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The Literature Collection contains over 11,000 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).
897 Results
281
Enabling interagency collaboration in providing comprehensive mental health care: the rise of the care coordinator
Type: Journal Article
Year: 2018
Publication Place: England
Topic(s):
General Literature
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View the DOI record for Enabling interagency collaboration in providing comprehensive mental health care: the rise of the care coordinator
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View the PubMed citation for Enabling interagency collaboration in providing comprehensive mental health care: the rise of the care coordinator282
Enabling interagency collaboration in providing comprehensive mental health care: the rise of the care coordinator
Type: Journal Article
Year: 2018
Publication Place: England
Topic(s):
General Literature
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View the DOI record for Enabling interagency collaboration in providing comprehensive mental health care: the rise of the care coordinator
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View the PubMed citation for Enabling interagency collaboration in providing comprehensive mental health care: the rise of the care coordinator283
Establishing outcome measures for shared care in the treatment of depression
Type: Journal Article
Year: 2013
Publication Place: Croatia
Abstract: Collaborative care between general practitioners and mental health specialists has been shown to improve the care of patients with depression in primary care and may be an important development in mental health services. Outcome measures are becoming increasingly important in psychiatry as we attempt to alter and improve the structure of services. In this article we propose a series of outcome measures that can be used to measure the effectiveness of shared care for patients with depression including objective measures of improvement in psychopathology and subjective measures of patient and professional experience.
Topic(s):
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Reference Links: View the PubMed citation for Establishing outcome measures for shared care in the treatment of depression
287
Evaluating the Accountable Health Communities Demonstration Project
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Despite substantial evidence documenting the social patterning of disease, relatively little information is available on how the health care system can best intervene on social determinants to impact individual and population health. Announced in January 2016, the Centers for Medicare and Medicaid Innovation's (CMMI) Accountable Health Communities (AHC) initiative provides an important opportunity to improve the evidence base around integrated social and medical care delivery. To maximize learning from this large-scale demonstration, comprehensive evaluation efforts should focus on effectiveness and implementation research by supporting local, regional, and national studies across a range of outcomes. Findings from this demonstration could transform how, when, and which patients' health-related social needs are addressed within the health care delivery system. Such findings would strongly complement other initiatives to address social factors outside of health care.
Topic(s):
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View the DOI record for Evaluating the Accountable Health Communities Demonstration Project
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View the PubMed citation for Evaluating the Accountable Health Communities Demonstration Project289
Evaluating the effectiveness of an integrated community continuum of care program for individuals with serious mental illness
Type: Journal Article
Year: 2013
Publication Place: England
Abstract: OBJECTIVE: To evaluate effectiveness of an "Continuum of Care Program" (CCCP) for persons with serious mental health conditions in reducing inpatient use, and building a continuum of integrated care that enhanced employment and residential stability. The program combined components of Assertive Community Treatment with a comprehensive wrap-around program. METHODS: A cohort of 1154 individuals admitted to four outpatient CCCPs between December 2003 and May 31 2004 was identified and followed for 1 year. Outcome measures included clinical functioning level, drug/alcohol use, employment, residential arrangement and inpatient use. Regression was employed to explain changes in outcomes between baseline and follow-up as a function of services. RESULTS: Statistically significant changes were seen over a 1-year period in all outcomes. Housing, employment and mental health improved, whereas inpatient utilization and level of care need increased. Older individuals receiving higher levels of care at baseline and those with higher case management and medical service utilization reported higher inpatient use. Outcomes also varied by provider suggesting the contribution of workforce differences to outcomes. CONCLUSIONS: Although significant, changes in outcomes were small. Outcome effectiveness was mixed and generally unrelated to services. These findings imply that significant changes in outcomes may require several years to obtain.
Topic(s):
General Literature
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291
Evaluation of a depression screening and treatment program in primary care for patients with diabetes mellitus: Insights and future directions
Type: Journal Article
Year: 2014
Topic(s):
General Literature
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292
Evaluation of a Medical and Mental Health Unit compared with standard care for older people whose emergency admission to an acute general hospital is complicated by concurrent 'confusion': a controlled clinical trial. Acronym: TEAM: Trial of an Elderly Ac
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: ABSTRACT: BACKGROUND: Patients with delirium and dementia admitted to general hospitals have poor outcomes, and their carers report poor experiences. We developed an acute geriatric medical ward into a specialist Medical and Mental Health Unit over an eighteen month period. Additional specialist mental health staff were employed, other staff were trained in the 'person-centred' dementia care approach, a programme of meaningful activity was devised, the environment adapted to the needs of people with cognitive impairment, and attention given to communication with family carers. We hypothesise that patients managed on this ward will have better outcomes than those receiving standard care, and that such care will be cost-effective. METHODS/DESIGN: We will perform a controlled clinical trial comparing in-patient management on a specialist Medical and Mental Health Unit with standard care. Study participants are patients over the age of 65, admitted as an emergency to a single general hospital, and identified on the Acute Medical Admissions Unit as being 'confused'. Sample size is 300 per group. The evaluation design has been adapted to accommodate pressures on bed management and patient flows. If beds are available on the specialist Unit, the clinical service allocates patients at random between the Unit and standard care on general or geriatric medical wards. Once admitted, randomised patients and their carers are invited to take part in a follow up study, and baseline data are collected. Quality of care and patient experience are assessed in a non-participant observer study. Outcomes are ascertained at a follow up home visit 90 days after randomisation, by a researcher blind to allocation. The primary outcome is days spent at home (for those admitted from home), or days spent in the same care home (if admitted from a care home). Secondary outcomes include mortality, institutionalisation, resource use, and scaled outcome measures, including quality of life, cognitive function, disability, behavioural and psychological symptoms, carer strain and carer satisfaction with hospital care. Analyses will comprise comparisons of process, outcomes and costs between the specialist unit and standard care treatment groups. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov: NCT01136148.
Topic(s):
General Literature
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293
Evaluation of a Model of Integrated Care for Patients With Chronic Medical and Psychiatric Illness
Type: Journal Article
Year: 2017
Publication Place: England
Topic(s):
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View the PubMed citation for Evaluation of a Model of Integrated Care for Patients With Chronic Medical and Psychiatric Illness294
Evaluation of a Model of Integrated Care for Patients With Chronic Medical and Psychiatric Illness
Type: Journal Article
Year: 2017
Publication Place: England
Topic(s):
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Reference Links: View the PubMed citation for Evaluation of a Model of Integrated Care for Patients With Chronic Medical and Psychiatric Illness
296
Evaluation of a primary care adult mental health service: Year 2
Type: Journal Article
Year: 2013
Publication Place: England
Abstract: Aims This study aimed to examine the effectiveness of a primary care adult mental health service operating within a stepped care model of service delivery. Methods Supervised by a principal psychologist manager, psychology graduate practitioners provided one-to-one brief cognitive behavioural therapy (CBT) to service users. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) was used to assess service user treatment outcomes. Satisfaction questionnaires were administered to service users and referring general practitioners (GPs). Results A total of 43 individuals attended for an initial appointment, of whom 19 (44.2%) completed brief CBT treatment. Of the 13 service users who were in the clinical range pre-treatment, 11 (84.6%) achieved clinical and reliably significant improvement. Of the six service users who were in the non-clinical range pre-treatment, three (50%) achieved reliably significant improvement. Both service users and GPs indicated high levels of satisfaction with the service, although service accessibility was highlighted as needing improvement. Conclusion The service was effective in treating mild to moderate mental health problems in primary care. Stricter adherence to a stepped care model through the provision of low-intensity, high-throughput interventions would be desirable for future service provision.
Topic(s):
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Reference Links: View the PubMed citation for Evaluation of a primary care adult mental health service: Year 2
297
Evaluation of integrated psychological services in a university-based primary care clinic
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: Primary care is increasingly moving toward integration of psychological services; however few studies have been conducted to test the efficacy of such an integrated approach. This paper presents a program evaluation of psychological services provided by doctoral trainees in clinical and counseling psychology within a primary care clinic at an urban academic medical center. It includes: (1) a description of the program, including types of patients served, their presenting problems, and treatments administered and; (2) evidence of the impact of behavioral health services on primary care patients' emotional adjustment and progress on behavioral goals. Intake and follow-up measures of depression, anxiety, smoking, insomnia, chronic pain, and weight loss were collected on 452 adult patients (mean age = 52; 59 % African-American; 35 % uninsured) who were provided brief interventions (mean visits = 2.2) over a 16-month period. Although conclusions are limited by the lack of a control or comparison group, preliminary findings indicate that the integrated behavioral health services provided were effective. Implications and future directions are discussed.
Topic(s):
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View the DOI record for Evaluation of integrated psychological services in a university-based primary care clinic
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View the PubMed citation for Evaluation of integrated psychological services in a university-based primary care clinic298
Evaluation of Participant Satisfaction with Community Therapy: A Mental Health Strategy in Primary Care
Type: Journal Article
Year: 2012
Abstract: Actions aimed at health promotion and disease prevention must prioritize the entry point to the health system. In this sense, it is proposed that Community Therapy (CT) be inserted as a mental health care tool in Primary Care. The purpose of this study is to assess user satisfaction with CT in Primary Care. It is assessment, cross-sectional study with a representative sample of users of CT services in Primary Care in the municipality of Joao Pessoa, Paraiba, Brazil. Of the 198 interviewees, 165 (83.3%) of the sample reported that they were always respected, evidenced by aspects of respect and dignity; 109 (55.1%) individuals stated they were listened to, revealing internal consistency of 0.7187, and in turn, exhibiting the true validity of the user satisfaction construct with respect to CT. Thus, users displayed positive satisfaction, reflected by respect, dignity, receptiveness, resolution, listening and comprehension received at CT, where empathy is exhibited and mental suffering is relieved. Moreover, CT is an important mental health tool in primary care.
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View the DOI record for Evaluation of Participant Satisfaction with Community Therapy: A Mental Health Strategy in Primary Care
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View the PubMed citation for Evaluation of Participant Satisfaction with Community Therapy: A Mental Health Strategy in Primary Care299
Evaluation Of The Behavioral Health Integration And Complex Care Initiative In Medi-Cal
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
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View the DOI record for Evaluation Of The Behavioral Health Integration And Complex Care Initiative In Medi-Cal
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View the PubMed citation for Evaluation Of The Behavioral Health Integration And Complex Care Initiative In Medi-Cal300
Evidence-based models of integrated management of depression in primary care
Type: Journal Article
Year: 2005
Publication Place: United States
Topic(s):
General Literature
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View the DOI record for Evidence-based models of integrated management of depression in primary care
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View the PubMed citation for Evidence-based models of integrated management of depression in primary care