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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).
883 Results
202
Community Mental Health Center Integrated Care Outcomes
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Community Mental Health Center Integrated Care Outcomes
203
Community-informed, integrated, and coordinated care through a community-level model: A narrative synthesis on community hubs
Type: Journal Article
Year: 2022
Abstract:
We identify the core services included in a community hub model of care to improve the understanding of this model for health leaders, decision-makers in community-based organizations, and primary healthcare clinicians. We searched Medline, PubMed, CINAHL, Scopus, Web of Science, and Google from 2000 to 2020 to synthesize original research on community hubs. Eighteen sources were assessed for quality and narratively synthesized (n = 18). Our analysis found 4 streams related to the service delivery in a community hub model of care: (1) Chronic disease management; (2) mental health and addictions; (3) family and reproductive health; and (4) seniors. The specific services within these streams were dependent upon the needs of the community, as a community hub model of care responds and adapts to evolving needs. Our findings inform the work of health leaders tasked with implementing system-level transformations towards community-informed models of care.
Topic(s):
General Literature
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204
Community-partnered cluster-randomized comparative effectiveness trial of community engagement and planning or resources for services to address depression disparities
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: BACKGROUND: Depression contributes to disability and there are ethnic/racial disparities in access and outcomes of care. Quality improvement (QI) programs for depression in primary care improve outcomes relative to usual care, but health, social and other community-based service sectors also support clients in under-resourced communities. Little is known about effects on client outcomes of strategies to implement depression QI across diverse sectors. OBJECTIVE: To compare the effectiveness of Community Engagement and Planning (CEP) and Resources for Services (RS) to implement depression QI on clients' mental health-related quality of life (HRQL) and services use. DESIGN: Matched programs from health, social and other service sectors were randomized to community engagement and planning (promoting inter-agency collaboration) or resources for services (individual program technical assistance plus outreach) to implement depression QI toolkits in Hollywood-Metro and South Los Angeles. PARTICIPANTS: From 93 randomized programs, 4,440 clients were screened and of 1,322 depressed by the 8-item Patient Health Questionnaire (PHQ-8) and providing contact information, 1,246 enrolled and 1,018 in 90 programs completed baseline or 6-month follow-up. MEASURES: Self-reported mental HRQL and probable depression (primary), physical activity, employment, homelessness risk factors (secondary) and services use. RESULTS: CEP was more effective than RS at improving mental HRQL, increasing physical activity and reducing homelessness risk factors, rate of behavioral health hospitalization and medication visits among specialty care users (i.e. psychiatrists, mental health providers) while increasing depression visits among users of primary care/public health for depression and users of faith-based and park programs (each p 0.05). CONCLUSION: Community engagement to build a collaborative approach to implementing depression QI across diverse programs was more effective than resources for services for individual programs in improving mental HRQL, physical activity and homelessness risk factors, and shifted utilization away from hospitalizations and specialty medication visits toward primary care and other sectors, offering an expanded health-home model to address multiple disparities for depressed safety-net clients.
Topic(s):
General Literature
See topic collection
206
Comparing primary care pediatricians' perceptions of clinics with and without integrated behavioral health
Type: Journal Article
Year: 2018
Publication Place: England
Abstract: OBJECTIVE: The purpose of this study was to investigate primary care pediatrician (PCP) perceptions of prevalence of, time spent in, and satisfaction with behavioral health services across clinics with and without on-site behavioral health providers (BHPs). METHODS: A cross-sectional survey design was used to examine satisfaction across sites. Data were collected on PCP perceptions of behavioral health services among 60 pediatricians within two academic medical systems. RESULTS: PCPs perceived behavioral health issues are prevalent and a time-consuming aspect of medical appointments and preferred to have on-site BHPs over off-site referral sources. Compared to sites without an on-site BHP, sites with on-site BHPs were more satisfied with behavioral health service availability and resources, felt they spent more time addressing medical concerns, and spent less time providing anticipatory guidance. DISCUSSION: Study limitations included questions surrounding the validity of survey items to accurately assess PCP perceptions, lack of rigorous experimental design, and reliance on self-report data.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Comparing primary care pediatricians' perceptions of clinics with and without integrated behavioral health
View DOI Record
View the PubMed citation for Comparing primary care pediatricians' perceptions of clinics with and without integrated behavioral health209
Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017
Type: Journal Article
Year: 2019
Publication Place: Sweden
Abstract: AIM: To examine rates of contact with primary and mental health care prior to suicide in men and women and across a range of age categories. METHOD: The authors performed a systematic review of 44 studies from 2000 to 2017 of which 36 reported rates on contact with primary health care and 14 reported on contact with mental health care prior to suicide. RESULTS: Contact with primary health care was highest in the year prior to suicide with an average contact rate of 80%. At one month, the average rate was 44%. The lifetime contact rate for mental health care was 57%, and 31% in the final 12 months. In general, women and those over 50 years of age had the highest rates of contact with health care prior to suicide. CONCLUSIONS: Contact with primary health care prior to suicide is common even in the final month before death. The findings presented in this study highlight the importance of placing suicide prevention strategies and interventions within the primary health care setting.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017
View DOI Record
View the PubMed citation for Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017210
Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017
Type: Journal Article
Year: 2019
Publication Place: Sweden
Abstract: AIM: To examine rates of contact with primary and mental health care prior to suicide in men and women and across a range of age categories. METHOD: The authors performed a systematic review of 44 studies from 2000 to 2017 of which 36 reported rates on contact with primary health care and 14 reported on contact with mental health care prior to suicide. RESULTS: Contact with primary health care was highest in the year prior to suicide with an average contact rate of 80%. At one month, the average rate was 44%. The lifetime contact rate for mental health care was 57%, and 31% in the final 12 months. In general, women and those over 50 years of age had the highest rates of contact with health care prior to suicide. CONCLUSIONS: Contact with primary health care prior to suicide is common even in the final month before death. The findings presented in this study highlight the importance of placing suicide prevention strategies and interventions within the primary health care setting.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017
View DOI Record
View the PubMed citation for Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017211
Continuing care for mentally stable psychiatric patients in primary care: patients' preferences and views
Type: Journal Article
Year: 2012
Publication Place: Egypt
Abstract: Objective. To investigate the preferences of psychiatric patients regarding attendance for their continuing mental health care once stable from a primary care setting as opposed to a specialized psychiatric service setting. Methods. 150 consecutive psychiatric patients attending outpatient review in a community mental health centre in Dublin were approached and asked to complete a semistructured questionnaire designed to assess the objectives of the study. Results. 145 patients completed the questionnaire giving a response rate of 97%. Ninety-eight patients (68%) preferred attending a specialized psychiatry service even when stabilised on their treatment. The common reason given by patients in this category was fear of substandard quality of psychiatric care from their general practitioners (GPs) (67 patients, 68.4%). Twenty-nine patients (20%) preferred to attend their GP for continuing mental health care. The reasons given by these patients included confidence in GPs, providing same level of care as psychiatrist for mental illness (18 patients or 62%), and the advantage of managing both mental and physical health by GPs (13 patients, 45%). Conclusion. Most patients who attend specialised psychiatric services preferred to continue attending specialized psychiatric services even if they become mentally stable than primary care, with most reasons revolving around fears of inadequate psychiatric care from GPs.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Continuing care for mentally stable psychiatric patients in primary care: patients' preferences and views
View DOI Record
View the PubMed citation for Continuing care for mentally stable psychiatric patients in primary care: patients' preferences and views214
Counseling and directly observed medication for primary care buprenorphine maintenance: a pilot study
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: OBJECTIVES: Counseling and medication adherence can affect opioid agonist treatment outcomes. We investigated the impact of 2 counseling intensities and 2 medication-dispensing methods in patients receiving buprenorphine in primary care. METHODS: In a 12-week trial, patients were assigned to physician management (PM) with weekly buprenorphine dispensing (n = 28) versus PM and directly observed, thrice-weekly buprenorphine (DOT) and cognitive-behavioral therapy (CBT) (PM+DOT/CBT; n = 27) based on therapist availability. Fifteen-minute PM visits were provided at entry, after induction, and then monthly. Cognitive-behavioral therapy was weekly 45-minute sessions provided by trained therapists. RESULTS: Treatment groups differed on baseline characteristics of years of opioid use, history of detoxification from opioids, and opioid negative urines during induction. Analyses adjusting for baseline characteristics showed no significant differences between groups on retention or drug use based on self-report or urines. Patient satisfaction was high across conditions, indicating acceptability of CBT counseling with observed medication. The number of CBT sessions attended was significantly associated with improved outcome, and session attendance was associated with a greater abstinence the following week. CONCLUSIONS: Although the current findings were nonsignificant, DOT and individual CBT sessions were feasible and acceptable to patients. Additional research evaluating the independent effect of directly observed medication and CBT counseling is needed.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Counseling and directly observed medication for primary care buprenorphine maintenance: a pilot study
View DOI Record
View the PubMed citation for Counseling and directly observed medication for primary care buprenorphine maintenance: a pilot study217
Creating an Enabling Political Environment for Health and Social Care Integration
Type: Journal Article
Year: 2016
Publication Place: England
Topic(s):
General Literature
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Reference Links:
View the DOI record for Creating an Enabling Political Environment for Health and Social Care Integration
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View the PubMed citation for Creating an Enabling Political Environment for Health and Social Care Integration218
Data-driven course trajectories in primary care patients with major depressive disorder
Type: Journal Article
Year: 2014
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Data-driven course trajectories in primary care patients with major depressive disorder
View DOI Record
View the PubMed citation for Data-driven course trajectories in primary care patients with major depressive disorder220
Delivering psychiatric services in primary-care setting
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
General Literature
See topic collection
Reference Links: View the PubMed citation for Delivering psychiatric services in primary-care setting