Adjunct Faculty
Adjunct faculty typically have an academic or research appointment at another institution and contribute or collaborate with one or more School of Medicine faculty members or programs.
Adjunct rank detailsMargaret Holland, PhD, MPH
Assistant Professor AdjunctAbout
Research
Publications
2026
Prioritizing participant safety in mental health research involving marginalized groups: a narrative review and case exemplar synthesizing recommendations and best practices
Jackson B, Smye V, Lowe S, Holland M, Sadler L. Prioritizing participant safety in mental health research involving marginalized groups: a narrative review and case exemplar synthesizing recommendations and best practices. Children And Youth Services Review 2026, 183: 108842. DOI: 10.1016/j.childyouth.2026.108842.Peer-Reviewed Original ResearchMental health researchEffects of traumatic exposureComplex trauma historiesParticipant safetyNear universal experienceHealth researchAcute emotional distressTraumatic exposureTrauma historyHard-to-reach populationsEvidence-informed strategiesEmotional distressAdverse experiencesHarm reduction approachesViolence-informedParticipant burdenProtective factorsRe-traumatizationExploration of traumaFoster careStudy participantsRisk management best practicesNarrative reviewParticipantsEthical standardsEmergency Physicians' Electronic Health Record Use and High-Risk Unscheduled Return Visits: A Case-Control Study
Iscoe M, Feit B, Venkatesh A, Holland M, Melnick E. Emergency Physicians' Electronic Health Record Use and High-Risk Unscheduled Return Visits: A Case-Control Study. Journal Of Emergency Medicine 2026 DOI: 10.1016/j.jemermed.2026.02.039.Peer-Reviewed Original ResearchElectronic health recordsED visitsAssociated with oddsUnscheduled returnsEHR timeRetrospective case-control studyUnscheduled return visitsChief complaintSingle health systemEHR useED qualityHealth recordsNight arrivalHealth systemED dischargeIndex visitStudy of adult patientsHigh-risk groupCharlson Comorbidity IndexHospital admissionReturn visitsInclusion criteriaAcuity scoresLogistic regressionCase-control study of adult patientsChild Trauma and Family Adversity Predict Treatment Completion Among High‐Risk Youth in Intensive Home‐Based Treatment: A Latent Class Analysis of the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS)
Holland M, Decker L, Kamody R, Stob V, Woolston J. Child Trauma and Family Adversity Predict Treatment Completion Among High‐Risk Youth in Intensive Home‐Based Treatment: A Latent Class Analysis of the Intensive In‐Home Child & Adolescent Psychiatric Service (IICAPS). Journal Of Clinical Psychology 2026, 82: 563-572. PMID: 41543330, DOI: 10.1002/jclp.70088.Peer-Reviewed Original ResearchConceptsIntensive home-based treatmentLatent class analysisChild traumaClass analysisFamily adversityHigh-risk youthHard-to-reach populationsPsychiatric servicesAdolescent psychiatric servicesTreatment engagementPredicted treatment completionEmpirical researchUnderserved youthEffects of childhood traumaHome-based treatmentYouthChildhood traumaAt-risk groupsAdversityPsychosocial contextArchival dataEngagementFamilyTraumatic eventsServices
2025
“Finally my turn to write my story”: A convergent mixed methods study exploring the perceptions and experiences of emerging adults who aged out of foster care in Canada
Jackson B, Holland M, Smye V, Lowe S, Sadler L. “Finally my turn to write my story”: A convergent mixed methods study exploring the perceptions and experiences of emerging adults who aged out of foster care in Canada. PLOS ONE 2025, 20: e0338574. PMID: 41460868, PMCID: PMC12747405, DOI: 10.1371/journal.pone.0338574.Peer-Reviewed Original ResearchConceptsMental health challengesHealth challengesQuantitative armQualitative armPositive adaptationParticipants' transitionMental health care needsVirtual semi-structured interviewsHealth care needsDevelopment of interventionsFoster careStructural violenceQualitative data collectionSemi-structured interviewsCare needsCanadians ageQualitative themesMental healthSociodemographic characteristicsJoint displaysElectronic questionnaireExperiences of structural violenceEmergent findingsCareCare historyIdentification of Child-Maltreatment-Related Emergency Department Visits From Electronic Health Records
Holland M, Hunter A, Livingston N, Bechtel K. Identification of Child-Maltreatment-Related Emergency Department Visits From Electronic Health Records. Academic Pediatrics 2025, 26: 103135. PMID: 40876626, DOI: 10.1016/j.acap.2025.103135.Peer-Reviewed Original ResearchConnecticut Children's Medical CenterProvider notesYale-New Haven Children's HospitalEmergency departmentElectronic health recordsEmergency department visitsChief complaintChild maltreatment concernsHealth recordsChild maltreatmentED recordsDepartment visitsED visitsMaltreatment codeMaltreatment concernsED provider noteMedical CenterProvidersChart reviewPrevalence of child maltreatmentChildren's Medical CenterPositive predictive valueChildren's HospitalVisitsComplaints
2024
Barriers to Recruitment and Retention Among Underrepresented Populations in Cancer Clinical Trials: A Qualitative Study of the Perspectives of Clinical Trial Research Coordinating Staff at a Cancer Center
Yousafi S, Rangachari P, Holland M. Barriers to Recruitment and Retention Among Underrepresented Populations in Cancer Clinical Trials: A Qualitative Study of the Perspectives of Clinical Trial Research Coordinating Staff at a Cancer Center. Journal Of Healthcare Leadership 2024, 16: 427-441. PMID: 39502080, PMCID: PMC11537200, DOI: 10.2147/jhl.s488426.Peer-Reviewed Original ResearchCancer clinical trialsCancer CenterCoordination staffProvision of high-quality healthcareHigh-quality healthcareNon-patient-facing staffAcademic cancer centerEvidence-based guidelinesSemi-structured interviewsLearning CollaborativeStaff shortagesLack of resourcesStaff interviewsExamined barriersGeneralizability of findingsThematic analysisQualitative studyParticipant diversityCharacteristics of clinical trialsClinical trialsInadequate systemsStaffParticipation incentivesEquitable representationInterview dataTelehealth in Home Visiting for New Mothers: Are Outcomes Different if the First Visits Are in Person?
Holland M, Fitch D, Regmi D, Sadler L. Telehealth in Home Visiting for New Mothers: Are Outcomes Different if the First Visits Are in Person? Prevention Science 2024, 25: 1153-1163. PMID: 39349915, PMCID: PMC11519217, DOI: 10.1007/s11121-024-01731-5.Peer-Reviewed Original ResearchIntimate partner violenceHome visitsChild developmentLikelihood of elevated depressive symptomsNurse-Family PartnershipHome visiting programsElevated depressive symptomsIn-Person VisitsEvidence-based modelPartner violenceSecondary data analysisChild maltreatmentLikelihood of breastfeedingAged 6 monthsLikelihood of retentionVisiting programsChild healthNew mothersChildren Aged 6 MonthsDepressive symptomsVideo encountersIn-personNatural experimentScreening assessmentProgram involvementBenchmarking Emergency Physician EHR Time per Encounter Based on Patient and Clinical Factors
Iscoe M, Venkatesh A, Holland M, Krumholz H, Sheares K, Melnick E. Benchmarking Emergency Physician EHR Time per Encounter Based on Patient and Clinical Factors. JAMA Network Open 2024, 7: e2427389. PMID: 39136949, PMCID: PMC11322841, DOI: 10.1001/jamanetworkopen.2024.27389.Peer-Reviewed Original ResearchComparing in Person to Telehealth Delivery of a Family Violence Intervention
Stover C, Holland M, Martin E, Modanesi E, Fish M, Beebe R. Comparing in Person to Telehealth Delivery of a Family Violence Intervention. Clinical Psychology & Psychotherapy 2024, 31: e3034. PMID: 39089327, DOI: 10.1002/cpp.3034.Peer-Reviewed Original ResearchConceptsIntimate partner violenceTelehealth deliveryIn-personFamily violence interventionTested in-personSymptoms of depressionChild protective servicesMental health symptomsTelehealth-delivered interventionIn-person deliveryIPV interventionsPartner violenceTreatment engagementViolence interventionsHealth symptomsProtective servicesIntervention servicesTelehealthCompletion ratesFathersInterventionClinical outcome dataCompleted treatmentOutcome dataF4CParenting experiences and outcomes among former adolescent mothers: A mixed methods study
Flaherty S, Knobf M, Holland M, Slade A, Nelson L, Sadler L. Parenting experiences and outcomes among former adolescent mothers: A mixed methods study. PLOS ONE 2024, 19: e0303119. PMID: 38748745, PMCID: PMC11095697, DOI: 10.1371/journal.pone.0303119.Peer-Reviewed Original ResearchConceptsMixed methods studyParenting outcomesRandomized clinical trialsAdolescent mothersMethods studyParents' experiencesSequential mixed methods studyExplanatory sequential mixed methods studyHome visiting programsPositive parenting outcomesPhase involved interviewsVisiting programsParticipants' experiencesChild behavior problemsPromote personal growthParticipants 2Maternal experienceQuantitative phaseQualitative dataPersonal growthEarly adulthoodBehavior problemsMothersHostile parentingOutcomes