Literature Collection

761

Navigating the Path to Effective, Equitable, and Evidence-Based Telehealth for Opioid Use Disorder Treatment

Type: Journal Article

Authors: L. D. Allen

Year: 2023

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762

Near-Term Policy Solutions to Bolster Youth Mental Health Workforce through Digital Technology

Type: Government Report

Authors: Meadows Mental Health Policy Institute

Year: 2023

Publication Place: Dallas, TX

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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763

Nebraska Pediatric Integrated Care Training (NE-PICT) model

Type: Journal Article

Authors: Rachel J. Valleley, Brandy Clarke, Holly Roberts, Jennifer Burt, Allison Grennan, Joseph H. Evans

Year: 2020

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764

New systems of care for substance use disorders: treatment, finance, and technology under health care reform

Type: Journal Article

Authors: D. R. Pating, M. M. Miller, E. Goplerud, J. Martin, D. M. Ziedonis

Year: 2012

Publication Place: United States

Abstract: This article outlined ways in which persons with addiction are currently underserved by our current health care system. However, with the coming broad scale reforms to our health care system, the access to and availability of high-quality care for substance use disorders will increase. Addiction treatments will continue to be offered through traditional substance abuse care systems, but these will be more integrated with primary care, and less separated as treatment facilities leverage opportunities to blend services, financing mechanisms, and health information systems under federally driven incentive programs. To further these reforms, vigilance will be needed by consumers, clinicians, and policy makers to assure that the unmet treatment needs of individuals with addiction are addressed. Embedded in this article are essential recommendations to facilitate the improvement of care for substance use disorders under health care reform. Ultimately, as addiction care acquires more of the "look and feel" of mainstream medicine, it is important to be mindful of preexisting trends in health care delivery overall that are reflected in recent health reform legislation. Within the world of addiction care, clinicians must move beyond their self-imposed "stigmatization" and sequestration of specialty addiction treatment. The problem for addiction care, as it becomes more "mainstream," is to not comfortably feel that general slogans like "Treatment Works," as promoted by Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Treatment during its annual Recovery Month celebrations, will meet the expectations of stakeholders outside the specialty addiction treatment community. Rather, the problem is to show exactly how addiction treatment works, and to what extent it works-there have to be metrics showing changes in symptom level or functional outcome, changes in health care utilization, improvements in workplace attendance and productivity, or other measures. At minimum, clinicians will be required to demonstrate that their new systems of care and future clinical activity are in conformance with overall standards of "best practice" in health care.

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765

No technological innovation is a panacea: A case series in quality improvement for primary care mental health services

Type: Journal Article

Authors: S. M. Horwitz, K. E. Hoagwood, A. Garner, M. Macknin, T. Phelps, S. Wexberg, C. Foley, J. C. Lock, J. E. Hazen, R. Sturner, B. Howard, K. J. Kelleher

Year: 2008

Publication Place: United States

Abstract: Evaluations of quality improvement efforts targeted at mental health services in primary care pediatrics are rare. We evaluated a short-targeted educational session, a Web-based system, the Child Health and Development Interactive System, and a local area mental health services resource guide. Most physicians believed the information in the educational session was at least somewhat likely to change their practice. However, only 9.2% of the families invited to complete the Web-based system did so. Physicians found access to the Web-based system time consuming and, because the billing code for the screening activity was carved out of most of Ohio's privately-insured contract, physicians received no reimbursement for the screenings. Physicians were unenthusiastic about the local resource guide because the resources were not rated for quality. This quality improvement effort demonstrates that there are not easy solutions to practice change and highlights the need for implementation support when introducing new technology.

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766

Novel remote electronic medication supply model for opioid-dependent outpatients with polypharmacy--first long-term case study

Type: Journal Article

Authors: S. S. Allemann, K. M. Dursteler, J. Strasser, M. Vogel, M. Stoeckle, K. E. Hersberger, I. Arnet

Year: 2017

Publication Place: England

Abstract: BACKGROUND: Patients with substance use disorders grow older thanks to effective treatments. Together with a high prevalence of comorbidities, psychological problems, and low social support, these patients are at high risk for medication non-adherence. Established treatment facilities face challenges to accommodate these complex patients within their setting. Electronic medication management aids (e-MMAs) might be appropriate to simultaneously monitor and improve adherence for these patients. CASE PRESENTATION: We report the first long-term experiences with a novel remote electronic medication supply model for two opioid-dependent patients with HIV. John (beginning dementia, 52 years, 6 tablets daily at 12 am) and Mary (frequent drug holidays, 48 years, 5-6 tablets daily at 8 pm) suffered from disease progression due to non-adherence. We electronically monitored adherence and clinical outcomes during 659 (John) and 953 (Mary) days between July 2013 and April 2016. Both patients retrieved over 90% of the pouches within 75 min of the scheduled time. Technical problems occurred in 4% (John) and 7.2% (Mary) of retrievals, but on-site support was seldom required. Viral loads fell below detection limits during the entire observation period. CONCLUSIONS: Continuous medication supply and persistence with treatment of over 1.7 years, timing adherence of more than 90%, and suppressed HIV viral load are first results supporting the feasibility of the novel supply model for patients on opioid-assisted treatment and polypharmacy.

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767

Obesity treatment for socioeconomically disadvantaged patients in primary care practice

Type: Journal Article

Authors: G. G. Bennett, E. T. Warner, R. E. Glasgow, S. Askew, J. Goldman, D. P. Ritzwoller, K. M. Emmons, B. A. Rosner, G. A. Colditz, Be Well Study Investigators Be Fit

Year: 2012

Publication Place: United States

Abstract: BACKGROUND: Few evidence-based weight loss treatment options exist for medically vulnerable patients in the primary care setting. METHODS: We conducted a 2-arm, 24-month randomized effectiveness trial in 3 Boston community health centers (from February 1, 2008, through May 2, 2011). Participants were 365 obese patients receiving hypertension treatment (71.2% black, 13.1% Hispanic, 68.5% female, and 32.9% with less than a high school educational level). We randomized participants to usual care or a behavioral intervention that promoted weight loss and hypertension self-management using eHealth components. The intervention included tailored behavior change goals, self-monitoring, and skills training, available via a website or interactive voice response; 18 telephone counseling calls; primary care provider endorsement; 12 optional group support sessions; and links with community resources. RESULTS: At 24 months, weight change in the intervention group compared with that in the usual care group was -1.03 kg (95% CI, -2.03 to -0.03 kg). Twenty-four-month change in body mass index (calculated as weight in kilograms divided by height in meters squared) in the intervention group compared with that in the usual care group was -0.38 (95% CI, -0.75 to -0.004). Intervention participants had larger mean weight losses during the 24 months compared with that in the usual care group (area under the receiver operating characteristic curve, -1.07 kg; 95% CI, -1.94 to -0.22). Mean systolic blood pressure was not significantly lower in the intervention arm compared with the usual care arm. CONCLUSION: The intervention produced modest weight losses, improved blood pressure control, and slowed systolic blood pressure increases in this high-risk, socioeconomically disadvantaged patient population. Trial Registration clinicaltrials.gov Identifier: NCT00661817.

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768

Obtaining and Using Data in Practice: A Handbook for Health IT Advisors and Practice Facilitators

Type: Government Report

Authors: Jennifer Bannon, Andrew Bienstock, Brian Cass, Perry Dickinson, Lacey Gleason, David Kendrick, Kyle Knierim, Mary McCaskill, James McCormack, Samuel Ross, Eric Whitley

Year: 2022

Publication Place: Rockville, MD

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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769

Oklahoma's web portal: Fostering care coordination between primary care and community service providers

Type: Web Resource

Authors: L. Hinkle, C. Hanlon

Year: 2012

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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770

Old tech but not low tech: telephone-based treatment provision for substance use

Type: Journal Article

Authors: M. R. Walton, A. W. Kang, C. DelaCuesta, A. Hoadley, R. Martin

Year: 2024

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771

One size does not fit all: parents' evaluations of a support program in a newborn intensive care nursery

Type: Journal Article

Authors: I. Hurst

Year: 2006

Publication Place: United States

Abstract: As intensive care nursery personnel increasingly seek to provide comprehensive care to families, there is a renewed emphasis on offering family support programs. PURPOSE: The purpose of this study was to identify parents' utilization and evaluation of a support program based in a newborn intensive care unit (NICU) that offered a combination of formats for support services: group support, one-to-one support, and telephone support. METHODS: Program records and a survey developed by the author documented parental use and evaluation of services. Data analysis consisted of descriptive statistics and qualitative content analysis of demographic data, survey results, and parental comments. RESULTS: Of the total 477 participants, 78% utilized 1 support service format exclusively. Eighteen percent utilized 2 support formats concurrently. A subsample of 48 parents completed an evaluation survey. Continuity of care was a critical component of the program overall. Group support offered more opportunities for families to problem-solve communication issues with nursery personnel and provide information that assisted parents' involvement in their babies' care. CONCLUSIONS: Parent support programs that utilize only one type of format may not be optimal for providing the range of support needed by many NICU families. Parent support programs offer an important mechanism to assess provider approaches to facilitate family-centered care.

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772

One-year follow-up results of unsupported online computerized cognitive behavioural therapy for depression in primary care: A randomized trial

Type: Journal Article

Authors: L. E. de Graaf, S. A. Gerhards, A. Arntz, H. Riper, J. F. Metsemakers, S. M. Evers, J. L. Severens, G. Widdershoven, M. J. Huibers

Year: 2011

Publication Place: Netherlands

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773

Online cognitive behavioral therapy for depressed primary care patients: a pilot feasibility project

Type: Journal Article

Authors: U. Whiteside, J. Richards, B. Steinfeld, G. Simon, S. Caka, C. Tachibana, S. Stuckey, E. Ludman

Year: 2014

Publication Place: United States

Abstract: CONTEXT: Cognitive behavioral therapy (CBT) is a goal-oriented treatment that guides patients to healthy thoughts and behaviors. Internet-delivered CBT with supportive coaching can be as effective as in-person psychotherapy treatment of depression. OBJECTIVE: To test the feasibility of engaging depressed primary care patients not currently receiving psychotherapy and to measure the outcomes of Internet-delivered CBT with supportive coaching. DESIGN: Pilot feasibility project. MAIN OUTCOME MEASURES: 1) Uptake rate. 2) Reduction in depressive symptoms (average score on 20-item Hopkins Symptom Checklist) from baseline to 4-month follow-up. METHODS: Medical records data were queried to identify patients experiencing a new episode of depression. Eligible patients were invited via secure messaging (patient and clinician communication using a secure Web site linked to the medical record) to participate in the Internet-delivered CBT program (also known as Thrive), which was algorithm-driven and delivered through didactic segments, interactive tools, and assessments. Patients completed a self-administered online follow-up survey four months after enrollment. RESULTS: Of 196 eligible patients who were sent an invitation, 39 (20%) enrolled in the Internet-delivered CBT program. At follow-up, enrolled patients experienced a clinically significant decrease (average = 46%) in depressive symptoms. Suicidal thoughts also decreased both overall and by severity. CONCLUSIONS: Seamless, scalable integration of Internet-delivered CBT into health care systems is feasible. The 20% uptake rate suggests that future work should focus on strategies to increase the initial response rate. One promising direction is the addition of "human touch" to the secure message invitation. Depression outcomes suggest promise for systemwide implementation of Internet-delivered CBT programs.

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774

Online communities of practice to support collaborative mental health practice in rural areas

Type: Journal Article

Authors: L. Cassidy

Year: 2011

Publication Place: England

Abstract: The provision of quality mental health services in rural areas continues to be an ongoing challenge for nurses and the patients they serve. The use of computer mediated communication to construct collaborative learning environments similar to those suggested in Wenger's community of practice framework has the potential to mitigate a number of the difficulties faced by rural health care providers. The author presents a brief discussion of social learning theories, the communities of practice framework, and related concepts. Examples of current online communities of practice used as a means for knowledge construction in various professional disciplines are presented in building the case for the fit between online communities of practice and the needs of nurses in rural mental health. Nurses providing mental health care in rural areas have documented needs for interdisciplinary teamwork, access to a collaborative learning environment, and ongoing contact with expert resources. The construction of online communities of practice could potentially address a multitude of concerns identified by nurses practicing mental health care in rural areas.

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775

Online prescribing

Type: Web Resource

Authors: Center for Connected Health Policy

Year: 2021

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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776

Open Access as a Revolution: Knowledge Alters Power

Type: Journal Article

Year: 2019

Publication Place: Canada

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777

Open medical records

Type: Journal Article

Authors: S. B. Frampton, S. Horowitz, B. J. Stumpo

Year: 2009

Publication Place: United States

Abstract: This is the third in a series of articles from Planetree, an international nonprofit organization founded in 1978 that's "committed to improving medical care from the patient's perspective." For more information, go to www.planetree.org.

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778

Operational Tools and Best Practices to Support Electronic Health Record-Sourced Data Quality, Relevance, and Reliability at the Data Accrual Phase

Type: Government Report

Authors: Matthew D'Ambrosio, Patrick Rodriguez, Nora Emmott, Rachele Hendricks-Sturrup

Year: 2025

Publication Place: Durham, NC

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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779

Opioid Addiction Treatment

Type: Web Resource

Authors: The University of New Mexico

Year: 2021

Publication Place: Project ECHO, The University of New Mexico

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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780

Opioid treatment programs, telemedicine and COVID-19: A scoping review

Type: Journal Article

Authors: B. Chan, C. Bougatsos, K. C. Priest, D. McCarty, S. Grusing, R. Chou

Year: 2021

Publication Place: United States

Abstract:

Background: Methadone and buprenorphine are effective medications for opioid use disorder (MOUD) that are highly regulated in the United States. The on-going opioid crisis, and more recently COVID-19, has prompted reconsideration of these restrictions in order to sustain and improve treatment access, with renewed interest in telemedicine. We reviewed the evidence on use of telemedicine interventions and applicability to MOUD policy changes in the post-COVID-19 treatment landscape. Methods: Ovid MEDLINE and the Cochrane Database of Systematic Reviews databases were searched from inception to April 2021 and reference lists were reviewed to identify additional studies. Studies were eligible if they examined telemedicine interventions and reported outcomes (e.g. treatment initiation, retention in care). Randomized trials and controlled observational studies were prioritized; other studies were included when stronger evidence was unavailable. One investigator abstracted key information and a second investigator verified data. We described the results qualitatively. Results: We identified nine studies: three controlled trials (two randomized), and six observational studies. Three studies evaluated patients treated with methadone and six studies with buprenorphine, including one study of pregnant women with OUD. All studies showed telemedicine approaches associated with similar outcomes (treatment retention, positive urine toxicology) compared to treatment as usual. Trials were limited by small samples sizes, lack of reporting harms, and most were conducted prior to the COVID-19 pandemic; observational studies were limited by failure to control for confounding. Conclusions: Limited evidence suggests that telemedicine may enhance access to MOUD with similar effectiveness compared with face-to-face treatment. Few studies have been published since COVID-19, and it is unclear the potential impact of these interventions on the existing racial/ethnic disparities in treatment. The COVID-19 pandemic and need for social distancing led to temporary policy changes for prescribing of MOUD that could inform additional research in this area to support comprehensive policy reforms.

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