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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).
598 Results
421
Promotora assisted depression care among predominately Hispanic patients with concurrent chronic illness: Public care system clinical trial design
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Medical Home
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422
Provider perceptions of pharmacists providing mental health medication support in patient-centered medical homes
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Medical Home
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Reference Links: View the PubMed citation for Provider perceptions of pharmacists providing mental health medication support in patient-centered medical homes
423
Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract:
Despite pronounced disparities in mortality and physical health outcomes, no well accepted models exist for integrating primary care with behavioral health for patients with serious mental illness (SMI). This article describes a case study of an enhanced approach to primary care that builds on the patient centered medical home (PCMH) model and adds three additional components: (1) longer and more frequent visits to establish trust and increase adherence, (2) a primary care team that has both the skills to provide effective primary care and the heart to take care of patients with SMI and (3) planned and proactive communication between the behavioral health team and the primary care team.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Medical Home
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Reference Links:
View the DOI record for Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice
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View the PubMed citation for Providing Effective Primary Care for Patients with Serious Mental Illness: Additional Components to Enhance Practice426
Providing specialty consultant expertise to primary care: an expanding spectrum of modalities
Type: Journal Article
Year: 2014
Publication Place: England
Topic(s):
HIT & Telehealth
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, Medical Home
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, Education & Workforce
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Reference Links:
View the DOI record for Providing specialty consultant expertise to primary care: an expanding spectrum of modalities
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View the PubMed citation for Providing specialty consultant expertise to primary care: an expanding spectrum of modalities427
Providing underserved patients with medical homes: Assessing the readiness of safety-net health centers
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Enthusiasm for the patient-centered medical home model is growing, yet initial research is scant, showing that true transformation is challenging and that meaningful improvements in care delivery, efficiency, and health outcomes take time and sustained investment. This brief surveys safety-net health centers to determine their potential to become medical homes. Safety-net health centers that provide vulnerable and low-income populations with comprehensive primary care have unique opportunities for successful transformation, but also face challenges. For example, nearly half of the health centers surveyed do not have a process for scheduling patients with a personal provider or have an existing process that needs improvement; two-thirds do not have a process for same-day scheduling or have a process that needs improvement. Survey data also show that health centers that employed team-based care were more likely to have instituted patient access and communications processes, relative to those without team-based care.
Topic(s):
Medical Home
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Reference Links: View the PubMed citation for Providing underserved patients with medical homes: Assessing the readiness of safety-net health centers
428
Providing whole-person care: integrating behavioral health into primary care
Type: Journal Article
Year: 2015
Publication Place: United States
Abstract: Integrated primary care in a patient-centered medical home is the best way to invite patients to engage in better self-care, to move from provider-based care to team-based care, and to address whole-person needs. However, primary care-whether rural or urban, public or private-cannot become the default mental health system for North Carolinians with severe mental illness.
Topic(s):
Healthcare Disparities
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, Medical Home
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Reference Links:
View the DOI record for Providing whole-person care: integrating behavioral health into primary care
View DOI Record
View the PubMed citation for Providing whole-person care: integrating behavioral health into primary care429
Psychologists in patient-centered medical homes (PCMHs): Roles, evidence, opportunities, and challenges
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Education & Workforce
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, Medical Home
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Reference Links:
View the DOI record for Psychologists in patient-centered medical homes (PCMHs): Roles, evidence, opportunities, and challenges
View DOI Record
View the PubMed citation for Psychologists in patient-centered medical homes (PCMHs): Roles, evidence, opportunities, and challenges432
Psychology in patient-centered medical homes: Reducing health disparities and promoting health equity
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Medical Home
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Reference Links:
View the DOI record for Psychology in patient-centered medical homes: Reducing health disparities and promoting health equity
View DOI Record
View the PubMed citation for Psychology in patient-centered medical homes: Reducing health disparities and promoting health equity433
Psychosocial interventions for reducing antipsychotic medication in care home residents
Type: Journal Article
Year: 2012
Publication Place: England
Abstract: BACKGROUND: Antipsychotic medication is regularly prescribed in care homes to control 'behavioural and psychological symptoms of dementia' despite moderate efficacy, significant adverse effects, and available non-pharmacological alternatives. OBJECTIVES: To evaluate the effectiveness of psychosocial interventions to reduce antipsychotic medication in care home residents. SEARCH METHODS: The Cochrane Dementia and Cognitive Improvement Group's Specialized Register, MEDLINE, EMBASE, CINAHL, PsycINFO, LILACS, a number of trial registers and grey literature sources were searched on 19th December 2011. SELECTION CRITERIA: Individual or cluster-randomised controlled trials comparing a psychosocial intervention aimed at reducing antipsychotic medication with usual care in care home residents or comparing two different approaches. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed the retrieved articles for relevance and methodological quality and extracted data. Critical appraisal of studies addressed risk of bias through selection bias, performance bias, attrition bias, and detection bias, as well as criteria related to cluster design. Authors of relevant studies were contacted for additional information.Owing to clinical heterogeneity of interventions, statistical heterogeneity was not assessed and no meta-analysis performed. Study results are presented in a narrative form. MAIN RESULTS: Four cluster-randomised controlled studies met the inclusion criteria. All of them investigated complex interventions comprising educational approaches. Three studies offered education and training for nursing staff, one study offered multidisciplinary team meetings as main component of the intervention. There was one high-quality study, but overall the methodological quality of studies was moderate. The studies revealed consistent results for the primary end point. All studies documented a decrease of the proportion of residents with antipsychotic drug use or a reduction in days with antipsychotic use per 100 days per resident, respectively. In summary, the reviewed evidence on psychosocial interventions targeting professionals is consistent with a reduction of antipsychotic medication prescription in care home residents. However, owing to heterogeneous approaches, summary effect sizes cannot be determined. AUTHORS' CONCLUSIONS: There is evidence to support the effectiveness of psychosocial interventions for reducing antipsychotic medication in care home residents. However, the review was based on a small number of heterogeneous studies with important methodological shortcomings. The most recent and methodologically most rigorous study showed the most pronounced effect.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Psychosocial interventions for reducing antipsychotic medication in care home residents
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View the PubMed citation for Psychosocial interventions for reducing antipsychotic medication in care home residents434
Puentes clinic: An integrated model for the primary care of vulnerable populations
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: Traditional primary care models for medically vulnerable populations such as the homeless and injection-drug users do not deliver optimal and efficient medical care. We propose an integrated model for the delivery of primary care to a vulnerable population emphasizing open access, outreach, groups, and a team approach to care.Methods: We monitored the health care use patterns of a group of 408 injection-drug users during a five-year period at Puentes Clinic, an integrated primary care site within a larger county health care system, Santa Clara Valley Health and Hospital System of California. We specifically compared use patterns before and after the inception of this new primary care site.Results: Emergency Department and urgent care visit rates decreased from 3.8 visits in the 18 months prior to the clinic's opening to 0.8 visits in the first 18 months of the clinic's operation. Simultaneously, primary care visits increased from 2.8 visits per 18 months prior to the clinic's operation to a current use rate of 5.9 visits per 18 months.Conclusion: This changing health care use pattern after the implementation of an integrated primary care model suggests that a "medical home" for a vulnerable population can influence the way that populations interact with a larger health care system.
Topic(s):
Medical Home
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Reference Links: View the PubMed citation for Puentes clinic: An integrated model for the primary care of vulnerable populations
436
Quality and equity of primary care with patient-centered medical homes: results from a national survey
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: BACKGROUND: : The patient-centered medical home (PCMH) model has gained support, but the impact of this model on the quality and equity of care merits further evaluation. OBJECTIVE: : To determine if PCMHs are associated with improved quality and equity in pediatric primary care. RESEARCH DESIGN: : Using the 2007/2008 National Survey of Children's Health, a nationally representative survey of parents/guardians of children (age, 0-17 y), we evaluated the association of PCMHs with 10 quality-of-care measures using multivariable regression models, adjusting for demographic and socioeconomic covariates. For quality indicators that were significantly associated with medical homes, we determined if this association differed by race/ethnicity. RESULTS: : Compared with children without medical homes, those with medical homes had significantly better adjusted rates for 6 of 10 quality measures (all P
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Quality and equity of primary care with patient-centered medical homes: results from a national survey
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View the PubMed citation for Quality and equity of primary care with patient-centered medical homes: results from a national survey437
Quality improvement in healthcare delivery utilizing the patient-centered medical home model
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: Despite the fact that the United States dedicates so much of its resources to healthcare, the current healthcare delivery system still faces significant quality challenges. The lack of effective communication and coordination of care services across the continuum of care poses disadvantages for those requiring long-term management of their chronic conditions. This is why the new transformation in healthcare known as the patient-centered medical home (PCMH) can help restore confidence in our population that the healthcare services they receive is of the utmost quality and will effectively enhance their quality of life. Healthcare using the PCMH model is delivered with the patient at the center of the transformation and by reinvigorating primary care. The PCMH model strives to deliver effective quality care while attempting to reduce costs. In order to relieve some of our healthcare system distresses, organizations can modify their delivery of care to be patient centered. Enhanced coordination of services, better provider access, self-management, and a team-based approach to care represent some of the key principles of the PCMH model. Patients that can most benefit are those that require long-term management of their conditions such as chronic disease and behavioral health patient populations. The PCMH is a feasible option for delivery reform as pilot studies have documented successful outcomes. Controversy about the lack of a medical neighborhood has created concern about the overall sustainability of the medical home. The medical home can stand independently and continuously provide enhanced care services as a movement toward higher quality care while organizations and government policy assess what types of incentives to put into place for the full collaboration and coordination of care in the healthcare system.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Quality improvement in healthcare delivery utilizing the patient-centered medical home model
View DOI Record
View the PubMed citation for Quality improvement in healthcare delivery utilizing the patient-centered medical home model438
Quality of Mental Health Care in Integrated Veterans Affairs Patient-Centered Medical Homes: a National Observational Study
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Medical Home
See topic collection
439
Quality of Mental Health Care in Integrated Veterans Affairs Patient-Centered Medical Homes: a National Observational Study
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Healthcare Disparities
See topic collection
, Medical Home
See topic collection
440
Racial health disparities among special health care needs children with mental disorders: do medical homes cater to their needs?
Type: Journal Article
Year: 2014
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Medical Home
See topic collection