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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).
619 Results
283
Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home
Type: Journal Article
Year: 2009
Publication Place: United States
Abstract: The patient-centered medical home (PCMH) is emerging as a potential catalyst for multiple health care reform efforts. Demonstration projects are beginning in nearly every state, with a broad base of support from employers, insurers, state and federal agencies, and professional organizations. A sense of urgency to show the feasibility of the PCMH, along with a 3-tiered recognition process of the National Committee on Quality Assurance, are influencing the design and implementation of many demonstrations. In June 2006, the American Academy of Family Physicians launched the first National Demonstration Project (NDP) to test a model of the PCMH in a diverse national sample of 36 family practices. The authors make up an independent evaluation team for the NDP that used a multimethod evaluation strategy, including direct observation, in-depth interviews, chart audit, and patient and practice surveys. Early lessons from the real-time qualitative analysis of the NDP raise some serious concerns about the current direction of many of the proposed PCMH demonstration projects and point to some positive opportunities. We describe 6 early lessons from the NDP that address these concerns and then offer 4 recommendations for those assisting the transformation of primary care practices and 4 recommendations for individual practices attempting transformation.
Topic(s):
Medical Home
See topic collection
, Healthcare Policy
See topic collection
289
Integrated Care for Older Adults with Serious Mental Illness and Medical Comorbidity: Evidence-Based Models and Future Research Directions
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Healthcare Disparities
See topic collection
, HIT & Telehealth
See topic collection
, Medical Home
See topic collection
291
Integrated care models and behavioral health care utilization: Quasi-experimental evidence from Medicaid health homes
Type: Journal Article
Year: 2020
Publication Place: England
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
See topic collection
, Medical Home
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links: 
View the DOI record for Integrated care models and behavioral health care utilization: Quasi-experimental evidence from Medicaid health homes
View DOI Record
View the PubMed citation for Integrated care models and behavioral health care utilization: Quasi-experimental evidence from Medicaid health homes292
Integrated care models for ADHD in children and adolescents: A systematic review
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Integrated care models for ADHD in children and adolescents: A systematic review
View DOI Record
View the PubMed citation for Integrated care models for ADHD in children and adolescents: A systematic review296
Integrated Primary Care in Assertive Community Treatment
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: Assertive community treatment (ACT) has the potential to serve as a medical home for adults with serious mental illness, a population that experiences some of the most significant health disparities in the United States. Using site visit methodology, the authors describe partnerships that were created between five ACT programs and federally qualified health centers (FQHCs) to provide integrated behavioral health and primary care. The authors examined rates of screening for common chronic conditions. The programs used three distinct approaches: two programs colocated ACT teams at an FQHC, two programs employed primary care providers who split their time between the FQHC and the ACT program, and one program embedded a primary care provider within the ACT team. Effective communication between staffs may be more important than type of partnership in determining integration success.
Topic(s):
Healthcare Disparities
See topic collection
, Medical Home
See topic collection
Reference Links: View the PubMed citation for Integrated Primary Care in Assertive Community Treatment
297
Integrated Primary Care in Assertive Community Treatment
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: Assertive community treatment (ACT) has the potential to serve as a medical home for adults with serious mental illness, a population that experiences some of the most significant health disparities in the United States. Using site visit methodology, the authors describe partnerships that were created between five ACT programs and federally qualified health centers (FQHCs) to provide integrated behavioral health and primary care. The authors examined rates of screening for common chronic conditions. The programs used three distinct approaches: two programs colocated ACT teams at an FQHC, two programs employed primary care providers who split their time between the FQHC and the ACT program, and one program embedded a primary care provider within the ACT team. Effective communication between staffs may be more important than type of partnership in determining integration success.
Topic(s):
Healthcare Disparities
See topic collection
, Medical Home
See topic collection
Reference Links: View the PubMed citation for Integrated Primary Care in Assertive Community Treatment
298
Integrated substance use and prenatal care delivery in the era of COVID-19
Type: Journal Article
Year: 2021
Abstract:
The COVID-19 pandemic has directly impacted integrated substance use and prenatal care delivery in the United States and has driven a rapid transformation from in-person prenatal care to a hybrid telemedicine care model. Additionally, changes in regulations for take home dosing for methadone treatment for opioid use disorder due to COVID-19 have impacted pregnant and postpartum women. We review the literature on prenatal care models and discuss our experience with integrated substance use and prenatal care delivery during COVID-19 at New England's largest safety net hospital and national leader in substance use care. In our patient-centered medical home for pregnant and postpartum patients with substance use disorder, patients' early responses to these changes have been overwhelmingly positive. Should clinicians continue to use these models, thoughtful planning and further research will be necessary to ensure equitable access to the benefits of telemedicine and take home dosing for all pregnant and postpartum patients with substance use disorder.
Topic(s):
Healthcare Disparities
See topic collection
, Healthcare Policy
See topic collection
, HIT & Telehealth
See topic collection
, Medical Home
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Integrated substance use and prenatal care delivery in the era of COVID-19
View DOI Record
View the PubMed citation for Integrated substance use and prenatal care delivery in the era of COVID-19299
Integrated working between residential care homes and primary care: a survey of care homes in England
Type: Journal Article
Year: 2012
Publication Place: England
Abstract: BACKGROUND: Older people living in care homes in England have complex health needs due to a range of medical conditions, mental health needs and frailty. Despite an increasing policy expectation that professionals should operate in an integrated way across organisational boundaries, there is a lack of understanding between care homes and the National Health Service (NHS) about how the two sectors should work together, meaning that residents can experience a poor "fit" between their needs, and services they can access. This paper describes a survey to establish the current extent of integrated working that exists between care homes and primary and community health and social services. METHODS: A self-completion, online questionnaire was designed by the research team. Items on the different dimensions of integration (funding, administrative, organisational, service delivery, clinical care) were included. The survey was sent to a random sample of residential care homes with more than 25 beds (n = 621) in England in 2009. Responses were analysed using quantitative and qualitative methods. RESULTS: The survey achieved an overall response rate of 15.8%. Most care homes (78.7%) worked with more than one general practice. Respondents indicated that a mean of 14.1 professionals/ services (other than GPs) had visited the care homes in the last six months (SD 5.11, median 14); a mean of .39 (SD.163) professionals/services per bed. The most frequent services visiting were district nursing, chiropody and community psychiatric nurses. Many (60%) managers considered that they worked with the NHS in an integrated way, including sharing documents, engaging in integrated care planning and joint learning and training. However, some care home managers cited working practices dictated by NHS methods of service delivery and priorities for care, rather than those of the care home or residents, a lack of willingness by NHS professionals to share information, and low levels of respect for the experience and knowledge of care home staff. CONCLUSIONS: Care homes are a hub for a wide range of NHS activity, but this is ad hoc with no recognised way to support working together. Integration between care homes and local health services is only really evident at the level of individual working relationships and reflects patterns of collaborative working rather than integration. More integrated working between care homes and primary health services has the potential to improve quality of care in a cost- effective manner, but strategic decisions to create more formal arrangements are required to bring this about. Commissioners of services for older people need to capitalise on good working relationships and address idiosyncratic patterns of provision to care homes.The low response rate is indicative of the difficulty of undertaking research in care homes.
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Integrated working between residential care homes and primary care: a survey of care homes in England
View DOI Record
View the PubMed citation for Integrated working between residential care homes and primary care: a survey of care homes in England