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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).
695 Results
123
Co-location of mental health professionals in primary care settings: Three North Carolina models
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: The pressing need for identification and treatment of behavioral health disorders in primary care has renewed interest in the concept of co-located models of care. The purpose of this article is to describe three North Carolina practice models in which mental health professionals are co-located with pediatric primary care providers. Each of the models was sustainable, partly due to systemic changes brought about by advocacy efforts. In addition to providing practical guidance for possible replication in primary care, this article reflects on how advocacy efforts can impact the success of co-location models.
Topic(s):
Education & Workforce
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, Healthcare Policy
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Reference Links: 
View the DOI record for Co-location of mental health professionals in primary care settings: Three North Carolina models
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View the PubMed citation for Co-location of mental health professionals in primary care settings: Three North Carolina models124
Collaborative care needs a more active policy voice
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: If you are reading this, there is a high likelihood you think collaborative care, or, the integration of mental health and physical health systems, is important to healthcare delivery and healthcare policy. Despite over 30 years of work, broad federal and state policy has been slow to adopt specific integration strategies that allow for more tightly coordinated, comprehensive whole-person care (Butler et al., 2008; Collins, Hewson, Munger, & Wade, 2010; Institute of Medicine, 2001; Institute of Medicine 2006). In the last year, policy shifts have brought integrated or collaborative care into the spotlight, but there is very little history of formal policy discussion in this area to guide progress. If FSH is to impact healthcare policy, enhance the quality of care, and move the healthcare system toward team-based collaborative care, we need more policy statements and discussions grounded in the research. By publishing these types of articles, FSH can help the collaborative care community be more influential in healthcare policy.
Topic(s):
Healthcare Policy
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126
Collaborative communication between psychologists and primary care providers
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: Psychologists frequently collaborate in the care of patients managed in primary care. Communication with a patient's primary care team is important to ensure coordination and continuity of care. The communication is far from seamless. Although The Health Information Privacy and Portability Act (HIPPA) is designed to promote sharing of clinical information while protecting patient confidentiality, unique problems arise when mental health records are included. Mental health records are subject to different regulations to protect the patient's confidentiality. Thus, what is communicated and how it will be accomplished are challenges. Further, psychologists and primary care providers often view documentation differently, resulting in different styles of documenting that may also impede coordinated care. Increasingly, health care systems are moving toward electronic medical records, creating greater opportunities for an integrated record. Improved communication through the record can keep other providers abreast of the mental health care being provided as well as suggestions they can use to reinforce the mental health care treatment plan.
Topic(s):
Education & Workforce
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, HIT & Telehealth
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, Healthcare Policy
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Reference Links:
View the DOI record for Collaborative communication between psychologists and primary care providers
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View the PubMed citation for Collaborative communication between psychologists and primary care providers127
Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Financing & Sustainability
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, Healthcare Policy
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Reference Links:
View the DOI record for Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability
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View the PubMed citation for Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability136
Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract:
Opioid use disorders (OUDs) are receiving significant attention in the U.S. as a public health crisis. Access to treatment for OUDs is essential and was expected to improve following implementation of the federal parity law and the Affordable Care Act. This study examines changes in coverage and management of treatments for OUDs (opioid treatment programs (OTPs) as a covered service benefit, buprenorphine as a pharmacy benefit) before, during, and after parity and ACA implementation. Data are from three rounds of a nationally representative survey conducted with commercial health plans regarding behavioral health services in benefit years 2003, 2010, and 2014. Data were weighted to be representative of health plans' commercial products in the continental United States (2003 weighted N = 7,469, 83% response rate; 2010 N = 8,431, 89% response rate; and 2014 N = 6,974, 80% response rate). Results showed treatment for OUDs was covered by nearly all health plan products in each year of the survey, but the types and patterns varied by year. Prior authorization requirements for OTPs have decreased over time. Despite the promise of expanded access to OUD treatment suggested by parity and the ACA, improved health plan coverage for treatment of OUDs, while essential, is not sufficient to address the opioid crisis.
Topic(s):
Financing & Sustainability
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, Healthcare Policy
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014
View DOI Record
View the PubMed citation for Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014138
Communication Strategies to Counter Stigma and Improve Mental Illness and Substance Use Disorder Policy
Type: Journal Article
Year: 2017
Abstract: Despite the high burden and poor rates of treatment associated with mental illness and substance use disorders, public support for allocating resources to improving treatment for these disorders is low. A growing body of research suggests that effective policy communication strategies can increase public support for policies benefiting people with these conditions. In October 2015, the Center for Mental Health and Addiction Policy Research at Johns Hopkins University convened an expert forum to identify what is currently known about the effectiveness of such policy communication strategies and produce recommendations for future research. One of the key conclusions of the forum was that communication strategies using personal narratives to engage audiences have the potential to increase public support for policies benefiting persons with mental illness or substance use disorders. Specifically, narratives combining personal stories with depictions of structural barriers to mental illness and substance use disorder treatment can increase the public's willingness to invest in the treatment system. Depictions of mental illness and violence significantly increase public stigma toward people with mental illness and are no more effective in increasing willingness to invest in mental health services than nonstigmatizing messages about structural barriers to treatment. Future research should prioritize development and evaluation of communication strategies to increase public support for evidence-based substance use disorder policies, including harm reduction policies-such as needle exchange programs-and policies expanding treatment.
Topic(s):
Healthcare Policy
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Reference Links:
View the DOI record for Communication Strategies to Counter Stigma and Improve Mental Illness and Substance Use Disorder Policy
View DOI Record
View the PubMed citation for Communication Strategies to Counter Stigma and Improve Mental Illness and Substance Use Disorder Policy139
Comparative effectiveness of collaborative chronic care models for mental health conditions across primary, specialty, and behavioral health care settings: systematic review and meta-analysis
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: OBJECTIVE: Collaborative chronic care models (CCMs) improve outcome in chronic medical illnesses and depression treated in primary care settings. The effect of such models across other treatment settings and mental health conditions has not been comprehensively assessed. The authors performed a systematic review and meta-analysis to assess the comparative effectiveness of CCMs for mental health conditions across disorders and treatment settings. METHOD: Randomized controlled trials comparing CCMs with other care conditions, published or in press by August 15, 2011, were identified in a literature search and through contact with investigators. CCMs were defined a priori as interventions with at least three of the six components of the Improving Chronic Illness Care initiative (patient self-management support, clinical information systems, delivery system redesign, decision support, organizational support, and community resource linkages). Articles were included if the CCM effect on mental health symptoms or mental quality of life was reported. Data extraction included analyses of these outcomes plus social role function, physical and overall quality of life, and costs. Meta-analyses included comparisons using unadjusted continuous measures. RESULTS: Seventy-eight articles yielded 161 analyses from 57 trials (depression, N=40; bipolar disorder, N=4; anxiety disorders, N=3; multiple/other disorders, N=10). The meta-analysis indicated significant effects across disorders and care settings for depression as well as for mental and physical quality of life and social role function (Cohen's d values, 0.20-0.33). Total health care costs did not differ between CCMs and comparison models. A systematic review largely confirmed and extended these findings across conditions and outcome domains. CONCLUSIONS: CCMs can improve mental and physical outcomes for individuals with mental disorders across a wide variety of care settings, and they provide a robust clinical and policy framework for care integration.
Topic(s):
Healthcare Policy
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