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Opioids & SU
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).
1012 Results
881
The effectiveness of telemental health: A 2013 review
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: INTRODUCTION: The effectiveness of any new technology is typically measured in order to determine whether it successfully achieves equal or superior objectives over what is currently offered. Research in telemental health-in this article mainly referring to telepsychiatry and psychological services-has advanced rapidly since 2003, and a new effectiveness review is needed. MATERIALS AND METHODS: The authors reviewed the published literature to synthesize information on what is and what is not effective related to telemental health. Terms for the search included, but were not limited to, telepsychiatry, effectiveness, mental health, e-health, videoconferencing, telemedicine, cost, access, and international. RESULTS: Telemental health is effective for diagnosis and assessment across many populations (adult, child, geriatric, and ethnic) and for disorders in many settings (emergency, home health) and appears to be comparable to in-person care. In addition, this review has identified new models of care (i.e., collaborative care, asynchronous, mobile) with equally positive outcomes. CONCLUSIONS: Telemental health is effective and increases access to care. Future directions suggest the need for more research on service models, specific disorders, the issues relevant to culture and language, and cost.
Topic(s):
HIT & Telehealth
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884
The electronic medical record. A randomized trial of its impact on primary care physicians' initial management of major depression [corrected]
Type: Journal Article
Year: 2001
Publication Place: United States
Abstract: BACKGROUND: Inadequate treatments are reported for depressed patients cared for by primary care physicians (PCPs). Providing feedback and evidence-based treatment recommendations for depression to PCPs via electronic medical record improves the quality of interventions. METHODS: Patients presenting to an urban academically affiliated primary care practice were screened for major depression with the Primary Care Evaluation of Mental Disorders (PRIME-MD). During 20-month period, 212 patients met protocol-eligibility criteria and completed a baseline interview. They were cared for by 16 board-certified internists, who were electronically informed of their patients' diagnoses, and randomized to 1 of 3 methods of exposure to guideline-based advice for treating depression (active, passive, and usual care). Ensuing treatment patterns were assessed by medical chart review and by patient self-report at baseline and 3 months. RESULTS: Median time for PCP response to the electronic message regarding the patient's depression diagnosis was 1 day (range, 1-95 days). Three days after notification, 120 (65%) of 186 PCP responses indicated agreement with the diagnosis, 24 (13%) indicated disagreement, and 42 (23%) indicated uncertainty. Primary care physicians who agreed with the diagnoses sooner were more likely to make a medical chart notation of depression, begin antidepressant medication therapy, or refer to a mental health specialist (P<.001). There were no differences in the agreement rate or treatments provided across guideline exposure conditions. CONCLUSIONS: Electronic feedback of the diagnosis of major depression can affect PCP initial management of the disorder. Further study is necessary to determine whether this strategy, combined with delivery of treatment recommendations, can improve clinical outcomes in routine practice.
Topic(s):
HIT & Telehealth
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885
The estimated impact of state-level support for expanded delivery of substance use disorder treatment during the COVID-19 pandemic
Type: Journal Article
Year: 2021
Publication Place: England
Topic(s):
Healthcare Disparities
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, Healthcare Policy
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, HIT & Telehealth
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, Opioids & Substance Use
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886
The future of health information technology in the patient-centered medical home
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Most electronic health records today need further development of features that patient-centered medical homes require to improve their efficiency, quality, and safety. We propose a road map of the domains that need to be addressed to achieve these results. We believe that the development of electronic health records will be critical in seven major areas: telehealth, measurement of quality and efficiency, care transitions, personal health records, and, most important, registries, team care, and clinical decision support for chronic diseases. To encourage this development, policy makers should include medical homes in emerging electronic health record regulations. Additionally, more research is needed to learn how these records can enhance team care.
Topic(s):
HIT & Telehealth
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Reference Links: 
View the DOI record for The future of health information technology in the patient-centered medical home
View DOI Record
View the PubMed citation for The future of health information technology in the patient-centered medical home889
The impact of COVID-19 on opioid treatment programs in the United States
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, HIT & Telehealth
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, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for The impact of COVID-19 on opioid treatment programs in the United States
View DOI Record
View the PubMed citation for The impact of COVID-19 on opioid treatment programs in the United States892
The Impact of the Covid-19-Related Transition to Telehealth on Visit Adherence in Mental Health Care: An Interrupted Time Series Study
Type: Journal Article
Year: 2022
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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, HIT & Telehealth
See topic collection
, Opioids & Substance Use
See topic collection
894
The integration of a telemental health service into rural primary medical care
Type: Journal Article
Year: 2007
Publication Place: United States
Abstract: Mental health care shortages in rural areas have resulted in the majority of services being offered through primary medical care settings. The authors argue that a paradigm shift must occur so that those in need of mental health care have reasonable, timely access to these services. Changes proposed include integrating mental health services into primary medical care settings, moving away from the traditional view of mental health care services (one therapist, one hour, and one client), and increasing the consultative role of psychologists and other mental health care providers in primary medical care. Characteristics of mental health providers that facilitate effective integration into primary medical care are presented. The results of a needs assessment survey and an example of a telemental health project are described. This project involved brief consultations with patients and their physicians from a shared care model using a broadband internet telecommunications link between a rural clinic and mental health service providers in an urban area.
Topic(s):
HIT & Telehealth
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Reference Links: View the PubMed citation for The integration of a telemental health service into rural primary medical care
895
The intertwined expansion of telehealth and buprenorphine access from a prescriber hub
Type: Journal Article
Year: 2021
Publication Place: United States
Topic(s):
Education & Workforce
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, HIT & Telehealth
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, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for The intertwined expansion of telehealth and buprenorphine access from a prescriber hub
View DOI Record
View the PubMed citation for The intertwined expansion of telehealth and buprenorphine access from a prescriber hub896
The Logan Healthy Living Program-a cluster randomized trial of a telephone-delivered physical activity & dietary behavior intervention for PC patients w/ type 2 diabetes or hypertension from a socially disadvantaged community
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: BACKGROUND: Physical activity and dietary behavior changes are important to both the primary prevention and secondary management of the majority of our most prevalent chronic conditions (i.e., cardiovascular disease, hypertension, type 2 diabetes, breast and colon cancer). With over 85% of Australian adults visiting a general practitioner each year, the general practice setting has enormous potential to facilitate wide scale delivery of health behaviour interventions. However, there are also many barriers to delivery in such settings, including lack of time, training, resources and remuneration. Thus there is an important need to evaluate other feasible and effective means of delivering evidence-based physical activity and dietary behaviour programs to patients in primary care, including telephone counseling interventions. METHODS: Using a cluster randomized design with practice as the unit of randomization, this study evaluated a telephone-delivered intervention for physical activity and dietary change targeting patients with chronic conditions (type 2 diabetes or hypertension) recruited from primary care practices in a socially disadvantaged community in Queensland, Australia. Ten practices were randomly assigned to the telephone intervention or to usual care, and 434 patients were recruited. Patients in intervention practices received a workbook and 18 calls over 12 months. Assessment at baseline, 4-, 12- and 18-months allows for assessment of initial change and maintenance of primary outcomes (physical activity and dietary behavior change) and secondary outcomes (quality of life, cost-effectiveness, support for health behavior change). CONCLUSIONS: This effectiveness trial adds to the currently limited number of telephone-delivered intervention studies targeting both physical activity and dietary change. It also addresses some of the shortcomings of previous trials by targeting patients from a disadvantaged community, and by including detailed reporting on participant representativeness, intervention implementation and cost-effectiveness, as well as an evaluation of maintenance of health behavior change.
Topic(s):
HIT & Telehealth
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897
The Management of Substance Use Disorders: Synopsis of the 2021 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline
Type: Journal Article
Year: 2022
Publication Place: United States
Abstract:
DESCRIPTION: In August 2021, leadership within the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) approved a joint clinical practice guideline (CPG) for the management of substance use disorders (SUDs). This synopsis summarizes key recommendations. METHODS: In March 2020, the VA/DoD Evidence-Based Practice Work Group assembled a team to update the 2015 VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders that included clinical stakeholders and conformed to the National Academy of Medicine's tenets for trustworthy CPGs. The guideline panel developed key questions, systematically searched and evaluated the literature, created two 1-page algorithms, and distilled 35 recommendations for care using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system. This synopsis presents the recommendations that were believed to be the most clinically impactful. RECOMMENDATIONS: The scope of the CPG is broad; however, this synopsis focuses on key recommendations for the management of alcohol use disorder, use of buprenorphine in opioid use disorder, contingency management, and use of technology and telehealth to manage patients remotely.
Topic(s):
Education & Workforce
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, HIT & Telehealth
See topic collection
, Opioids & Substance Use
See topic collection
898
The Michigan Child Care Collaborative Program: Building a Telepsychiatry Consultation Service
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: This column describes the establishment of the Michigan Child Care Collaborative (MC3), a statewide telepsychiatry consultation program that provides support to primary care providers (PCPs) in meeting the mental health needs of youths and perinatal women. The MC3 program provides cost-effective, timely, remote consultation to primary care providers in an effort to address the lack of access and scarcity of resources in child, adolescent, and perinatal psychiatry. Data from 10,445 service requests are summarized. Common diagnoses included attention-deficit hyperactivity disorder, mood disorders, anxiety disorders, and autistic spectrum disorders, with many cases (58%) deemed moderate to severe. Co-occurring psychological trauma was suspected in 9% of service requests. Partnerships, stakeholder roles, PCP engagement, and workflow integration are highlighted as keys to the program's success.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for The Michigan Child Care Collaborative Program: Building a Telepsychiatry Consultation Service
View DOI Record
View the PubMed citation for The Michigan Child Care Collaborative Program: Building a Telepsychiatry Consultation Service900
The North Lewisham telepsychiatry project: beyond the pilot phase
Type: Journal Article
Year: 2002
Publication Place: England
Abstract:
The integration of a telepsychiatry application into an inner-city community mental health service was evaluated over 10 months. ISDN videoconferencing at 128 kbit/s was employed for psychiatric consultation between a primary care centre and a community mental health centre. A convenience sample of patients and referrals seen by videoconferencing was compared with a sample seen face to face. During the study period 19 patients were managed by videoconferencing and 12 face to face. There were 162 consultations, comprising 81 prearranged teleconsultations and 81 prearranged face-to-face consultations. There was no significant difference in attendance between videoconferencing and face-to-face consultations. Nine of the videoconferencing new referrals had not completed their treatment at the end of the study period, compared with only three in the face-to-face group. This implies that it takes longer to complete treatment for new referrals managed by videoconferencing.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for The North Lewisham telepsychiatry project: beyond the pilot phase
View DOI Record
View the PubMed citation for The North Lewisham telepsychiatry project: beyond the pilot phase