Literature Collection

61

Impact of Location and Availability of Behavioral Health Services for Children

Type: Journal Article

Authors: Beth G. Wildman, Diane L. Langkamp

Year: 2012

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62

Impact of the Communities That HEAL Intervention on Buprenorphine-Waivered Practitioners and Buprenorphine Prescribing: A Prespecified Secondary Analysis of the HCS Randomized Clinical Trial

Type: Journal Article

Authors: T. J. Stopka, D. C. Babineau, E. B. Gibson, C. E. Knott, D. M. Cheng, J. Villani, J. M. Wai, D. Blevins, J. L. David, D. A. Goddard-Eckrich, M. R. Lofwall, R. Massatti, J. DeFiore-Hyrmer, M. S. Lyons, L. C. Fanucchi, D. R. Harris, J. Talbert, L. Hammerslag, D. Oller, R. R. Balise, D. J. Feaster, W. Soares, G. A. Zarkin, L. Glasgow, E. Oga, J. McCarthy, L. D'Costa, R. Chahine, S. Gomori, N. Dalvi, S. Shrestha, C. Garner, A. Shadwick, P. Salsberry, M. W. Konstan, B. Freisthler, J. Winhusen, N. El-Bassel, J. H. Samet, S. L. Walsh

Year: 2024

Abstract:

IMPORTANCE: Buprenorphine significantly reduces opioid-related overdose mortality. From 2002 to 2022, the Drug Addiction Treatment Act of 2000 (DATA 2000) required qualified practitioners to receive a waiver from the Drug Enforcement Agency to prescribe buprenorphine for treatment of opioid use disorder. During this period, waiver uptake among practitioners was modest; subsequent changes need to be examined. OBJECTIVE: To determine whether the Communities That HEAL (CTH) intervention increased the rate of practitioners with DATA 2000 waivers and buprenorphine prescribing. DESIGN, SETTING, AND PARTICIPANTS: This prespecified secondary analysis of the HEALing Communities Study, a multisite, 2-arm, parallel, community-level, cluster randomized, open, wait-list-controlled comparison clinical trial was designed to assess the effectiveness of the CTH intervention and was conducted between January 1, 2020, to December 31, 2023, in 67 communities in Kentucky, Massachusetts, New York, and Ohio, accounting for approximately 8.2 million adults. The participants in this trial were communities consisting of counties (n = 48) and municipalities (n = 19). Trial arm randomization was conducted using a covariate constrained randomization procedure stratified by state. Each state was balanced by community characteristics including urban/rural classification, fatal opioid overdose rate, and community population. Thirty-four communities were randomized to the intervention and 33 to wait-list control arms. Data analysis was conducted between March 20 and September 29, 2023, with a focus on the comparison period from July 1, 2021, to June 30, 2022. INTERVENTION: Waiver trainings and other educational trainings were offered or supported by the HEALing Communities Study research sites in each state to help build practitioner capacity. MAIN OUTCOMES AND MEASURES: The rate of practitioners with a DATA 2000 waiver (overall, and stratified by 30-, 100-, and 275-patient limits) per 100 000 adult residents aged 18 years or older during July 1, 2021, to June 30, 2022, were compared between the intervention and wait-list control communities. The rate of buprenorphine prescribing among those waivered practitioners was also compared between the intervention and wait-list control communities. Intention-to-treat and per-protocol analyses were performed. RESULTS: A total of 8 166 963 individuals aged 18 years or older were residents of the 67 communities studied. There was no evidence of an effect of the CTH intervention on the adjusted rate of practitioners with a DATA 2000 waiver (adjusted relative rate [ARR], 1.04; 95% CI, 0.94-1.14) or the adjusted rate of practitioners with a DATA 2000 waiver who actively prescribed buprenorphine (ARR, 0.97; 95% CI, 0.86-1.10). CONCLUSIONS AND RELEVANCE: In this randomized clinical trial, the CTH intervention was not associated with increases in the rate of practitioners with a DATA 2000 waiver or buprenorphine prescribing among those waivered practitioners. Supporting practitioners to prescribe buprenorphine remains a critical yet challenging step in the continuum of care to treat opioid use disorder. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04111939.

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63

Implementation and Evaluation of an Integrated Care Program in a VA Medical Center

Type: Journal Article

Authors: Jessica A. Barber, Lisa M. Franstve, Sandra Capelli, Kathryn A. Sanders

Year: 2011

Publication Place: United States

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64

Implementation of collaborative depression management at community-based primary care clinics: An evaluation

Type: Journal Article

Authors: A. M. Bauer, V. Azzone, H. H. Goldman, L. Alexander, J. Unutzer, B. Coleman-Beattie, R. G. Frank

Year: 2011

Publication Place: United States

Abstract: Objective: This study evaluated a large demonstration project of collaborative care of depression at community health centers by examining the role of clinic site on two measures of quality care (early follow-up and appropriate pharmacotherapy) and on improvement of symptoms (score on Patient Health Questionnaire-9 reduced by 50% or

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65

Implementation of Measurement-based Practices Enables Professionals to Guide Treatment Decisions [Video]

Type: Web Resource

Authors: Jurgen Unutzer, The AHRQ Academy for Integrating Behavioral Health and Primary Care

Year: 2013

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,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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66

Implementing a depression improvement intervention in five health care organizations: experience from the RESPECT-Depression trial

Type: Journal Article

Authors: Paul A. Nutting, Kaia M. Gallagher, Kim Riley, Suzanne White, Allen J. Dietrich, W. P. Dickinson

Year: 2007

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67

Importance of a Solid Collaborative Care Team in Primary Care Clinics - Part 2 [Video]

Type: Web Resource

Authors: Parinda Khatri, The AHRQ Academy for Integrating Behavioral Health and Primary Care

Year: 2013

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,

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68

Importance of a Solid Collaborative Care Team in Primary Care Clinics – Part 1

Type: Web Resource

Authors: The AHRQ Academy for Integrating Behavioral Health and Primary Care

Year: 2012

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69

Improving depression care for older, minority patients in primary care

Type: Journal Article

Authors: P. A. Arean, L. Ayalon, E. Hunkeler, E. H. Lin, L. Tang, L. Harpole, H. Hendrie, J. W. Williams, J. Unutzer, IMPACT Investigators

Year: 2005

Publication Place: United States

Abstract: OBJECTIVE: Few older minorities receive adequate treatment of depression in primary care. This study examines whether a collaborative care model for depression in primary care is as effective in older minorities as it is in nonminority elderly patients in improving depression treatment and outcomes. STUDY DESIGN: A multisite randomized clinical trial of 1801 older adults comparing collaborative care for depression with treatment as usual in primary care. Twelve percent of the sample were black (n = 222), 8% were Latino (n = 138), and 3% (n = 53) were from other minority groups. We compared the 3 largest ethnic groups (non-Latino white, black, and Latino) on depression severity, quality of life, and mental health service use at baseline, 3, 6, and 12 months after randomization to collaborative care or usual care. PRINCIPAL FINDINGS: Compared with care as usual, collaborative care significantly improved rates and outcomes of depression care in older adults from ethnic minority groups and in older whites. At 12 months, intervention patients from ethnic minorities (blacks and Latinos) had significantly greater rates of depression care for both antidepressant medication and psychotherapy, lower depression severity, and less health-related functional impairment than usual care participants (64%, 95% confidence interval [CI] 55-72 versus 45%, CI 36-55, P = 0.003 for antidepressant medication; 37%, CI 28-47 versus 13%, CI 6-19, P = 0.002 for psychotherapy; mean = 0.9, CI 0.8-1.1 versus mean = 1.4, CI 1.3-1.5, P < 0.001 for depression severity, range 0-4; mean = 3.7, CI 3.2-4.1, versus mean = 4.7, CI 4.3-5.1, P < 0.0001 for functional impairment, range 0-10). CONCLUSIONS: Collaborative Care is significantly more effective than usual care for depressed older adults, regardless of their ethnicity. Intervention effects in ethnic minority participants were similar to those observed in whites.

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70

Improving mental and physical health outcomes in general healthcare settings: a Gedenkschrift in honor of Wayne Katon, MD (1950-2015)

Type: Journal Article

Authors: D. S. Davydow, J. G. Katon, B. L. Rollman, J. Unutzer

Year: 2015

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71

Improving mental health treatments through comparative effectiveness research

Type: Journal Article

Authors: P. S. Wang, C. M. Ulbricht, M. Schoenbaum

Year: 2009

Publication Place: United States

Abstract: There is a pressing need for comparative effectiveness research to improve mental health treatments. Although U.S. mental health spending has increased dramatically, mainly because of the rapid adoption of newer psychotropic medications, fewer than a quarter of people with serious mental illnesses receive appropriate care. Because of a general lack of information on the relative effectiveness of different treatments, payers are uncertain about the value of current spending, which in turn may deter new investments to reduce unmet need. We use several recent comparative effectiveness trials to illustrate the potential value of such research for improving practice and policy.

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72

In Search of Joy in Practice: A Report of 23 High-Functioning Primary Care Practices

Type: Journal Article

Authors: C. A. Sinsky, R. Willard-Grace, A. M. Schutzbank, T. A. Sinsky, D. Margolius, T. Bodenheimer

Year: 2013

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73

In Ten California Counties, Notable Progress In System Integration Within The Safety Net, Although Challenges Remain

Type: Journal Article

Authors: N. Pourat, A. C. Davis, E. Salce, D. Hilberman, D. H. Roby, G. F. Kominski

Year: 2012

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74

Innovations for integrated care: The Association of Medicine and Psychiatry recognizes new models

Type: Journal Article

Authors: L. Wulsin, A. Pinkhasov, C. Cunningham, L. Miller, A. Smith, S. Oros

Year: 2019

Publication Place: United States

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75

Inseparable: Mental Health and Primary Care [Video]

Type: Web Resource

Authors: Clinical Innovation Network

Year: 2013

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,

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76

Integrated behavioral health and primary care: A common language.

Type: Book Chapter

Authors: C. J. Peek

Year: 2013

Publication Place: New York, NY

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77

Integrated behavioral health in primary care evaluating the evidence, identifying the essentials

Type: Book

Authors: Mary R. Talen, Aimee Burke Valeras

Year: 2013

Publication Place: New York, NY

Abstract: Part I: Essentials of Integrated Behavioral Health Care --; Introduction and Overview of Integrated Behavioral Health in Primary Care --; Integrated Behavioral Health and Primary Care: A Common Language --; Integrated Behavioral Health and the Patient-Centered Medical Home --; Advancing Integrated Behavioral Health and Primary Care: The Critical Importance of Behavioral Health in Health Care Policy --; Part II: Review of Integrated Systems of Care Initiatives --; The State of the Evidence for Integrated Behavioral Health in Primary Care --; Community-Based Participatory Research: Advancing Integrated Behavioral Health Care Through Novel Partnerships --; Integrated Behavioral Health in Public Health Care Contexts: Community Health and Mental Health Safety Net Systems --; The Financial History and Near Future of Integrated Behavioral Health Care --; Department of Defense Integrated Behavioral Health in the Patient-Centered Medical Home --; Part III: Review of Collaborative Behavioral Health Clinical Services --; Collaborative Partnerships Within Integrated Behavioral Health and Primary Care --; Identifi cation of Behavioral Health Needs in Integrated Behavioral and Primary Care Settings --; Screening Measures in Integrated Behavioral Health and Primary Care Settings --; Implementing Clinical Interventions in Integrated Behavioral Health Settings: Best Practices and Essential Elements --; Working with Complexity in Integrated Behavioral Health Settings --; Part IV: Connecting Concepts, Research and Practice --; Integrated Behavioral Health in Primary Care: Summarizing the Lay of the Land, Marking the Best Practices, Identifying Barriers, and Mapping New Territory.

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78

Integrated Behavioral Health Lexicon (Revised)

Type: Report

Authors: The Academy for Integrating Behavioral Health & Primary Care

Year: 2023

Publication Place: Rockville, MD

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79

Integrated care in psychiatry: Redefining the role of mental health professionals in the medical setting

Type: Book

Authors: Paul Summergrad, Roger G. Kathol

Year: 2014

Abstract: Integrated Care in Psychiatry: Redefining the Role of Mental Health Professionals in the Medical Setting is a landmark title in the field, offering a clear, detailed, and cohesive call by leading experts for coordinated care for patients with concurrent psychiatric and medical conditions. The renowned editors and authors argue that what is slowly occurring, and greatly needed at a faster pace, is nothing less than a sea change in the way that psychiatric care will be delivered. The current, mostly segregated, medical and psychiatric model of care has led to the development of competing medical and psychiatric subcultures that have resulted in a lack of dialog among health providers, administrators, and payers -- and thus in less than optimal patient outcomes. To remedy this problem, the book offers a practical, insightful road map to achieving the central tenet of health reform truly coordinated, patient-centered care where the care experience for the patient, the medical care itself, and the cost outcomes improve as the system changes from fee-for-service to population-based health. An invaluable reference for all clinicians, policy makers, payers, administrators, and others interested in the debate surrounding healthcare systems, Integrated Care in Psychiatry: Redefining the Role of Mental Health Professionals in the Medical Setting is a major contribution to the literature and a gold standard resource.

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80

Integrated care: Applying theory to practice

Type: Book

Authors: Russell Curtis, Eric Christian

Year: 2012

Publication Place: New York

Abstract: "This book provides pertinent and practical information about how to create, work, and thrive in an Integrated Care (IC) setting. Unlike other books on the subject, it focuses on the "nuts and bolts" of establishing an IC practice; it also covers material that is often missing from or insufficiently covered in the existing literature. Specific topics discussed include the basics of IC, such as different models and levels of IC and examples of IC initiatives; how to build an IC program, with guidelines for entering and working effectively in a practice, as well as managing the associated economic aspects; ethical issues involved in IC, given the discrepancies between medical and mental health ethical standards; assessment and intervention in IC; cross-cultural and diversity issues in IC; and leadership, consultation, and supervision"--Provided by publisher.

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