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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
361
Impact of Collaborative Care on Absenteeism for Depressed Employees Seen in Primary Care Practices: A Retrospective Cohort Study
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: OBJECTIVE: The impact of "real world" collaborative care on depression and absenteeism for depressed employees seen in primary care practices using objective employer absence data. METHODS: A retrospective cohort study comparing depressed employees seen in primary care practices who enrolled for a "real world" collaborative care program to practice as usual (PAU) on objective absence days and depression response and remission at 6, and 12-month time periods. RESULTS: Absence days were more in the collaborative care group compared with the PAU group at 3 and 6 months but at 12 months the difference was no longer statistically significant. Collaborative care led to better response and remission depression scores compared with PAU at 12 months. CONCLUSIONS: Collaborative care led to faster improvement in depression symptoms but did not translate to less time away from work.
Topic(s):
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363
Impact of integrated care and co-location of care on mental help-seeking perceptions
Type: Journal Article
Year: 2019
Publication Place: England
Abstract: BACKGROUND: Integrated care may offer a solution to subpar mental health referral adherence, but people's openness to receiving psychological treatment in this setting is understudied. AIMS: The present study examined the influence of the integrated care context and co-location of care on people's help-seeking perceptions. METHOD: This study (N = 397) used an experimental vignette design to compare the impact of treatment type (integrated care vs. traditional psychotherapy) and distance (close vs. far) on help-seeking perceptions. RESULTS: The integrated care environment (significant effect on perceived behavioral control) and closer proximity of the psychologist (significant effect on intention, attitudes, perceived effectiveness of treatment, self-stigma) only improved help-seeking perceptions among those with prior experience with mental health treatment. In the overall sample, treatment type and distance only demonstrated an effect among women, but not men. CONCLUSIONS: Pending replication with samples from diverse populations, these findings provide a cautionary tale about lay perceptions of integrated care's anticipated utility. However, co-location and, to a lesser degree, the common attributes of the integrated care format (e.g. team approach, flexible scheduling) may represent a potential pathway for reducing resistance to help seeking that can accompany traditional psychotherapy referrals among those with past exposure to behavioral healthcare.
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View the DOI record for Impact of integrated care and co-location of care on mental help-seeking perceptions
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View the PubMed citation for Impact of integrated care and co-location of care on mental help-seeking perceptions364
Impact on an integrated psychiatric pharmacy service in a primary care clinic
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: Introduction: Traditionally, clinical pharmacists have been employed in the primary care setting to help manage chronic disease states, such as diabetes and hypertension. Although the benefits of pharmacists managing chronic conditions have been extensively published, published data for clinical pharmacist mental health services in primary care is limited to Veterans Affairs populations. This article describes a practice model in which pharmacists are providing psychiatric medication management and consultation in a federally qualified health center. Methods: A period of 1 year from the psychiatric pharmacy service was analyzed from April 1, 2017, to March 31, 2018. Reports were generated that included information about psychiatric pharmacy consults, 1-on-1 psychiatric pharmacy visits, and psychotropic medication prescribing/dispensing trends. Each consult was further reviewed for additional details, including patient characteristics, medications prescribed, psychiatric diagnoses involved, and actions taken. Results: A review of this pharmacy service showed significant pharmacist involvement in psychiatric medication consults and 1-on-1 visits. Common disease states consulted on were depressive disorders, anxiety disorders, and neurologic disorders, which reflects psychiatric disease states commonly seen in primary care practice. Provider satisfaction survey results showed that the service was valued and that providers felt their comfort in prescribing psychotropic medications improved due to the service. Discussion: The service described here exemplifies the potential for pharmacists in the ambulatory care setting to expand beyond the traditional chronic disease state management. It also speaks to a potential role for psychiatric pharmacists in the primary care setting.
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View the DOI record for Impact on an integrated psychiatric pharmacy service in a primary care clinic
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View the PubMed citation for Impact on an integrated psychiatric pharmacy service in a primary care clinic365
Implementation of guideline-based care for depression in primary care
Type: Journal Article
Year: 2006
Topic(s):
General Literature
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View the DOI record for Implementation of guideline-based care for depression in primary care
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View the PubMed citation for Implementation of guideline-based care for depression in primary care366
Implementation of Integrated Behavioral Health Care in a Large Medical Center: Benefits, Challenges, and Recommendations
Type: Journal Article
Year: 2021
Topic(s):
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View the DOI record for Implementation of Integrated Behavioral Health Care in a Large Medical Center: Benefits, Challenges, and Recommendations
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View the PubMed citation for Implementation of Integrated Behavioral Health Care in a Large Medical Center: Benefits, Challenges, and Recommendations369
Implementing brief cognitive behavioral therapy in primary care: A pilot study
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on the test of an implementation strategy conducted as part of a multisite randomized controlled trial examining a brief cognitive-behavioral therapy versus usual care for medically ill patients in primary care, using a hybrid (type II) effectiveness/implementation design. The implementation strategy was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity auditing with expert feedback, and (3) internal and external facilitation to provide ongoing consultation and support of practice. Outcomes included descriptive and qualitative data on the feasibility and acceptability of the implementation strategy, as well as initial indicators of clinician adoption and treatment fidelity. Results suggest that a comprehensive implementation strategy to improve clinician adoption of a brief cognitive-behavioral therapy in primary care is feasible and effective for reaching high levels of adoption and fidelity.
Topic(s):
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View the DOI record for Implementing brief cognitive behavioral therapy in primary care: A pilot study
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View the PubMed citation for Implementing brief cognitive behavioral therapy in primary care: A pilot study370
Implementing collaborative care programs for psychiatric disorders in medical settings: A practical guide
Type: Journal Article
Year: 2015
Topic(s):
General Literature
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View the DOI record for Implementing collaborative care programs for psychiatric disorders in medical settings: A practical guide
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View the PubMed citation for Implementing collaborative care programs for psychiatric disorders in medical settings: A practical guide371
Implementing Effective Substance Abuse Treatments in General Medical Settings: Mapping the Research Terrain
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: The National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institute on Drug Abuse (NIDA), and Veterans Health Administration (VHA) share an interest in promoting high quality, rigorous health services research to improve the availability and utilization of evidence-based treatment for substance use disorders (SUD). Recent and continuing changes in the healthcare policy and funding environments prioritize the integration of evidence-based substance abuse treatments into primary care and general medical settings. This area is a prime candidate for implementation research. Recent and ongoing implementation projects funded by these agencies are reviewed. Research in five areas is highlighted: screening and brief intervention for risky drinking; screening and brief intervention for tobacco use; uptake of FDA-approved addiction pharmacotherapies; safe opioid prescribing; and disease management. Gaps in the portfolios, and priorities for future research, are described.
Topic(s):
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View the DOI record for Implementing Effective Substance Abuse Treatments in General Medical Settings: Mapping the Research Terrain
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View the PubMed citation for Implementing Effective Substance Abuse Treatments in General Medical Settings: Mapping the Research Terrain372
Implementing integrated behavioral health: Testing associations between shared clinical time and space and provider referrals
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
General Literature
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373
Implementing the World Health Report 2001 recommendations for integrating mental health into primary health care: a situation analysis of three African countries: Ghana, South Africa and Uganda
Type: Journal Article
Year: 2010
Publication Place: England
Abstract: Integrating mental health into primary health care is widely promoted for a host of reasons, chief among which is providing a more comprehensive health care service. However, only a few countries have adequate mental health resources to undertake the integration of mental health into primary health care in a uniform manner, with wide variations among countries. This paper examines the extent to which two low-income countries (Ghana and Uganda) and one middle-income country (South Africa) are managing the integration of mental health into primary health care using the recommendations of the WHO World Health Report, 2001. Primary and secondary data sources from a situational analysis of mental health services in the three countries were analysed. The findings indicate that significant challenges remain in integrating mental health care into primary health care. Poor or uneven implementation of policy, inadequate access to essential drugs and lack of mental health specialists are some of the reasons advanced. Aside from better human resource planning for mental health, integration may be advanced by the development of packages of care which adopt a task-shifting approach suited to a country's needs.
Topic(s):
General Literature
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374
Improved Perinatal Depression Screening, Treatment, and Outcomes With a Universal Obstetric Program
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: OBJECTIVE: To evaluate whether universal prenatal and early postnatal screening for depression leads to increased detection, subsequent intervention, and improved depressive symptom outcomes. METHODS: We conducted a population-based retrospective cohort study of 97,678 pregnant Kaiser Permanente Northern California members during three phases of the Universal Perinatal Depression Screening Program (preimplementation, rollout, fully implemented) from 2007 through 2014. Depression screening scores (Patient Health Questionnaire-9), depression diagnoses, individual counseling visits, demographic characteristics, and medication dispensings were extracted from electronic health records and pharmacy databases. The percentage of women screened, new depression diagnoses, and women receiving treatment were compared among the three phases (tests of trend). Changes in depressive symptom scores up to 6 months postpartum were assessed (rollout and fully implemented phases). RESULTS: A significant increase emerged in the percentage of women screened over the three phases ranging from less than 1% (n=122) (preimplementation) to 98% (n=41,124) (fully implemented) (P<.001). Identification of a new depression diagnosis increased from 8.2% (n=1,341) (preimplementation) to 11.5% (n=4,943) (fully implemented) (P<.001). Although the observed percentage of women receiving treatment decreased (60.9% [preimplementation] to 47.1% [fully implemented]), significant increases in the expected percentage of women receiving treatment emerged (42.6% [preimplementation] to 47.1% [fully implemented]; P<.05). Similar trends were noted for women with Patient Health Questionnaire-9 scores of 15 or greater (greater severity), highlighting an increase in expected percentage of women receiving treatment (5.9% [preimplementation] to 81.9% [fully implemented]; P<.05). In the fully implemented phase, improvements in depressive symptoms up to 6 months postpartum were noted. CONCLUSION: These data provide evidence of benefit for universal perinatal depression screening programs regarding depression identification and treatment receipt and suggest improvement in symptom outcomes for women in screening programs, especially among integrated health care systems.
Topic(s):
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View the DOI record for Improved Perinatal Depression Screening, Treatment, and Outcomes With a Universal Obstetric Program
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View the PubMed citation for Improved Perinatal Depression Screening, Treatment, and Outcomes With a Universal Obstetric Program380
Improving lifetime health by promoting behavioral health in children
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
General Literature
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View the DOI record for Improving lifetime health by promoting behavioral health in children
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View the PubMed citation for Improving lifetime health by promoting behavioral health in children