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Opioids & SU
The Literature Collection contains over 11,000 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).
952 Results
223
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
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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
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View the PubMed citation for Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017224
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
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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
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View the PubMed citation for Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017225
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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View the DOI record for Continuing care for mentally stable psychiatric patients in primary care: patients' preferences and views
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View the PubMed citation for Continuing care for mentally stable psychiatric patients in primary care: patients' preferences and views228
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
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View the DOI record for Counseling and directly observed medication for primary care buprenorphine maintenance: a pilot study
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View the PubMed citation for Counseling and directly observed medication for primary care buprenorphine maintenance: a pilot study231
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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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 Integration232
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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View the DOI record for Data-driven course trajectories in primary care patients with major depressive disorder
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View the PubMed citation for Data-driven course trajectories in primary care patients with major depressive disorder235
Delivering psychiatric services in primary-care setting
Type: Journal Article
Year: 2012
Publication Place: United States
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Delivering psychiatric services in primary-care setting
236
Demand and characteristics of a psychiatric 24-hour emergency service performed by mandatory rotation of licensed psychiatrists in Swiss primary care
Type: Journal Article
Year: 2014
Publication Place: New Zealand
Abstract: BACKGROUND: To investigate characteristics of and satisfaction with psychiatric 24-hour emergency primary care performed by mandatory rotation of licensed psychiatrists as a viable baseline for possible reorganizational measures. METHODS: This was a questionnaire-based cross-sectional study (November 2010-April 2011). The number of patient-psychiatrist encounters, modes of contact, and patient and psychiatrist characteristics were assessed. Diagnoses were coded with ICD-10 (International Classification of Diseases, version 10). RESULTS: From 167 duty episodes, 74 (44%) were recorded. Of the psychiatrists (n=44), 52% were female, and mean age (standard deviation) was 49.9 (5.2) years. The median number of encounters per episode was 4 (interquartile range 0-8), mainly in the evenings. Demand for "face-to-face" (direct) patient visits was significantly more common (64.0%) than practice (1.3%) or telephone consultations (34.7%). In 83.8%, psychiatrists judged the encounter as adequate at the patient's location. A total of 43 different diagnoses were recorded: mainly schizophrenic disorders (23.9%), suicidal behavior (15.2%), and acute stress reactions (10.3%). Psychiatrists felt burdened by services (62.5%): in 39.2%, they felt threatened; and in 6.8%, violence occurred. In 32.4%, bills were not paid for. If services were optional, 45.2% would participate. CONCLUSION: Our findings indicate justified demand for direct mobile patient visits, suggesting that emergency care should be multifaceted, and sole provision of psychiatric care at stationed emergency facilities may not always be appropriate. Reorganization of 24-hour emergency services should carefully evaluate patient and provider's needs before changing established structures.
Topic(s):
General Literature
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238
Depression and chronic diseases: it is time for a synergistic mental health and primary care approach
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: Objective: To identify the growing significance of depression as a global leading cause of years lost to disability and its role as a major independent risk factor in many chronic illnesses. The distinct effects of depression on morbidity and mortality in cancer, diabetes, heart disease, and stroke are investigated, including behavioral factors and plausible biological mechanisms (psychoneuroimmunology of depression). Data Sources: PubMed articles in English were searched from 1992 to 2012 (20-year span) using the following search criteria: psychoneuroimmunology of depression, immune-mediated inflammation, depression treatment recommendations, depression screening, years lost to disability, underserved populations and depression, chronic illnesses and depression, and selective serotonin reuptake inhibitors and immune system. Data Synthesis: Evidence of the robust bidirectional relationship between depression and individual chronic diseases is presented and discussed. A brief overview of currently recommended psychotherapeutic and psychopharmacologic treatment approaches in regard to depression in chronic diseases is provided. Results: Discordance between mental health and primary care within the US public health system is a systematic problem that must be addressed. This situation leads to a potentially high hidden prevalence of underdiagnosed and undertreated depression, especially in the underserved populations. Conclusion: Measures must be implemented across the communities of mental health and primary care practitioners in order to achieve a synergistic approach to depression.
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Depression and chronic diseases: it is time for a synergistic mental health and primary care approach