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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).
883 Results
321
Garnering partnerships to bridge gaps among mental health, health care, and public health
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Integrating mental health and public health chronic disease programs requires partnerships at all government levels. Four examples illustrate this approach: 1) a federal partnership to implement mental health and mental illness modules in the Behavioral Risk Factor Surveillance System; 2) a state partnership to improve diabetes health outcomes for people with mental illness; 3) a community-level example of a partnership with local aging and disability agencies to modify a home health service to reduce depression and improve quality of life among isolated, chronically ill seniors; and 4) a second community-level example of a partnership to promote depression screening and management and secure coverage in primary care settings. Integration of mental health and chronic disease public health programs is a challenging but essential and achievable task in protecting Americans' health.
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Garnering partnerships to bridge gaps among mental health, health care, and public health
322
General Medical Outcomes From the Primary and Behavioral Health Care Integration Grant Program
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: OBJECTIVE: Primary and Behavioral Health Care Integration (PBHCI) grants aim to improve the health of people with serious mental illness by integrating primary and preventive general medical services into behavioral health settings. This report describes the general medical outcomes of persons served by early cohorts of programs, funded in 2009 or 2010, that participated in this national demonstration project. METHODS: A quasi-experimental, difference-in-differences design was used to compare changes in general medical health among consumers served at three PBHCI clinics (N=322) and three clinics that were selected as matched control sites (N=469). Propensity-score weighting was used to adjust for baseline differences between PBHCI and control clinic populations. Baseline data were collected between 2010 and 2012; follow-up data were collected approximately one year later. General medical outcomes included blood pressure; body mass index; cholesterol, triglyceride, and blood glucose or HbA1c levels; and self-reported tobacco smoking. RESULTS: Compared with consumers served at control clinics, PBHCI consumers had better outcomes for cholesterol: mean reductions in total cholesterol were greater by 36 mg/dL (p<.01), mean reductions in low-density lipoprotein cholesterol were greater by 35 mg/dL (p<.001), and mean increases in high-density lipoprotein cholesterol were greater by 3 mg/dL (p<.05). No significant PBHCI effects were observed for the other health indicators. CONCLUSIONS: Approximately one year of PBHCI treatment resulted in statistically and potentially clinically significant improvements in cholesterol but not in other general medical outcomes examined. More rigorous implementation of integrated care in community behavioral health settings may be needed to further improve the health of adults with serious mental illness.
Topic(s):
General Literature
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View the DOI record for General Medical Outcomes From the Primary and Behavioral Health Care Integration Grant Program
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View the PubMed citation for General Medical Outcomes From the Primary and Behavioral Health Care Integration Grant Program324
Glucose Control and Medication Adherence Among Veterans With Diabetes and Serious Mental Illness: Does Collocation of Primary Care and Mental Health Care Matter?
Type: Journal Article
Year: 2014
Topic(s):
General Literature
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326
Grading quality of evidence and strength of recommendations
Type: Journal Article
Year: 2004
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Grading quality of evidence and strength of recommendations
327
Grand Challenges: Improving HIV Treatment Outcomes by Integrating Interventions for Co-Morbid Mental Illness
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: In the fourth article of a five-part series providing a global perspective on integrating mental health, Sylvia Kaaya and colleagues discuss the importance of integrating mental health interventions into HIV prevention and treatment platforms.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Grand Challenges: Improving HIV Treatment Outcomes by Integrating Interventions for Co-Morbid Mental Illness
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View the PubMed citation for Grand Challenges: Improving HIV Treatment Outcomes by Integrating Interventions for Co-Morbid Mental Illness328
Grand challenges: integrating maternal mental health into maternal and child health programmes
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: In the second article of a five-part series providing a global perspective on integrating mental health, Atif Rahman and colleagues argue that integrating maternal mental health care will help advance maternal and child health.
Topic(s):
General Literature
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View the DOI record for Grand challenges: integrating maternal mental health into maternal and child health programmes
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View the PubMed citation for Grand challenges: integrating maternal mental health into maternal and child health programmes330
Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial
Type: Journal Article
Year: 2018
Publication Place: England
Abstract: Guidelines recommend stepped and collaborative care models (SCM) for depression. We aimed to evaluate the effectiveness of a complex guideline-based SCM for depressed patients. German primary care units were cluster-randomised into intervention (IG) or control group (CG) (3:1 ratio). Adult routine care patients with PHQ-9 >/= 5 points could participate and received SCM in IG and treatment as usual (TAU) in CG. Primary outcome was change in PHQ-9 from baseline to 12 months (hypothesis: greater reduction in IG). A linear mixed model was calculated with group as fixed effect and practice as random effect, controlling for baseline PHQ-9 (intention-to-treat). 36 primary care units were randomised to IG and 13 to CG. 36 psychotherapists, 6 psychiatrists and 7 clinics participated in SCM. 737 patients were included (IG: n = 569 vs. CG: n = 168); data were available for 60% (IG) and 64% (CG) after 12 months. IG showed 2.4 points greater reduction [95% confidence interval (CI): -3.4 to -1.5, p < 0.001; Cohen's d = 0.45] (adjusted PHQ-9 mean change). Odds of response [odds ratio: 2.8; 95% CI: 1.6 to 4.7] and remission [odds ratio: 3.2; 95% CI: 1.58 to 6.26] were higher in IG. Guideline-based SCM can improve depression care.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial
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View the PubMed citation for Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial331
Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial
Type: Journal Article
Year: 2018
Publication Place: England
Abstract: Guidelines recommend stepped and collaborative care models (SCM) for depression. We aimed to evaluate the effectiveness of a complex guideline-based SCM for depressed patients. German primary care units were cluster-randomised into intervention (IG) or control group (CG) (3:1 ratio). Adult routine care patients with PHQ-9 >/= 5 points could participate and received SCM in IG and treatment as usual (TAU) in CG. Primary outcome was change in PHQ-9 from baseline to 12 months (hypothesis: greater reduction in IG). A linear mixed model was calculated with group as fixed effect and practice as random effect, controlling for baseline PHQ-9 (intention-to-treat). 36 primary care units were randomised to IG and 13 to CG. 36 psychotherapists, 6 psychiatrists and 7 clinics participated in SCM. 737 patients were included (IG: n = 569 vs. CG: n = 168); data were available for 60% (IG) and 64% (CG) after 12 months. IG showed 2.4 points greater reduction [95% confidence interval (CI): -3.4 to -1.5, p < 0.001; Cohen's d = 0.45] (adjusted PHQ-9 mean change). Odds of response [odds ratio: 2.8; 95% CI: 1.6 to 4.7] and remission [odds ratio: 3.2; 95% CI: 1.58 to 6.26] were higher in IG. Guideline-based SCM can improve depression care.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial
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View the PubMed citation for Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial333
Health benefits for health and social care clients attending an Integrated Health and Social Care day unit (IHSCDU): a before-and-after pilot study with a comparator group
Type: Journal Article
Year: 2017
Publication Place: England
Topic(s):
General Literature
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336
Health reform, research pave way for collaborative care for mental illness. Interview by Bridge M. Kuehn
Type: Journal Article
Year: 2013
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Health reform, research pave way for collaborative care for mental illness. Interview by Bridge M. Kuehn
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View the PubMed citation for Health reform, research pave way for collaborative care for mental illness. Interview by Bridge M. Kuehn337
Health systems context(s) for integrating mental health into primary health care in six Emerald countries: a situation analysis
Type: Journal Article
Year: 2017
Publication Place: England
Abstract: BACKGROUND: Mental, neurological and substance use disorders contribute to a significant proportion of the world's disease burden, including in low and middle income countries (LMICs). In this study, we focused on the health systems required to support integration of mental health into primary health care (PHC) in Ethiopia, India, Nepal, Nigeria, South Africa and Uganda. METHODS: A checklist guided by the World Health Organization Assessment Instrument for Mental Health Systems (WHO-AIMS) was developed and was used for data collection in each of the six countries participating in the Emerging mental health systems in low and middle-income countries (Emerald) research consortium. The documents reviewed were from the following domains: mental health legislation, health policies/plans and relevant country health programs. Data were analyzed using thematic content analysis. RESULTS: Three of the study countries (Ethiopia, Nepal, Nigeria, and Uganda) were working towards developing mental health legislation. South Africa and India were ahead of other countries, having enacted recent Mental Health Care Act in 2004 and 2016, respectively. Among all the 6 study countries, only Nepal, Nigeria and South Africa had a standalone mental health policy. However, other countries had related health policies where mental health was mentioned. The lack of fully fledged policies is likely to limit opportunities for resource mobilization for the mental health sector and efforts to integrate mental health into PHC. Most countries were found to be allocating inadequate budgets from the health budget for mental health, with South Africa (5%) and Nepal (0.17%) were the countries with the highest and lowest proportions of health budgets spent on mental health, respectively. Other vital resources that support integration such as human resources and health facilities for mental health services were found to be in adequate in all the study countries. Monitoring and evaluation systems to support the integration of mental health into PHC in all the study countries were also inadequate. CONCLUSION: Integration of mental health into PHC will require addressing the resource limitations that have been identified in this study. There is a need for up to date mental health legislation and policies to engender commitment in allocating resources to mental health services.
Topic(s):
General Literature
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339
High Quality of Care Persists With Shifting Depression Services From VA Specialty to Integrated Primary Care
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for High Quality of Care Persists With Shifting Depression Services From VA Specialty to Integrated Primary Care
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View the PubMed citation for High Quality of Care Persists With Shifting Depression Services From VA Specialty to Integrated Primary Care