Introduction Physician-patient communication involves complex skills that affect quality, outcome, and satisfaction for patients, families, and health care teams.  https://www.selleckchem.com/products/sn-38.html  Yet, institutional, regulatory, and scientific demands compete for physicians' attention. A framework is needed to support physicians continued development of communication skills Coaching is 1 such evidence-based practice, and we assessed the feasibility of implementing such a program. Method Participants were 12 physicians, representing high and low scorers on the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) survey. We added items to capture empathy and family experience to the Calgary-Cambridge Observation Guide for the Medical Interview. Coaches observed communication associated with patient satisfaction and quality measures introductions (I), asking about concerns (C), and check for understanding (U), or ICU. Participants received a report describing their communication behaviors, emphasizing strengths, and identifying areas for improvement. Results Scores on the ICU significantly discriminated between low and high HCAHPS scorers, physicians from surgical and cognitive specialties, men and women. We collected anonymous feedback regarding the value of this training; participants recommended expanding the program. Discussion Based on physician endorsement, experienced coaches are expanding the coaching program to physicians throughout our institution. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Introduction Primary care is a common access point for children and adolescents with depression and suicidality concerns. In this setting, pediatricians typically function as front-line providers given barriers that patients face in accessing mental health clinicians. Method This study surveyed chief residents from all pediatric residency programs in the United States (N = 214) to evaluate (a) their attitudes, knowledge, practices, and comfort in managing depression and suicidality concerns in primary care, and (b) the relationship between residency training processes and pediatric residents' practices, knowledge, and comfort related to identifying and managing depression and suicidality. Results The usable response rate was 37.6%. The large majority of respondents are involved in evaluation and management of depression and suicidality; yet many respondents reported a lack of knowledge and comfort in these roles. Conclusions Recommendations for pediatric residency program training processes are discussed, including the potential added value of colocating mental health clinicians into the primary care continuity training clinic. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Introduction Studies about family functioning in adolescent anorexia nervosa (AN) are conflicting and often do not consider the possible differences between the restricting and binge/purging subtypes (AN-R and AN-B/P). Moreover, an underestimated element is the quality of the coparenting relationship, that is, the level of coordination and agreement between parents, as well as the methods of managing parental conflict. Method The study aims to explore family functioning, coparenting and conflict management in a sample of 60 adolescents with AN-R and AN-B/P and their relations with AN severity in terms of body mass index (BMI). Patients and parents completed the following questionnaires Family Adaptability and Cohesion Evaluation Scales, Coparenting Scale-Revised, and Conflict Management Questionnaire. Results No differences are found in general family functioning between the two groups, but mothers in the AN-R group show a higher coparental conflict and a tendency to use negative-passive ways of conflict management than mothers of the AN-B/P group. Moreover, the presence of a coparental conflict is associated to lower BMI and to more dysfunctional family functioning. Discussion These findings underline the importance of increasing knowledge on specific aspects of general family functioning. In particular, it seems that the way parents manage conflict between themselves as partners can have a role in the maintenance of AN. Clinical implications of these results are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).In this issue, Flynn and colleagues (see record 2020-40858-002) have authored an important article on the positive role for behavioral health integration in improving health, mental health, and quality of life for Latinx primary care patients along the U.S.-Mexico border (Flynn, Gonzalez, Mata, Salinas, & Atkins, 2020). The title of the article is "Integrated Care Improves Mental Health in a Medically Underserved US-Mexico Border Population." Article titles, of course, never tell the full story contained within. The author's use of the term medically underserved as a descriptor invites reflection on other potential descriptors of this tender and vulnerable population. How about soul-battered? Isolated and invisible? Medically maltreated? Human rights denied? In this commentary, I hope to draw heightened attention to the importance of health care practitioners' turning inward, exploring our contributions to health inequities, and turning down the impacts of stereotypes and implicit bias in how we work with our patients and our teams. You will also find within these lines a call for upstream social change in how our society rectifies historical social, environmental, and health injustice and inequities. (PsycInfo Database Record (c) 2020 APA, all rights reserved).In their article "Integrated Care Improves Mental Health in a Medically Underserved U.S. Mexico Border Population," Flynn, Gonzalez, Mata, Salinas, and Atkins (see record 2020-40858-002) report on an integrated care model using promotoras to address diabetes in a Latino population. Overall, they found that participants had improved quality of life (QoL) and depression measures; however, physical health outcomes did not improve significantly compared to the comparison group. In this commentary, we draw on our expertise working with the Latino population in mental health settings, most recently with refugees at the U.S.-Mexico border, as well as our experience working on integrated care teams and our deep understanding of the impact of trauma on health. (PsycInfo Database Record (c) 2020 APA, all rights reserved).