and low rates of service utilization from Employee Assistance Programs (EAPs) and Professional Health Programs (PHPs). New and magnified stressors that accompanied COVID-19 exacerbated HCPs' risk of burnout.

Purpose: During the pandemic, this study examined Ohio HCP's utilization of EAPs and PHPs, knowledge of available services, barriers to accessing services, and likelihood of future service utilization.

Ohio pharmacy personnel's burnout and wellbeing: The impact of the COVID-19 pandemic.

Background: While burnout is a well-known phenomenon among physicians and nurses, burnout among pharmacists and pharmacy personnel is understudied and less recognized.

Objectives: The primary objectives of this study were to describe and compare Ohio pharmacy personnel's self-reports of burnout and wellbeing prior to and during the COVID-19 pandemic.

Methods: A one-time online survey was completed by over 13,000 health care professionals in Ohio in July and August 2021.

Recovery Support and Capacity Assessment Using the Calculating an Adequate System Tool: Two Case Studies.

Background: There are multiple, reliable, and authoritative federally managed data sources for understanding the incidence and prevalence of substance use disorder (SUD) and its sequela. However, there remains a gap in metrics representing the need and capacity for treatment and related supports within local communities. To address this challenge, Calculating an Adequate System Tool (CAST) was developed in 2016 by an interdisciplinary group of researchers at the Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality to assess the capacity of the SUD care system within a defined geographic area.

Associations Between Mothers' Adverse Childhood Experiences, Material Hardship, and Breastfeeding Challenges in the United States.

Background: Breastfeeding is the biological norm and is associated with numerous superior health outcomes for children and mothers when compared to human milk substitutes. Yet, breastfeeding difficulties and the inability to meet one's breastfeeding goals are common in the United States and maybe more common among mothers who have experienced trauma.

Research Questions: (1) Are mothers' adverse childhood experiences, and current experiences of discrimination, material hardship, and decreased social support associated with breastfeeding challenges; and (2) are these experiences associated with the number of breastfeeding challenges reported?

Methods: A prospective, non-probability, cross-sectional study design with a diverse sample who had delivered a live baby within the previous year ( = 306) was conducted.

Mothers' Resilience: Experiences of Intimate Partner Violence Survivors at Work.

Mothers who experience intimate partner violence can be resilient in maintaining employment during periods of abuse. The current qualitative study examines mothers' experiences of abusive workplace disruptions as well as helpful responses from workplaces. Two main research questions are addressed: 1.

Postpartum physical health: The role of mothers' adverse childhood experiences and material hardship.

Objective: Postpartum physical health is a neglected field of research, yet postpartum physical health problems can significantly interfere with mothers' abilities to meet personal, familial, and work-related responsibilities. This study sought to provide increased understanding of the role that social determinants of health-adverse childhood experiences (ACEs), material hardship, and social support; and discrimination-play in mothers' postpartum physical health.

Method: An online survey was completed by a racially, ethnically, and socioeconomically diverse sample ( = 306) of United States women (age 18 and older) who delivered a live baby within the previous year.

Structural vulnerabilities and breastfeeding among female sex workers in Mumbai.

Breastfeeding has numerous health, environmental, and economic benefits, and the promotion and support of breastfeeding has been at the centre of efforts from many global organizations such as WHO and UNICEF to promote maternal and child health. Interventions developed from such policies tend to be inaccessible to those who are economically marginalized, however, and thus may further inequities. Understanding the lived experiences of women occupying this segment of society, such as sex workers, illuminates the social and structural determinants of breastfeeding and how they constitute structural vulnerability that renders breastfeeding difficult.

A Qualitative Study of Intimate Partner Violence and Employment Instability.

Maintaining employment while suffering from intimate partner violence (IPV) is extremely difficult given the direct and indirect ways abusers disrupt work. The current qualitative study seeks to strategically fill a gap in knowledge regarding survivors' employment instability and gain insight toward creating more supportive workplaces for survivors. Women ( = 19) receiving services for IPV at a Midwest U.

Peer-to-Peer Human Milk Sharing: Recipient Mothers' Motivations, Stress, and Postpartum Mental Health.

Background: Some mothers who cannot breastfeed-partially or completely-choose to feed their infants human milk donated from a peer. Few studies have examined mothers' experiences with using donor milk; none has examined whether or not mothers' stress and mental health are associated with using donor milk from a peer.

Methods: Researchers conducted semistructured individual interviews with mothers from the United States and Canada (N = 20) to answer the following questions: (a) what are recipient mothers' motivations for participation in peer-to-peer breast milk sharing and (b) what is the relationship between receiving donated milk and mothers' stress and mental health postpartum? Transcripts were coded using an inductive approach and principles of grounded theory were used to analyze data.

The role of parenting stress in mediating the relationship between neighborhood social cohesion and depression and anxiety among mothers of young children in fragile families.

This study was designed to examine the roles of neighborhood social cohesion and parenting stress in influencing maternal mental health outcomes among primarily low-income, unmarried, urban mothers. Structural equation modeling was conducted using cross-sectional Fragile Families and Child Wellbeing Study data (N = 3,876), to test the hypotheses that neighborhood social cohesion would be associated with depression and anxiety among mothers with children aged 3 years and that this relationship would be mediated by parenting stress. The mediation model demonstrated good fit, χ (796) = 3169.

A Liberation Health Approach to Examining Challenges and Facilitators of Peer-to-Peer Human Milk Sharing.

Background: Human milk sharing between peers is a common and growing practice. Although human milk has been unequivocally established as the ideal food source for infants, much stigma surrounds the practice of human milk sharing. Furthermore, there is little research examining peer-to-peer human milk sharing.