Literature Collection

361

Adolescent SBIRT implementation: Generalist vs. Specialist models of service delivery in primary care

Type: Journal Article

Authors: S. G. Mitchell, J. Gryczynski, R. P. Schwartz, A. S. Kirk, K. Dusek, M. Oros, C. Hosler, K. E. O'Grady, B. S. Brown

Year: 2020

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362

Adolescent substance use: the role of the medical home

Type: Journal Article

Authors: S. Levy, J. F. Williams

Year: 2014

Publication Place: United States

Abstract: Given the continued high rates of substance use by adolescents and young adults, it should be among the topics addressed at every health care visit in the medical home. Primary care physicians should counsel and refer parents for substance use assessment, counseling, and cessation management when pediatric or adolescent patients are environmentally exposed to substances and substance use. The role of the medical home includes providing parents, children, and adolescents with anticipatory guidance, drug use screening, health advice, brief intervention, and referral for further assessment and treatment when an SUD is suspected. Clinical and technical reports, policy statements, and educational materials provided by national institutes and health professional societies assist those caring for children and adolescents by assuring best practices in detailed guidance and developmentally appropriate strategies related to alcohol, tobacco, and other substance use across the pediatric age range.

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363

Adolescent-Serving Addiction Treatment Facilities in the United States and the Availability of Medications for Opioid Use Disorder

Type: Journal Article

Authors: R. H. Alinsky, S. E. Hadland, P. A. Matson, M. Cerda, B. Saloner

Year: 2020

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364

Adolescents and Opioid Substance Use Case Studies

Type: Journal Article

Authors: Albert Anthony Rundio Jr

Year: 2018

Publication Place: United States

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365

Adoption of telemedicine services by substance abuse treatment facilities in the U.S

Type: Journal Article

Year: 2020

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366

Adoption, penetration, and effectiveness of a secondary risk screener for intimate partner violence: Evidence to inform screening practices in integrated care settings

Type: Journal Article

Authors: K. M. Iverson, A. E. Sorrentino, S. L. Bellamy, A. R. Grillo, T. N. Haywood, E. Medvedeva, C. B. Roberts, M. E. Dichter

Year: 2018

Publication Place: United States

Abstract: OBJECTIVE: Veterans Health Administration (VHA) has implemented screening for past-year intimate partner violence (IPV) in some healthcare facilities along with secondary screening of risk for severe violence among those screening positive in order to facilitate follow-up care for high-risk patients. We evaluated the adoption, penetration, and effectiveness of secondary screening as a tool to facilitate timely follow-up services. METHODS: Retrospective review of medical records (screening and healthcare use) of 774 women screening positive for past-year IPV (IPV+) at 11 facilities nationwide from April 2014-April 2016. Chi-square and t-tests examined factors related to secondary screening. RESULTS: Three of eleven (27.3%) facilities that implemented primary IPV screening adopted secondary screening. At adopting sites, 56.4% eligible (i.e., IPV+) women received secondary screening. Among 185 IPV+ women who completed secondary screening, 33.0% screened positive for severe IPV. Screening positive during secondary screening was associated with higher rate of psychosocial care within 60days (73.8% vs. 54.0% of IPV+ patients screening negative; p50% vs. <15%; p<.001). CONCLUSIONS: Secondary risk assessment following IPV screening may expedite access to psychosocial follow-up care in integrated healthcare settings. However, program uptake needs to be enhanced.

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367

Adult Primary Care Physician Visits Increasingly Address Mental Health Concerns

Type: Journal Article

Authors: L. S. Rotenstein, S. T. Edwards, B. E. Landon

Year: 2023

Abstract:

A high prevalence of mental health diagnoses in adults alongside ongoing shortages of mental health specialists and expansion of the patient-centered medical home have increased the involvement of primary care clinicians in treating mental health concerns. Using nationally representative serial cross-sectional data from the 2006-18 National Ambulatory Medical Care Surveys regarding visits to outpatient primary care physicians by patients ages eighteen and older, we sought to characterize temporal trends in primary care visits addressing a mental health concern. Based on a sample of 109,898 visits representing 3,891,233,060 weighted visits, we found that the proportion of visits that addressed mental health concerns increased from 10.7 percent of visits in 2006-07 to 15.9 percent by 2016 and 2018. Black patients were 40 percent less likely than White patients to have a mental health concern addressed during a primary care visit, and Hispanic patients were 40 percent less likely than non-Hispanic patients to have a mental health concern addressed during a primary care visit. These findings emphasize the need for payment and billing approaches (that is, value-based care models and billing codes for integrated behavioral health) as well as organizational designs and supports (that is, colocated therapy or psychiatry providers, availability of e-consultation, and longer visits) that enable primary care physicians to adequately address mental health needs.

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368

Advances and controversies in military posttraumatic stress disorder screening

Type: Journal Article

Authors: D. J. Lee, C. H. Warner, C. W. Hoge

Year: 2014

Publication Place: United States

Abstract: As the longest war in American history draws to a close, an unprecedented number of service members and veterans are seeking care for health challenges related to transitioning home and to civilian life. Congressionally mandated screening for mental health concerns in the Department of Defense (DoD), as well as screening efforts Veterans Affairs (VA) facilities, has been established with the goal of decreasing stigma and ensuring service members and veterans with depression and posttraumatic stress disorder (PTSD) receive needed treatment. Both the DoD and VA have also developed integrated behavioral health in primary-care based initiatives, which emphasize PTSD screening, treatment, and care coordination. This article discusses the rationale for population-level deployment-related mental health screening, recent changes to screening frequency, commonly used screening instruments such as the primary care PTSD screen (PC-PTSD), PTSD checklist (PCL), and Davidson Trauma Scale (DTS); as well as the strengths/limitations of each, and recommended cut-off scores based on expected PTSD prevalence.

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369

Advances in diagnosis of adolescent substance abuse

Type: Journal Article

Authors: K. M. Gray, H. P. Upadhyaya, D. Deas, K. T. Brady

Year: 2006

Publication Place: United States

Abstract: Screening and diagnosis of adolescent substance abuse is a challenging but achievable component of primary care practice. Successful integration of these procedures into office visits requires an understanding of prevalence, risk factors, and strategies for prevention and treatment. The authors provide a synopsis of recent advances and important issues in this area and propose a stepwise, evidence-based approach to evaluation of substance abuse in adolescents.

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370

Advancing family-centred care in child and adolescent mental health: a critical review of the literature

Type: Journal Article

Authors: Gail MacKean, Wendy Spragins, Laura L'Heureux, Janice Popp, Chris Wilkes, Harold Lipton

Year: 2012

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371

Advancing Integration of General Health in Behavioral Health Settings: A Continuum-Based Framework

Type: Report

Authors: Henry Chung, Ekaterina Smali, Varsha Narasimhan, Rachel Talley, Mathhew L. Goldman, Charles Ingoglia, David Woodlock, Harold Alan Pincus

Year: 2020

Publication Place: New York, NY

Topic(s):

, ,

Disclaimer:

Grey literature is comprised of materials that are not made available through traditional publishing avenues. Examples of grey literature in the Repository of the Academy for the Integration of Mental Health and Primary Care include: reports, dissertations, presentations, newsletters, and websites. This grey literature reference is included in the Repository in keeping with our mission to gather all sources of information on integration. Often the information from unpublished resources is limited and the risk of bias cannot be determined.

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372

Advancing pharmacological treatments for opioid use disorder (ADaPT‑OUD): Protocol for testing a novel strategy to improve implementation of medication‑assisted treatment for veterans with opioid use disorders in low‑performing facilities

Type: Journal Article

Authors: Hildi Hagedorn, Marie Kenny, Adam J. Gordon, Princess E. Ackland, Siamak Noorbaloochi, Wei Yu, Alex H. S. Harris

Year: 2018

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373

Advancing Racial Equity in U.S. Health Care: The Commonwealth Fund 2024 State Health Disparities Report

Type: Government Report

Authors: David C. Radley, Arnav Shah, Sara R. Collins, Neil R. Powe, Laurie C. Zephyrin

Year: 2024

Publication Place: Washington, D.C.

Topic(s):

,

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.

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374

Advancing the evidence for integrated pediatric primary care psychology: A call to action

Type: Journal Article

Authors: Meghan McAuliffe Lines

Year: 2019

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375

Advancing the Role of School‐Based Health Centers in Driving Health Justice

Type: Journal Article

Authors: April Joy Damian, Robert Boyd

Year: 2021

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376

Advisory: Addressing Suicidal Thoughts and Behaviors in Substance Use Treatment

Type: Government Report

Authors: Substance Abuse and Mental Health Services Administration

Year: 2021

Publication Place: Rockville, MD

Topic(s):

, ,

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.

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377

Advisory: Evidence-Based, Whole Person Care of Pregnant People Who Have Opioid Use Disorder

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2024

Publication Place: Rockville, MD

Topic(s):

, ,

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.

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378

Advisory: Screening and Treatment of Substance Use Disorders among Adolescents

Type: Government Report

Authors: Substance Abuse and Mental Health Services Administration

Year: 2021

Publication Place: Rockville, MD

Topic(s):

, ,

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.

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379

Advisory: Substance Use Disorder Treatment for People with Co-Occurring Disorders

Type: Government Report

Authors: Substance Abuse and Mental Health Services Administration

Year: 2021

Publication Place: Rockville, MD

Topic(s):

, ,

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.

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380

Age Group Differences Among Veterans Enrolled in a Clinical Service for Behavioral Health Issues in Primary Care

Type: Journal Article

Authors: S. Mavandadi, J. R. Klaus, D. W. Oslin

Year: 2010

Abstract: OBJECTIVES:: To examine age group differences in the identification, engagement, clinical outcomes, and monitoring of older, relative to middle aged and younger, veterans with behavioral health needs enrolled in an integrated care management program. DESIGN:: Cross-sectional and longitudinal. SETTING:: Primary care clinics affiliated with two Veterans Affairs Medical Centers. PARTICIPANTS:: A total of 9,087 veterans were referred to the Behavioral Health Laboratory (BHL) for a behavioral health assessment and 7,251 completed an initial assessment. MEASUREMENTS:: Data on consult source and reason for the referral, clinical assessment outcomes, and engagement were collected during a 3-year period. Variations in process and patient-level factors were examined as a function of age group. RESULTS:: Although all age groups evidenced high rates of engagement in clinical assessment calls, older adults were slightly more likely to complete the assessments than young/middle-aged veterans. Clinical assessment outcomes revealed that although older adults were less likely to meet criteria for more complex, severe conditions, rates of disorder remained clinically significant, and comorbidity was common. Finally, older veterans receiving treatment monitoring for a newly prescribed antidepressant consistently reported high rates of antidepressant adherence during the course of the monitoring calls and showed significant reductions in depressive symptomatology during the course of monitoring. CONCLUSIONS:: Results indicate age-related variability in processes and outcomes among veterans referred to the BHL and suggest that older veterans are just as likely to benefit from a program designed to facilitate the identification, engagement, monitoring, and care management of primary care patients experiencing behavioral health issues.

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