Literature Collection

41

Embedded social worker facilitates integration in primary care site

Type: Journal Article

Year: 2012

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42

Epidemiology of depression in primary care

Type: Journal Article

Authors: W. Katon, H. Schulberg

Year: 1992

Publication Place: UNITED STATES

Abstract: Major depressive disorder has been recently found to be associated with high medical utilization and more functional impairment than most chronic medical illnesses. Major depression is a common illness among persons in the community, in ambulatory medical clinics, and in inpatient medical care. Studies have estimated that major depression occurs in 2%-4% of persons in the community, in 5%-10% of primary care patients, and 10%-14% of medical inpatients. In each setting there are two to three times as many persons with depressive symptoms that fall short of major depression criteria. Recent studies have found that in one-third to one-half of patients with major depression, the symptoms persist over a 6-month to one-year period. The majority of longitudinal studies have determined that severity of initial depressive symptoms and the presence of a comorbid medical illness were predictors of persistence of depression.

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43

Europe's Strong Primary Care Systems Are Linked To Better Population Health But Also To Higher Health Spending

Type: Journal Article

Authors: D. S. Kringos, W. Boerma, J. van der Zee, P. Groenewegen

Year: 2013

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44

Evolving models of behavioral health integration in primary care

Type: Government Report

Authors: C. Collins, D. L. Hewson, R. Munger, T. Wade

Year: 2010

Publication Place: New York, NY

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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45

Experts call for integrating mental health into primary care

Type: Journal Article

Year: 2012

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46

Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health

Type: Government Report

Authors: Office of the Surgeon General U.S. Department of Health and Human Services

Year: 2016

Publication Place: Washington, DC

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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47

Factors supporting the implementation of integrated care between physical and mental health services: an integrative review

Type: Journal Article

Authors: D. Coates, D. Coppleson, J. Travaglia

Year: 2021

Publication Place: England

Abstract:

In Australia and internationally there is a strong policy commitment to the redesign of health services toward integrated physical and mental health care. When executed well, integrated care has been demonstrated to improve the access to, clinical outcomes from, and quality of care while reducing overtreatment and duplication. Despite the demonstrated effectiveness and promise of integrated care, exactly how integrated care is best achieved remains less clear. The aim of this review study was to identify factors that support the implementation of integrated care between physical and mental health services. An integrative review was conducted following the framework developed by Whittemore and Knafl, with quantitative and qualitative evidence systematically considered. To identify studies, Medline, PubMed, PsychINFO, CINAHL were searched for the period from 2003 to 2018, and reference lists of included studies and review articles were examined. Nineteen studies were included. Synthesis of study findings identified seven key factors supporting the implementation of integrated care between physical and mental health services: (a) adequate resourcing, (b) shared values, (c) effective communication, (d) information technology (IT) infrastructure, (e) flexible administrative organizations, (f) role clarity and accountability, and (g) staff engagement and training. There was little theoretical development in included studies, with little insight into the contextual factors or underlying mechanism required to support the implementation of integrated care initiatives. This review identified a set of inter-related barriers and facilitators which, if addressed, can improve the implementation and sustainability of truly integrated care.

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48

Falling through the cracks: gaps in depression treatment among older Mexican-origin and white men

Type: Journal Article

Authors: L. Hinton, E. C. Apesoa-Varano, H. M. Gonzalez, S. Aguilar-Gaxiola, M. Dwight-Johnson, J. C. Barker, C. Tran, R. Zuniga, J. Unutzer

Year: 2012

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49

Financial incentives influencing the integration of mental health care and primary care

Type: Journal Article

Authors: R. J. Goldberg

Year: 1999

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50

Five levels of primary care/behavioral healthcare collaboration

Type: Journal Article

Authors: W. J. Doherty, S. H. McDaniel, M. A. Baird

Year: 1996

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51

Fostering sustainable, integrated medical and behavioral health services in medical settings

Type: Journal Article

Authors: R. Manderscheid, R. Kathol

Year: 2014

Publication Place: United States

Abstract: The integration of behavioral health (BH) and primary care services has been the subject of considerable attention for almost a decade. Such work has been motivated by the prevalence of chronic health problems in persons with BH conditions and correspondingly high rates of early death. Service integration efforts typically included cross-referral or bidirectional efforts to add some features of primary care to specialty BH settings or the reverse. This article proposes a third approach based on full service and financial integration and shows how it differs substantially from the other 2 models. This new model has the potential to bring much-needed BH services to persons served in primary care settings who have these conditions, while fostering integrated services in specialty settings for those with the most severe mental or substance use conditions. The Patient Protection and Affordable Care Act could provide a valuable opportunity to implement this third model.

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52

From silos to bridges: meeting the general health care needs of adults with severe mental illnesses

Type: Journal Article

Authors: M. Horvitz-Lennon, A. M. Kilbourne, H. A. Pincus

Year: 2006

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53

Future research needs for the integration of mental health/substance abuse and primary care. Future Research Needs Paper No. 3

Type: Government Report

Authors: T. S. Carey, K. A. Crotty, J. P. Morrissey, D. E. Jonas, M. Viswanathan, S. Thaker, A. R. Ellis, C. Woodell, C. Wines

Year: 2010

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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54

Grand challenges: Integrating mental health care into the non-communicable disease agenda

Type: Journal Article

Authors: V. K. Ngo, A. Rubinstein, V. Ganju, P. Kanellis, N. Loza, C. Rabadan-Diehl, A. S. Daar

Year: 2013

Publication Place: United States

Abstract: In the third article of a five-part series providing a global perspective on integrating mental health, Victoria Ngo and colleagues argue that mental health care should be integrated into the non-communicable chronic diseases agenda.

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55

Grand challenges: integrating mental health services into priority health care platforms

Type: Journal Article

Authors: V. Patel, G. S. Belkin, A. Chockalingam, J. Cooper, S. Saxena, J. Unutzer

Year: 2013

Publication Place: United States

Abstract: In the last article of a five-part series providing a global perspective on integrating mental health, Vikram Patel and colleagues discuss the competencies, operational innovation, and packages of care needed, and argue that integration will complement primary care system strengthening.

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56

Health access and integration for adults with serious and persistent mental illness

Type: Journal Article

Authors: Judith B. Boardman

Year: 2006

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57

How Autism Highlights Health Care Challenges

Type: Web Resource

Authors: A. Vahabzedeh

Year: 2013

Topic(s):

,

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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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58

How Can We Link General Medical and Behavioral Health Care? International Models for Practice and Policy

Type: Journal Article

Authors: H. A. Pincus, M. Jun, G. Franx, C. van der Feltz-Cornelis, H. Ito, E. Mossialos

Year: 2015

Publication Place: United States

Abstract: A range of integration models for providing effective care to individuals with comorbid general medical and behavioral health conditions have been described and tested in varied settings internationally for several subsets of this population. This column examines models in three countries selected to showcase implementation in a variety of health systems: the national health system in England, nationally regulated individual insurance market in the Netherlands, and a mixture of employer-sponsored and government-funded health insurance plans in Japan. The authors describe a set of key practices for and challenges to the successful implementation of these models.

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59

IHI 90-Day R&D Project Final Summary Report: Integrating Behavioral Health and Primary Care

Type: Report

Authors: Institute for Healthcare Improvement

Year: 2014

Publication Place: Cambridge, MA

Abstract: Organizations are increasingly realizing that achieving the Triple Aim for populations in a geographic area without an integrated behavioral health strategy is virtually impossible. Organizations looking to reduce their costs will find that behavioral health issues are frequently comorbid with other chronic conditions among their high-cost (and high-risk/high-need) patients.This IHI 90-day R&D project report examines the basic principles underlying existing, exemplary integration models and integrated organizations, identifies the core components required for success, and assesses how (or if) they are operationalized by each of the different models. The aim is to understand the core principles underlying successful integration of behavioral health services into primary care. The report includes discussion of: •Integration levels and approaches •Integration models and core components •Barriers to integration and proposed solutions •A proposed approach for implementing integrated care •Areas of innovation for potential future study

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,

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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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60

Impact of disseminating quality improvement programs for depression in managed primary care: A randomized controlled trial

Type: Journal Article

Authors: K. B. Wells, C. Sherbourne, M. Schoenbaum, N. Duan, L. Meredith, J. Unutzer, J. Miranda, M. F. Carney, L. V. Rubenstein

Year: 2000

Publication Place: UNITED STATES

Abstract: CONTEXT: Care of patients with depression in managed primary care settings often fails to meet guideline standards, but the long-term impact of quality improvement (QI) programs for depression care in such settings is unknown. OBJECTIVE: To determine if QI programs in managed care practices for depressed primary care patients improve quality of care, health outcomes, and employment. DESIGN: Randomized controlled trial initiated from June 1996 to March 1997. SETTING: Forty-six primary care clinics in 6 US managed care organizations. PARTICIPANTS: Of 27332 consecutively screened patients, 1356 with current depressive symptoms and either 12-month, lifetime, or no depressive disorder were enrolled. INTERVENTIONS: Matched clinics were randomized to usual care (mailing of practice guidelines) or to 1 of 2 QI programs that involved institutional commitment to QI, training local experts and nurse specialists to provide clinician and patient education, identification of a pool of potentially depressed patients, and either nurses for medication follow-up or access to trained psychotherapists. MAIN OUTCOME MEASURES: Process of care (use of antidepressant medication, mental health specialty counseling visits, medical visits for mental health problems, any medical visits), health outcomes (probable depression and health-related quality of life [HRQOL]), and employment at baseline and at 6- and 12-month follow-up. RESULTS: Patients in QI (n = 913) and control (n = 443) clinics did not differ significantly at baseline in service use, HRQOL, or employment after nonresponse weighting. At 6 months, 50.9% of QI patients and 39.7% of controls had counseling or used antidepressant medication at an appropriate dosage (P or = .21). At 6 months, 47.5% of QI patients and 36.6% of controls had a medical visit for mental health problems (P = .001), and QI patients were more likely to see a mental health specialist at 6 months (39.8% vs 27.2%; P<.001) and at 12 months (29.1% vs 22.7%; P = .03). At 6 months, 39.9% of QI patients and 49.9% of controls still met criteria for probable depressive disorder (P = .001), with a similar pattern at 12 months (41.6% vs 51.2%; P = .005). Initially employed QI patients were more likely to be working at 12 months relative to controls (P = .05). CONCLUSIONS: When these managed primary care practices implemented QI programs that improve opportunities for depression treatment without mandating it, quality of care, mental health outcomes, and retention of employment of depressed patients improved over a year, while medical visits did not increase overall.

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