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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
210
Fentanyl and the Evolving Opioid Epidemic: What Strategies Should Policy Makers Consider?
Type: Journal Article
Year: 2018
Abstract: Major policy efforts are being aimed at combating the epidemic of opioid addiction and overdose deaths. In response to the epidemic, the medical community and policy makers have attempted to intervene; to date, these varied approaches have done little to reverse the increase in mortality related to opioid overdose. One factor that has complicated efforts to control overdose deaths has been the emergence of a public health crisis related to illicit fentanyl. The rise in fentanyl-related overdose deaths means that new approaches are needed to combat the opioid epidemic, including adoption of harm reduction strategies. Specific strategies that should be considered as part of efforts to combat the opioid crisis include safe drug consumption sites, anonymous drug-checking services, updated naloxone distribution policies, harm reduction-oriented policing, expansion of evidence-based pharmacological treatments in criminal justice and emergency department settings, and stigma-reduction messaging emphasizing the risks of fentanyl.
Topic(s):
Healthcare Policy
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, Opioids & Substance Use
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Reference Links: 
View the DOI record for Fentanyl and the Evolving Opioid Epidemic: What Strategies Should Policy Makers Consider?
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View the PubMed citation for Fentanyl and the Evolving Opioid Epidemic: What Strategies Should Policy Makers Consider?211
Financing mental health services for adolescents: A background paper
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: Good mental health provides an essential foundation for normal growth and development through adolescence and into adulthood. Many adolescents, however, experience mental health problems that significantly impede the attainment of their full potential. The majority of these adolescents do not receive needed mental health services, in part because of financial obstacles to care. This article reviews the magnitude and impact of mental health problems during adolescence and highlights the importance of insurance coverage in assuring access to mental health services for adolescents. Significant limitations in private health insurance coverage of mental health services are outlined. Recent federal and state efforts to move toward parity in private insurance coverage between mental and physical health services are discussed, including an explanation of the role of Medicaid and the State Children's Health Insurance Program (SCHIP) in providing access to mental health services for adolescents. Finally, other elements that would facilitate financial access to essential mental health services for adolescents are presented.
Topic(s):
Financing & Sustainability
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, Healthcare Policy
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Reference Links:
View the DOI record for Financing mental health services for adolescents: A background paper
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View the PubMed citation for Financing mental health services for adolescents: A background paper213
Four states with robust prescription drug monitoring programs reduced opioid dosages
Type: Journal Article
Year: 2018
Abstract: State prescription drug monitoring programs (PDMPs) aim to reduce risky controlled-substance prescribing, but early programs had limited impact. Several states implemented robust features in 2012-13, such as mandates that prescribers register with the program and regularly check its registry database. Some states allow prescribers to fulfill the latter requirement by designating delegates to check the registry. The effects of robust PDMP features have not been fully assessed. We used commercial claims data to examine the effects of implementing robust PDMPs in four states on overall and high-risk opioid prescribing, comparing those results to trends in similar states without robust PDMPs. By the end of 2014 the absolute mean morphine-equivalent dosages that providers dispensed declined in a range of 6-77 mg per person per quarter in the four states, relative to comparison states. Only in one of the four states, Kentucky, did the percentage of people who filled opioid prescriptions decline versus its comparator state, with an absolute reduction of 1.6 percent by the end of 2014. Robust PDMPs may be able to significantly reduce opioid dosages dispensed, percentages of patients receiving opioids, and high-risk prescribing.
Topic(s):
Healthcare Policy
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Four states with robust prescription drug monitoring programs reduced opioid dosages
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View the PubMed citation for Four states with robust prescription drug monitoring programs reduced opioid dosages216
Full immersion in the mainstream: how years of promise for mental health and substance use disorders came to fruition with the Affordable Care Act
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: With passage of the Patient Protection and Affordable Care Act (ACA), the behavioral health community has achieved entry into the mainstream of U.S. health care. Passage of the law was the culmination of a long effort by advocates. At the same time, findings from research and practice have informed the nation's understanding that behavioral health is integral to health. The primary task before the behavioral health community now is to ensure that the advances of recent years are secured through implementation of the ACA and approaches to service delivery that emphasize integrated care.
Topic(s):
Healthcare Policy
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217
Further policy changes are needed to improve depression care
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
Healthcare Policy
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Reference Links:
View the DOI record for Further policy changes are needed to improve depression care
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View the PubMed citation for Further policy changes are needed to improve depression care218
Grand challenges in global mental health: integration in research, policy, and practice
Type: Journal Article
Year: 2013
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Healthcare Policy
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Reference Links:
View the DOI record for Grand challenges in global mental health: integration in research, policy, and practice
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View the PubMed citation for Grand challenges in global mental health: integration in research, policy, and practice219
Grand challenges: integrating mental health services into priority health care platforms
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: In the last article of a five-part series providing a global perspective on integrating mental health, Vikram Patel and colleagues discuss the competencies, operational innovation, and packages of care needed, and argue that integration will complement primary care system strengthening.
Topic(s):
Healthcare Policy
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, Key & Foundational
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Reference Links:
View the DOI record for Grand challenges: integrating mental health services into priority health care platforms
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View the PubMed citation for Grand challenges: integrating mental health services into priority health care platforms