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Opioids & SU
The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
695 Results
22
A Proactive Response to Prescription Opioid Abuse
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Opioids & Substance Use
See topic collection
, Healthcare Policy
See topic collection
23
A Review of Integrated Care for Concurrent Disorders: Cost Effectiveness and Clinical Outcomes
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: Objective: The recognition of concurrent disorders (combined mental health and substance use disorders) has increased substantially over the last three decades, leading to greater numbers of people with these diagnoses and a subsequent greater financial burden on the health care system, yet establishing effective modes of management remains a challenge. Further, there is little evidence on which to base recommendations for a particular mode of health service delivery. This paper will further summarize the existing treatment models for a comprehensive overview. The objectives of this study are to determine whether existing service models are effective in treating combined mental health and substance use disorders and to examine whether an integrated model of service delivery should be recommended to policy makers. The following two research questions are the focus of this paper: (1) Are the existing service models effective at treating mental health and substance use disorders? (2) How are existing service models effective at treating mental health and substance use disorders? Methods: We used various databases to systematically review the effectiveness of service delivery models to treat concurrent disorders. Models were considered effective if they are found to be cost-effective and significantly improve clinical and social outcomes. Results: This systematic review revealed that integrated models of care are more effective than conventional, nonintegrated models. Integrated models demonstrated superiority to standard care models through reductions in substance use disorders and improvement of mental health in patients who had diagnoses of concurrent disorders. Our meta-analysis revealed similar findings, indicating that the integrated model is more cost-effective than standard care. Conclusions: Given the limited number of studies in relation to service delivery for concurrent disorders, it is too early to make a strong evidence-based recommendation to policy makers and service providers as to the superiority of one approach over the others. However, the available evidence suggests that integrated care models for concurrent disorders are the most effective models for patient care. More research is needed, especially around the translation of research findings to policy development and, vice versa, around the translation from the policy level to the patients' level.
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Policy
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links: 
View the DOI record for A Review of Integrated Care for Concurrent Disorders: Cost Effectiveness and Clinical Outcomes
View DOI Record
View the PubMed citation for A Review of Integrated Care for Concurrent Disorders: Cost Effectiveness and Clinical Outcomes29
Access to primary care services for homeless mentally ill people
Type: Journal Article
Year: 2008
Publication Place: England
Abstract: Modernisation of mental health services has been a government priority in recent years with new legislation, increased funding and investment and service reforms. The National Service Framework (NSF) for Mental Health defines national standards to meet the mental healthcare needs of adults up to the age of 65. This article considers standards two and three of the NSF regarding access to primary care services for people with a mental health problem. It discusses whether these standards consider homeless people, who continue to experience significant problems gaining equal access to health care.
Topic(s):
Healthcare Disparities
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, Healthcare Policy
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Reference Links: View the PubMed citation for Access to primary care services for homeless mentally ill people
30
Access to treatment for adolescents with substance use and co-occurring disorders: Challenges and opportunities
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: OBJECTIVE: To review the research on economic and systemic barriers faced by adolescents needing treatment for alcohol and drug problems, particularly those with co-occurring conditions. METHOD: We reviewed the literature on adolescent access to alcohol and drug services, including early intervention, and integrated and specialty mental health treatment for those with co-occurring disorders, examining the role of health care systems, public policy (health reform), treatment financing and reimbursement systems (public and private), implementation of evidence-based practices, confidentiality practices, and treatment costs and cost/benefits. RESULTS: Barriers to treatment, particularly integrated treatment, are largely rooted in our organizationally fragmented health care system, which encompasses public and private, carved-out and integrated systems, and different funding mechanisms (Medicaid versus block grants versus private insurance that include "high deductible" plans and other cost controls.) In both systems, carved-out programs de-link services from other mental health and general health care. Barriers are also rooted in disciplinary differences and weak clinical linkages between psychiatry, primary care and substance use, and in confidentiality policies that inhibit communication and coordination, while protecting patient privacy. CONCLUSION: In this era of health care reform, we have the opportunity to increase access for adolescents and develop new models of integrated services for those with co-occurring conditions. We discuss opportunities for improving treatment access and implementation of evidence-based practices, examine implications of health reform and parity legislation for psychiatric and substance use treatment, and comment on key unanswered questions and future research opportunities.
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Policy
See topic collection
Reference Links:
View the DOI record for Access to treatment for adolescents with substance use and co-occurring disorders: Challenges and opportunities
View DOI Record
View the PubMed citation for Access to treatment for adolescents with substance use and co-occurring disorders: Challenges and opportunities32
Achieving cost control, care coordination, and quality improvement through incremental payment system reform
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: The healthcare reform goal of increasing eligibility and coverage cannot be realized without simultaneously achieving control over healthcare costs. The reform of existing payment systems can provide the financial incentive for providers to deliver care in a more coordinated and efficient manner with minimal changes to existing payer and provider infrastructure. Pay for performance, best practice pricing, price discounting, alignment of incentives, the medical home, payment by episodes, and provider performance reports are a set of payment reforms that can result in lower costs, better coordination of care, improved quality of care, and increased consumer involvement. These reforms can produce immediate Medicare annual savings of $10 billion and create the framework for future savings by establishing financial incentives for long-term provider behavior changes that can lead to lower costs.
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Policy
See topic collection
Reference Links:
View the DOI record for Achieving cost control, care coordination, and quality improvement through incremental payment system reform
View DOI Record
View the PubMed citation for Achieving cost control, care coordination, and quality improvement through incremental payment system reform39
Addressing the determinants of child mental health: intersectionality as a guide to primary health care renewal
Type: Journal Article
Year: 2010
Publication Place: Canada
Abstract: Primary health care (PHC) renewal was designed explicitly to attend to the multidimensional factors impacting on health, including the social determinants of health. These determinants are central considerations in the development of integrated, cross-sectoral, and multi-jurisdictional policies such as those that inform models of shared mental health care for children. However, there are complex theoretical challenges in translating these multidimensional issues into policy. One of these is the rarely discussed interrelationships among the social determinants of health and identities such as race, gender, age, sexuality, and social class within the added confluence of geographic contexts. An intersectionality lens is used to examine the complex interrelationships among the factors affecting child mental health and the associated policy challenges surrounding PHC renewal. The authors argue that an understanding of the intersections of social determinants of health, identity, and geography is pivotal in guiding policy-makers as they address child mental health inequities using a PHC renewal agenda.
Topic(s):
Healthcare Policy
See topic collection
Reference Links: View the PubMed citation for Addressing the determinants of child mental health: intersectionality as a guide to primary health care renewal