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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).
598 Results
283
Integrated Care for Older Adults with Serious Mental Illness and Medical Comorbidity: Evidence-Based Models and Future Research Directions
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Healthcare Disparities
See topic collection
, HIT & Telehealth
See topic collection
, Medical Home
See topic collection
285
Integrated care models and behavioral health care utilization: Quasi-experimental evidence from Medicaid health homes
Type: Journal Article
Year: 2020
Publication Place: England
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Disparities
See topic collection
, Medical Home
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links: 
View the DOI record for Integrated care models and behavioral health care utilization: Quasi-experimental evidence from Medicaid health homes
View DOI Record
View the PubMed citation for Integrated care models and behavioral health care utilization: Quasi-experimental evidence from Medicaid health homes286
Integrated care models for ADHD in children and adolescents: A systematic review
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Integrated care models for ADHD in children and adolescents: A systematic review
View DOI Record
View the PubMed citation for Integrated care models for ADHD in children and adolescents: A systematic review290
Integrated Primary Care in Assertive Community Treatment
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: Assertive community treatment (ACT) has the potential to serve as a medical home for adults with serious mental illness, a population that experiences some of the most significant health disparities in the United States. Using site visit methodology, the authors describe partnerships that were created between five ACT programs and federally qualified health centers (FQHCs) to provide integrated behavioral health and primary care. The authors examined rates of screening for common chronic conditions. The programs used three distinct approaches: two programs colocated ACT teams at an FQHC, two programs employed primary care providers who split their time between the FQHC and the ACT program, and one program embedded a primary care provider within the ACT team. Effective communication between staffs may be more important than type of partnership in determining integration success.
Topic(s):
Healthcare Disparities
See topic collection
, Medical Home
See topic collection
Reference Links: View the PubMed citation for Integrated Primary Care in Assertive Community Treatment
291
Integrated Primary Care in Assertive Community Treatment
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: Assertive community treatment (ACT) has the potential to serve as a medical home for adults with serious mental illness, a population that experiences some of the most significant health disparities in the United States. Using site visit methodology, the authors describe partnerships that were created between five ACT programs and federally qualified health centers (FQHCs) to provide integrated behavioral health and primary care. The authors examined rates of screening for common chronic conditions. The programs used three distinct approaches: two programs colocated ACT teams at an FQHC, two programs employed primary care providers who split their time between the FQHC and the ACT program, and one program embedded a primary care provider within the ACT team. Effective communication between staffs may be more important than type of partnership in determining integration success.
Topic(s):
Healthcare Disparities
See topic collection
, Medical Home
See topic collection
Reference Links: View the PubMed citation for Integrated Primary Care in Assertive Community Treatment
292
Integrated substance use and prenatal care delivery in the era of COVID-19
Type: Journal Article
Year: 2021
Abstract:
The COVID-19 pandemic has directly impacted integrated substance use and prenatal care delivery in the United States and has driven a rapid transformation from in-person prenatal care to a hybrid telemedicine care model. Additionally, changes in regulations for take home dosing for methadone treatment for opioid use disorder due to COVID-19 have impacted pregnant and postpartum women. We review the literature on prenatal care models and discuss our experience with integrated substance use and prenatal care delivery during COVID-19 at New England's largest safety net hospital and national leader in substance use care. In our patient-centered medical home for pregnant and postpartum patients with substance use disorder, patients' early responses to these changes have been overwhelmingly positive. Should clinicians continue to use these models, thoughtful planning and further research will be necessary to ensure equitable access to the benefits of telemedicine and take home dosing for all pregnant and postpartum patients with substance use disorder.
Topic(s):
Healthcare Disparities
See topic collection
, Healthcare Policy
See topic collection
, HIT & Telehealth
See topic collection
, Medical Home
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Integrated substance use and prenatal care delivery in the era of COVID-19
View DOI Record
View the PubMed citation for Integrated substance use and prenatal care delivery in the era of COVID-19293
Integrated working between residential care homes and primary care: a survey of care homes in England
Type: Journal Article
Year: 2012
Publication Place: England
Abstract: BACKGROUND: Older people living in care homes in England have complex health needs due to a range of medical conditions, mental health needs and frailty. Despite an increasing policy expectation that professionals should operate in an integrated way across organisational boundaries, there is a lack of understanding between care homes and the National Health Service (NHS) about how the two sectors should work together, meaning that residents can experience a poor "fit" between their needs, and services they can access. This paper describes a survey to establish the current extent of integrated working that exists between care homes and primary and community health and social services. METHODS: A self-completion, online questionnaire was designed by the research team. Items on the different dimensions of integration (funding, administrative, organisational, service delivery, clinical care) were included. The survey was sent to a random sample of residential care homes with more than 25 beds (n = 621) in England in 2009. Responses were analysed using quantitative and qualitative methods. RESULTS: The survey achieved an overall response rate of 15.8%. Most care homes (78.7%) worked with more than one general practice. Respondents indicated that a mean of 14.1 professionals/ services (other than GPs) had visited the care homes in the last six months (SD 5.11, median 14); a mean of .39 (SD.163) professionals/services per bed. The most frequent services visiting were district nursing, chiropody and community psychiatric nurses. Many (60%) managers considered that they worked with the NHS in an integrated way, including sharing documents, engaging in integrated care planning and joint learning and training. However, some care home managers cited working practices dictated by NHS methods of service delivery and priorities for care, rather than those of the care home or residents, a lack of willingness by NHS professionals to share information, and low levels of respect for the experience and knowledge of care home staff. CONCLUSIONS: Care homes are a hub for a wide range of NHS activity, but this is ad hoc with no recognised way to support working together. Integration between care homes and local health services is only really evident at the level of individual working relationships and reflects patterns of collaborative working rather than integration. More integrated working between care homes and primary health services has the potential to improve quality of care in a cost- effective manner, but strategic decisions to create more formal arrangements are required to bring this about. Commissioners of services for older people need to capitalise on good working relationships and address idiosyncratic patterns of provision to care homes.The low response rate is indicative of the difficulty of undertaking research in care homes.
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Integrated working between residential care homes and primary care: a survey of care homes in England
View DOI Record
View the PubMed citation for Integrated working between residential care homes and primary care: a survey of care homes in England297
Integrating care for persons, not only diseases
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: Integrated care is geared toward enhancing usual care and decision-making for common combinations of medical and mental health conditions, including the behavioral health and behavioral change aspects. Yet even with comprehensive and well-integrated care for health conditions and well-coordinated teamwork in place, some patients do not engage or respond to care in the way clinicians would like or predict. This troubles patients and clinicians alike and may be chalked up informally to things like medical complexity (multiple co-existing conditions), mental health conditions (that complicate care), or simply the case being considered complex or difficult. It also raises the question of how to address person-specific factors that interfere with care of whatever conditions the patient may have, and invites behavioral health clinicians in medical settings to look beyond care of conditions to the care of persons, and to look beyond disease-specific care management protocols to master generic practices of care management across whatever conditions the person may have. This person-centered emphasis is intrinsic to the concept of the "patient-centered medical home" which has burst into animated discussion and demonstration among providers, health plans, government plans, employer purchasers, and professional associations across public and private entities. This represents an opportunity for collaborative care clinicians to help shape the national state of the art in medical home and includes a range of person-oriented (rather than disease-oriented) practices for care management, including working systematically with complex patients and difficult patient-clinician relationships.
Topic(s):
Medical Home
See topic collection
298
Integrating Maternal Mental Health Care in the Pediatric Medical Home: Treatment Engagement and Child Outcomes
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Healthcare Disparities
See topic collection
, HIT & Telehealth
See topic collection
, Medical Home
See topic collection
Reference Links: View the PubMed citation for Integrating Maternal Mental Health Care in the Pediatric Medical Home: Treatment Engagement and Child Outcomes
299
Integrating medication therapy management in the primary care medical home: A review of randomized controlled trials
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: PURPOSE: Randomized controlled trials (RCTs) that evaluated the effect of medication therapy management (MTM) on patient outcomes in the primary care medical home were reviewed to determine how these services may be integrated into the primary care medical home. METHODS: A literature search was conducted to identify RCTS published between 1989 and 2009 that evaluated the impact of MTM services on patient outcomes. To qualify as MTM services, the interventions had to include both a review of medication therapy and patient interactions, including educating patients about drug therapy, identifying potential barriers to medication adherence, and helping patients manage their diseases. The internal validity of the studies was evaluated using previously published criteria. The description, specification, and appropriateness of study objectives, study population, intervention, randomization, blinding, outcome measures, statistical analysis, and conclusions were evaluated. RESULTS: A total of 1795 publications were identified, but only 8 met the inclusion criteria. These studies targeted patients with specific medical conditions or patients with multiple medications without specifying a medical condition. The interventions varied in intensity (i.e., frequency and length of patient contact), ranging from a single patient contact in a community pharmacy setting to multiple visits with an ambulatory care pharmacist practicing in a collaborative care model. Two of the 8 studies obtained expected results. These studies targeted patients with unrealized therapeutic goals, and the interventions involved collaboration between pharmacists and physicians and extensive patient follow-up. CONCLUSION: Of 1795 publications identified, 8 were RCTs meeting selection criteria for evaluation of the effect of MTM services on patient outcomes. Two service elements that benefit patient care were identified: (1) selecting patients with specific therapeutic problems and (2) implementing MTM services that involve timely communication with primary care providers to discuss therapeutic problems, along with routine patient follow-up to support medication adherence to changes in therapy.
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Integrating medication therapy management in the primary care medical home: A review of randomized controlled trials
View DOI Record
View the PubMed citation for Integrating medication therapy management in the primary care medical home: A review of randomized controlled trials