Email UpdatesLiterature Collection
Collection Insights
11K+
References
9K+
Articles
1500+
Grey Literature
4600+
Opioids & SU
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).
609 Results
361
NASN position statement: the role of the school nurse and school-based health centers
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: The National Association of School Nurses holds the position that a combination of school nursing services and school-based health centers (SBHCs) can facilitate positive health outcomes for students. SBHC services complement the work of the school nurses, who are responsible for the entire population of students, by providing a referral site for students without another medical home. SBHCs may provide primary nursing, medical, dental, mental health and other services to those students enrolled in the SBHC program. When available, SBHCs should be integrated with school nursing services to provide a continuum of health services to keep students healthy, in school, and ready to learn. Funding for SBHCs and school nurses typically comes from different sources, so the relationship should by complementary and not competitive.
Topic(s):
Medical Home
See topic collection
Reference Links: View the PubMed citation for NASN position statement: the role of the school nurse and school-based health centers
363
National integration of mental health providers in VA home-based primary care: an innovative model for mental health care delivery with older adults
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: PURPOSE OF THE STUDY: To promote mental health (MH) service access and quality for veterans with complex and chronic medical, social, and behavioral conditions, the U.S. Department of Veterans Affairs (VA) has integrated a full-time MH provider into each VA home-based primary care (HBPC) team. The goal of the current evaluation is to examine the nature and extent to which MH care processes and practices have been integrated into HBPC nationally. DESIGN AND METHODS: Separate surveys assessing the integration of a wide range of MH care practices and HBPC team processes were sent to MH providers and program directors in each HBPC program in 2010. RESULTS: A total of 132 MH providers representing 119 HBPC programs, and 112 program directors completed the surveys. The most common clinical issues addressed by MH providers were depression, coping with illness and disability, anxiety, caregiver/family stress, and cognitive evaluation. Other team members typically conducted initial MH screenings, with MH providers' time focusing on cases with identified needs. Approximately 40% of MH providers' time was devoted to direct clinical care. Significant time was also spent on team activities, driving, and charting. IMPLICATIONS: Integration of MH services into HBPC is feasible and facilitates service access for a vulnerable population. Mental health care delivery in HPBC generally involves a high degree of interdisciplinary practice. Mental health integration into HBPC may serve as a model for other systems interested in promoting MH care delivery among homebound and other older individuals.
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
, Medical Home
See topic collection
364
No place like home? Primary-care home option gets praise, questions
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Medical Home
See topic collection
Reference Links: View the PubMed citation for No place like home? Primary-care home option gets praise, questions
368
Open access in the patient-centered medical home: lessons from the Veterans Health Administration
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: BACKGROUND: The Veterans Health Administration (VHA) has undertaken a 5-year initiative to transform to a patient-centered medical home model. An early focus of implementation was on creating open access, defined as continuity and capacity in primary care. OBJECTIVE: We describe the impact of readiness for implementation on efforts of pilot teams to make changes to improve access and identify successful strategies used by early adopters to overcome barriers to change. DESIGN: A qualitative, formative evaluation of the first 18 months of implementation in one Veterans Integrated Service Network (VISN) spread across six states. PARTICIPANTS: Members of local implementation teams including administrators, primary care providers, and staff from primary care clinics located at 10 medical centers and 45 outpatient clinics. APPROACH: We conducted site visits during the first 6 months of implementation, observations at Learning Collaboratives, semi-structured interviews, and review of internal organizational documents. All data collection took place between April 2010 and December 2011. KEY RESULTS: Early adopters employed various strategies to enhance access, with a focus on decreasing demand for face-to-face care, increasing supply of different types of primary care encounters, and improving clinic efficiencies. Our interviews with key contacts revealed three important areas where readiness for implementation (or lack thereof) had an impact on interventions to improve access: leadership engagement, staffing resources, and access to information and knowledge. CONCLUSIONS: Key factors related to readiness for implementation had an impact on which interventions pilot teams could put into place, as well as the viability and sustainability of access gains. Wide variations in interventions to improve access occurring across sites situated within one organization have important implications for efforts to measure the impact of enhanced access on patient outcomes, costs, and other systems-level indicators of the Medical Home.
Topic(s):
Education & Workforce
See topic collection
, Medical Home
See topic collection
Reference Links:
View the DOI record for Open access in the patient-centered medical home: lessons from the Veterans Health Administration
View DOI Record
View the PubMed citation for Open access in the patient-centered medical home: lessons from the Veterans Health Administration369
Operational and clinical components for integrated-collaborative behavioral healthcare in the patient-centered medical home
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
, Medical Home
See topic collection
370
Opioid Management in Older Adults: Lessons Learned From a Geriatric Patient-Centered Medical Home
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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 Opioid Management in Older Adults: Lessons Learned From a Geriatric Patient-Centered Medical Home
View DOI Record
View the PubMed citation for Opioid Management in Older Adults: Lessons Learned From a Geriatric Patient-Centered Medical Home371
Opportunities for Social Workers in the Patient Centered Medical Home
Type: Journal Article
Year: 2014
Abstract: The Patient Centered Medical Home (PCMH) has been hailed as one method of improving chronic care outcomes in the United States. A number of studies have underscored the importance of the social work role within the PCMH, yet little existing research explores the social worker as a driver of improved patient care. The Pennsylvania Chronic Care Initiative was created with a primary goal of increasing the number of practices that were recognized as PCMH by the National Committee for Quality Assurance. This article describes findings from in-depth qualitative interviews with representatives from seven primary care practices, in which the authors examined barriers and facilitators to implementation of the initiative. Barriers to implementation included small practice size, payer-driven care, not having a strong physician champion, variability within patient populations, and high implementation costs. Facilitators included having a social worker coordinate behavioral health services, clinical nurse case managers, preexisting models of outcomes-driven care, and being part of an integrated health delivery and financing system. Recommendations strengthening the role of medical social workers in primary care practices are discussed.
Topic(s):
Education & Workforce
See topic collection
, Medical Home
See topic collection
Reference Links:
View the DOI record for Opportunities for Social Workers in the Patient Centered Medical Home
View DOI Record
View the PubMed citation for Opportunities for Social Workers in the Patient Centered Medical Home372
Optimizing pain management through collaborations with behavioral and addiction medicine in primary care
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Optimizing pain management through collaborations with behavioral and addiction medicine in primary care
View DOI Record
View the PubMed citation for Optimizing pain management through collaborations with behavioral and addiction medicine in primary care375
Organization of care and diagnosed depression among women veterans
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: OBJECTIVE: To analyze the association between the organizational features of integration of physical and mental healthcare in womens health clinics and the diagnosis of depression among women veterans with or at risk for cardiovascular conditions (ie, diabetes mellitus, heart disease, or hypertension). STUDY DESIGN: Retrospective and observational secondary data analyses. METHODS: We studied 27,972 women veterans from 118 facilities with diagnosed cardiovascular conditions in fiscal year 2001 (FY2001) using merged Medicare claims and Veterans Health Administration (VHA) data merged with the 1999 VHA Survey of Primary Care Practices and the 2001 VHA Survey of Women Veterans Health Programs and Practices. The dependent variable was a binary indicator for diagnosed depression during FY2001 at the individual level. We used a multilevel logistic regression model to control for clustering of women veterans within facilities. Individual-level independent variables included demographics, socioeconomic characteristics, and chronic physical conditions. RESULTS: Overall, 27% of women veterans using the VHA were diagnosed as having depression in FY2001. Across facilities, rates of diagnosed depression varied from 13% to 41%. After controlling for individual-level and facility-level independent variables, women veterans who were served in separate women's health clinics with integrated physical and mental healthcare were more likely to have diagnosed depression. The adjusted odds ratio was 1.12 (95% confidence interval, 1.01-1.25). CONCLUSIONS: Existing women-specific VHA organizational features with integration of primary care and mental health seem effective in diagnosing depression. Emerging patient-centered medical home models may facilitate diagnosis and treatment of mental health issues among women with complex chronic conditions.
Topic(s):
Medical Home
See topic collection
Reference Links: View the PubMed citation for Organization of care and diagnosed depression among women veterans
376
Organizational correlates of implementation of colocation of mental health and primary care in the Veterans Health Administration
Type: Journal Article
Year: 2015
Publication Place: United States
Abstract: This study explored the role of organizational factors in the ability of Veterans Health Administration (VHA) clinics to implement colocated mental health care in primary care settings (PC-MH). The study used data from the VHA Clinical Practice Organizational Survey collected in 2007 from 225 clinic administrators across the United States. Clinic degree of implementation of PC-MH was the dependent variable, whereas independent variables included policies and procedures, organizational context, and leaders' perceptions of barriers to change. Pearson bivariate correlations and multivariable linear regression were used to test hypotheses. Results show that depression care training for primary care providers and clinics' flexibility and participation were both positively correlated with implementation of PC-MH. However, after accounting for other factors, regressions show that only training primary care providers in depression care was marginally associated with degree of implementation of PC-MH (p = 0.051). Given the importance of this topic for implementing integrated care as part of health care reform, these null findings underscore the need to improve theory and testing of more proximal measures of colocation in future work.
Topic(s):
Education & Workforce
See topic collection
, Medical Home
See topic collection
379
Participatory (re)design of a sociotechnical healthcare delivery system: The Group Health Patient-Centered Medical Home
Type: Journal Article
Year: 2010
Publication Place: Netherlands
Abstract: This paper describes one organization's interpretation of the Patient-Centered Medical Home concept and the healthcare delivery system that has emerged from their participatory redesign initiative. Group Health, a large integrated healthcare system based in Seattle, Washington, USA initiated a Patient-Centered Medical Home care delivery system transformation in January 2007. Current theories and evidence about the Patient-Centered Medical Home (PCMH), the Chronic Care Model, and effective primary care were interpreted via a facilitated group process and translated into a core set of 5 system design principles. These design principles guided all subsequent system transformation activities. The central organizing principle is supporting and sustaining the patient-primary care physician relationship. The emergent PCMH healthcare delivery system comprises both opportunistic point-of-care and outreach components, many of which leverage and enhance the organization's health information and communication technologies.
Topic(s):
Medical Home
See topic collection
380
Partnering with a payer to develop a value-based medical home pilot: a West Coast practice's experience
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
Financing & Sustainability
See topic collection
, Medical Home
See topic collection
Reference Links: View the PubMed citation for Partnering with a payer to develop a value-based medical home pilot: a West Coast practice's experience