Literature Collection

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Grey Literature

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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).

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3817 Results
3461
The provision of mental health care by primary health organisations in the northern region: Barriers and enablers
Type: Journal Article
Authors: A. O'Brien, F. Moir, K. Thom
Year: 2009
Publication Place: New Zealand
Abstract: AIM: To identify barriers and enablers to the provision of mental health care by Primary Health Organisations (PHOs) in the northern region. METHODS: Information was generated from structured interviews with 22 of the 25 PHOs and the four District Health Boards (DHBs) in the northern region. RESULTS: Of the 22 PHOs who participated in the study, 17 had at least one specific mental health initiative; others had up to five initiatives. PHOs that were funded to provide one of the 41 Ministry of Health mental health pilot projects had more mental health initiatives in place. Barriers and enablers to providing mental health care occurred in areas such as workforce capacity, funding, infrastructure, and limited interest in transfer of care from secondary to primary care. CONCLUSIONS: Barriers to providing mental health care within the primary sector include stigma, lack of training, communication between sectors, funding and perceptions of sector roles. Factors which enable provision of mental health care are availability of training, good communication between sectors, use of available and new funding mechanisms and community involvement. Further research at the practice and practitioner level is necessary to fully understand development of mental health care within the primary care sector.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
3462
The recruitment and acceptability of a project ECHO® eating disorders clinic: a pilot study of telementoring for primary medical and behavioral health care practitioners
Type: Journal Article
Authors: M. Tantillo, T. Starr, R. Kreipe
Year: 2020
Publication Place: United States
Abstract:

Early identification and intervention are critical to prevent physical and mental health complications, chronicity, and premature death associated with eating disorders. However, primary medical and behavioral health care clinicians often do not feel confident or competent to diagnose and manage patients with eating disorders. This pilot study describes an innovative telementoring project (Project ECHO® Eating Disorders) that builds a geographically defined collaborative learning community to bridge the knowledge gap between eating disorder specialists located in eating disorder service sites and community-based practitioners, often living in remote areas. We describe the program and recruitment strategies and review baseline participant evaluation findings. Continuing Medical Education (CME) evaluation findings are presented as a measure of practitioner acceptability and satisfaction. Content analysis of CME participant evaluation comments provides an understanding of the impact of the program on participant knowledge and intended practice changes. We end with implications for training, practice, and research.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
3463
The relationship between felt stigma and non-fatal overdose among rural people who use drugs
Type: Journal Article
Authors: A. L. Sibley, E. Klein, H. L. F. Cooper, M. D. Livingston III, R. Baker, S. M. Walters, R. E. Gicquelais, S. A. Ruderman, P. D. Friedmann, W. D. Jenkins, V. F. Go, W. C. Miller, R. P. Westergaard, H. M. Crane
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
3466
The Relationship Between Linkages to Behavioral Health Services in Pediatric Primary Care and Reductions in Non-urgent Emergency Department Visits Among Vulnerable Children
Type: Journal Article
Authors: K. Pethe, A. R. Maldonado-Soto, J. Saxena, E. J. Blanck, K. A. Lingras, Y. Aratani
Year: 2019
Publication Place: United States
Abstract:

The integration of behavioral health (BH) services within pediatric primary care has been utilized as a way to address young children's social-emotional needs. This study aimed to examine whether linking at-risk young children to BH services is associated with a reduction in "non-urgent" emergency department (ED) visits. BH teams integrated in a pediatric clinic conducted socio-emotional screening in children 6-65 months of age and tracked ED utilization for children with positive screening. The results indicated that children with positive screening are less likely to have a non-urgent ED visit than children with negative screening with concerns (NWC) and are more likely to be connected to services. Among children in the NWC group, those connected to services were less likely to have non-urgent ED visits than those not connected to services. These findings suggest that integrated behavioral health care has the potential to reduce non-urgent ED visits among at-risk children.

Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
3467
The Relationship Between Linkages to Behavioral Health Services in Pediatric Primary Care and Reductions in Non-urgent Emergency Department Visits Among Vulnerable Children
Type: Journal Article
Authors: K. Pethe, A. R. Maldonado-Soto, J. Saxena, E. J. Blanck, K. A. Lingras, Y. Aratani
Year: 2020
Publication Place: United States
Abstract:

The integration of behavioral health (BH) services within pediatric primary care has been utilized as a way to address young children's social-emotional needs. This study aimed to examine whether linking at-risk young children to BH services is associated with a reduction in "non-urgent" emergency department (ED) visits. BH teams integrated in a pediatric clinic conducted socio-emotional screening in children 6-65 months of age and tracked ED utilization for children with positive screening. The results indicated that children with positive screening are less likely to have a non-urgent ED visit than children with negative screening with concerns (NWC) and are more likely to be connected to services. Among children in the NWC group, those connected to services were less likely to have non-urgent ED visits than those not connected to services. These findings suggest that integrated behavioral health care has the potential to reduce non-urgent ED visits among at-risk children.

Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
3468
The Relationship Between Linkages to Behavioral Health Services in Pediatric Primary Care and Reductions in Non-urgent Emergency Department Visits Among Vulnerable Children
Type: Journal Article
Authors: Pethe Kalpana, Angel R. Maldonado-Soto, Saxena Juhi, Evelyn J. Blanck, Katherine A. Lingras, Aratani Yumiko
Year: 2020
Publication Place: New York
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
3469
The relationship between somatization and posttraumatic symptoms among immigrants receiving primary care services
Type: Journal Article
Authors: M. Aragona, E. Catino, D. Pucci, S. Carrer, F. Colosimo, M. Lafuente, M. Mazzetti, B. Maisano, S. Geraci
Year: 2010
Publication Place: United States
Abstract: Traumatic experiences and somatization are related in studies on complex trauma, though this relation is rarely studied in immigrants. The relationship between somatization and self-reported traumatic experiences and posttraumatic symptoms in patients attending a primary care service for immigrants was studied. The sample consisted of 101 patients attending a primary healthcare service dedicated to immigrants. Participants completed two self-assessment questionnaires specifically designed for use in transcultural research: the Bradford Somatic Inventory and the Harvard Trauma Questionnaire. Both were translated and back-translated into eight languages. Somatization was significantly related to traumatic events and posttraumatic symptoms. In primary care centers for immigrants, physicians should give particular attention to somatization as a possible sign of unreported posttraumatic symptoms.
Topic(s):
Healthcare Disparities See topic collection
,
Medically Unexplained Symptoms See topic collection
3470
The relationship between treatment accessibility and preference amongst out-of-treatment individuals who engage in non-medical prescription opioid use
Type: Journal Article
Authors: Andrew S. Huhn, D. A. Tompkins, Kelly E. Dunn
Year: 2017
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
3472
The relationship of life stressors, mood disorder, and health care utilization in primary care patients referred for integrated behavioral health services
Type: Journal Article
Authors: E. Sadock, S. M. Auerbach, B. Rybarczyk, A. Aggarwal, A. Lanoye
Year: 2014
Publication Place: United States
Abstract: Exposure to stressful life events, mood disorder, and health care utilization were evaluated in 102 low-income, primarily minority patients receiving behavioral health and medical services at a safety-net primary care clinic. Exposure to major stressors was far higher in this sample than in the general population, with older patients having lower stress scores. Proportions of patients who met the criteria for clinical depression and anxiety were higher than in normative samples of primary care patients. Stress exposure was higher in the patients who met the criterion for clinical anxiety but was unrelated to clinical depression. Contrary to expectation, anxiety, depression, or stress exposure was not related to service utilization. Latter findings are discussed in terms of the influence of the provision of behavioral health services, the highly skewed distribution of major stressor scores, and the likely greater influence of individual differences in minor stressor exposure on utilization in this population.
Topic(s):
Healthcare Disparities See topic collection
3473
The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families
Type: Report
Authors: Suzanne Brundage, Carol Levine
Year: 2019
Topic(s):
Grey Literature See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

3474
The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review
Type: Journal Article
Authors: Dominiek Coates, Maralyn Foureur
Year: 2019
Publication Place: Oxford
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
3475
The role of economic analyses in promoting adoption of behavioral and psychosocial interventions in clinical settings
Type: Journal Article
Authors: Paul B. Jacobsen, Ravi Prasad, Jennifer Villani, Chuan-Mei Lee, Danielle Rochlin, Claudia Scheuter, Robert M. Kaplan, Kenneth E. Freedland, Rachel Manber, Jubran Kanaan, Dawn K. Wilson
Year: 2019
Publication Place: Washington
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
3476
The Role of Integrated Care in a Medical Home for Patients With a Fetal Alcohol Spectrum Disorder
Type: Journal Article
Authors: R. M. Turchi, V. C. Smith, Committe on Substance Use and Prevention, Council on Children With Disabilities
Year: 2018
Publication Place: United States
Topic(s):
Healthcare Disparities See topic collection
3477
The role of licensed mental health staffing in improving patient outcomes at health centers
Type: Web Resource
Authors: Amy Gabriela Bonilla
Year: 2021
Topic(s):
Grey Literature See topic collection
,
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

3478
The Role of Low-Threshold Treatment for Patients with OUD in Primary Care
Type: Report
Authors: The Academy for Integrating Behavioral Health & Primary Care
Year: 2023
Publication Place: Rockville, MD
Topic(s):
Grey Literature See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

3479
The Role of Medicaid in Rural America
Type: Report
Authors: Julia Foutz, Samantha Artiga, Rachel Garfield
Year: 2017
Publication Place: Menlo Park, CA
Topic(s):
Grey Literature See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Healthcare Policy See topic collection
Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

3480
The role of organizational context in the implementation of a statewide initiative to integrate mental health services into pediatric primary care
Type: Journal Article
Authors: M. A. King, L. S. Wissow, R. A. Baum
Year: 2017
Publication Place: United States
Abstract: BACKGROUND: Although there is evidence that mental health services can be delivered in pediatric primary care with good outcomes, few changes in service delivery have been seen over the past decade. Practices face a number of barriers, making interventions that address determinants of change at multiple levels a promising solution. However, these interventions may need appropriate organizational contexts in place to be successfully implemented. PURPOSE: The objective of this study was to test whether organizational context (culture, climate, structures/processes, and technologies) influenced uptake of a complex intervention to implement mental health services in pediatric primary care. METHODOLOGY/APPROACH: We incorporated our research into the implementation and evaluation of Ohio Building Mental Wellness Wave 3, a learning collaborative with on-site trainings and technical assistance supporting key drivers of mental health care implementation. Simple linear regression was used to test the effects of organizational context and external or fixed organizational characteristics on program uptake. RESULTS: Culture, structure/processes, and technologies scores indicating a more positive organizational context for mental health at the project's start, as well as general cultural values that were more group/developmental, were positively associated with uptake. Patient-centered medical home certification and use of electronic medical records were also associated with greater uptake. Changes in context over the course of Building Mental Wellness did not influence uptake. CONCLUSION: Organizational culture, structures/processes, and technologies are important determinants of the uptake of activities to implement mental health services in pediatric primary care. Interventions may be able to change these aspects of context to make them more favorable to integration, but baseline characteristics more heavily influence the more proximal uptake of program activities. PRACTICE IMPLICATIONS: Pediatric primary care practices would benefit from assessing their organizational context and taking steps to address it prior to or in a phased approach with mental health service implementation.
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
,
Medical Home See topic collection