Email UpdatesLiterature Collection
Collection Insights
11K+
References
9K+
Articles
1500+
Grey Literature
4600+
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).
897 Results
641
Primary Care-Mental Health Integration in the Veterans Affairs Health System: Program Characteristics and Performance
Type: Journal Article
Year: 2018
Abstract: OBJECTIVES: The Veterans Health Administration (VHA) has achieved substantial national implementation of primary care-mental health integration (PC-MHI) services. However, little is known regarding program characteristics, variation in characteristics across settings, or associations between program fidelity and performance. This study identified core elements of PC-MHI services and evaluated their associations with program characteristics and performance. METHODS: A principal-components analysis (PCA) of reports from 349 sites identified factors associated with PC-MHI fidelity. Analyses assessed the correlation among factors and between each factor and facility type (medical center or community-based outpatient clinic), primary care population size, and performance indicators (receipt of PC-MHI services, same-day access to mental health and primary care services, and extended duration of services). RESULTS: PCA identified seven factors: core implementation, care management (CM) assessments and supervision, CM supervision receipt, colocated collaborative care (CCC) by prescribing providers, CCC by behavioral health providers, participation in patient aligned care teams (PACTs) for special populations, and treatment of complex mental health conditions. Sites serving larger populations had greater core implementation scores. Medical centers and sites serving larger populations had greater scores for CCC by prescribing providers, CM assessments and supervision, and participation in PACTs. Greater core implementation scores were associated with greater same-day access. Sites with greater scores for CM assessments and supervision had lower scores for treatment of complex conditions. CONCLUSIONS: Outpatient clinics and sites serving smaller populations experienced challenges in integrated care implementation. To enhance same-day access, VHA should continue to prioritize PC-MHI implementation. Providing brief, problem-focused care may enhance CM implementation.
Topic(s):
General Literature
See topic collection
Reference Links: 
View the DOI record for Primary Care-Mental Health Integration in the Veterans Affairs Health System: Program Characteristics and Performance
View DOI Record
View the PubMed citation for Primary Care-Mental Health Integration in the Veterans Affairs Health System: Program Characteristics and Performance642
Primary care, behavioral health, and public health: partners in reducing mental health stigma
Type: Journal Article
Year: 2013
Publication Place: United States
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Primary care, behavioral health, and public health: partners in reducing mental health stigma
View DOI Record
View the PubMed citation for Primary care, behavioral health, and public health: partners in reducing mental health stigma643
Primary care, public health, and mental health
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
General Literature
See topic collection
644
Primary health care in the mental health workplace: insights from the Australian experience
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: In Australia, Primary Health Care and the mental health sector have always shared a philosophy. In 1978, Primary Health Care was first put forward as a strategy to improve "health for all." Recently, the Australian Government included mental health as a national health priority, identifying six strategies consistent with a Primary Health Care approach to address the mental health of all Australians. Throughout this time, Primary Health Care has been highlighted in all models of care. However, in reality, it appears that in mental health services, mental health nurses, despite good intentions, are not delivering care in a planned or systematised way and that much needs to be done to further improve the situation for individuals accessing the health care system. Services currently focus on those identified as seriously mentally unwell; in order to really make an impact it is argued that services should be broader, offered to the population at large and, further, that the emphasis on case work at an individual level should be changed to an approach that considers prevention, maintenance, and follow-up as well as crisis intervention. This article reflects the Australian experience and offers some insights from that experience.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Primary health care in the mental health workplace: insights from the Australian experience
View DOI Record
View the PubMed citation for Primary health care in the mental health workplace: insights from the Australian experience647
Process evaluation of a cluster randomised intervention in Swedish primary care: using care managers in collaborative care to improve care quality for patients with depression
Type: Journal Article
Year: 2019
Publication Place: England
Abstract: BACKGROUND: The collaborative care model with a care manager has previously generated beneficial results for patients with depression in terms of decreased burden of depression symptoms. A care manager function has been tested in Sweden in the PRIM-CARE RCT with successful results. The aim of the present study was to evaluate the process of implementing care managers in collaborative care for patients with depression in Swedish primary health care in the PRIM-CARE RCT. METHODS: The study followed UK Medical Research Council guidance for process evaluation. Field notes from the implementation of the PRIM - CARE RCT were used, as well as data collected from five focus group discussions with General Practitioners (n = 29) and three focus group discussions with care managers (n = 11). Data were analysed with content analysis. RESULTS: Training sessions, careful preparation and extensive initial support to the care manager and staff at the Primary Care Centres were important ingredients in the implementation. The close access to facilitators, the recurrent peer support meetings, and the weekly newsletter strengthened the care manager function. CONCLUSIONS: A complex intervention adapted to the Swedish primary care context focusing on a care manager function for patients with depression could be performed through a stepwise implementation process. Financial support from the health care regions included in the study helped to reduce the impact of identified barriers. This process evaluation has revealed new and important knowledge for primary care development concerning infrastructure and organization building, knowledge sharing, and facilitating factors and barriers. TRIAL REGISTRATION: NCT02378272 Care Manager - Coordinating Care for Person Centered Management of Depression in Primary Care (PRIM - CARE). Registered March 4 2015. Retrospectively registered.
Topic(s):
General Literature
See topic collection
648
Process evaluation of a cluster randomised intervention in Swedish primary care: using care managers in collaborative care to improve care quality for patients with depression
Type: Journal Article
Year: 2019
Publication Place: England
Abstract: BACKGROUND: The collaborative care model with a care manager has previously generated beneficial results for patients with depression in terms of decreased burden of depression symptoms. A care manager function has been tested in Sweden in the PRIM-CARE RCT with successful results. The aim of the present study was to evaluate the process of implementing care managers in collaborative care for patients with depression in Swedish primary health care in the PRIM-CARE RCT. METHODS: The study followed UK Medical Research Council guidance for process evaluation. Field notes from the implementation of the PRIM - CARE RCT were used, as well as data collected from five focus group discussions with General Practitioners (n = 29) and three focus group discussions with care managers (n = 11). Data were analysed with content analysis. RESULTS: Training sessions, careful preparation and extensive initial support to the care manager and staff at the Primary Care Centres were important ingredients in the implementation. The close access to facilitators, the recurrent peer support meetings, and the weekly newsletter strengthened the care manager function. CONCLUSIONS: A complex intervention adapted to the Swedish primary care context focusing on a care manager function for patients with depression could be performed through a stepwise implementation process. Financial support from the health care regions included in the study helped to reduce the impact of identified barriers. This process evaluation has revealed new and important knowledge for primary care development concerning infrastructure and organization building, knowledge sharing, and facilitating factors and barriers. TRIAL REGISTRATION: NCT02378272 Care Manager - Coordinating Care for Person Centered Management of Depression in Primary Care (PRIM - CARE). Registered March 4 2015. Retrospectively registered.
Topic(s):
General Literature
See topic collection
650
Progress Monitoring in an Integrated Health Care System: Tracking Behavioral Health Vital Signs
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: Progress monitoring implementation in an integrated health care system is a complex process that must address factors such as measurement, technology, delivery system care processes, patient needs and provider requirements. This article will describe how one organization faced these challenges by identifying the key decision points (choice of measure, process for completing rating scale, interface with electronic medical record and clinician engagement) critical to implementation. Qualitative and quantitative data will be presented describing customer and stakeholder satisfaction with the mental health progress monitoring tool (MHPMT) as well as organizational performance with key measurement targets.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Progress Monitoring in an Integrated Health Care System: Tracking Behavioral Health Vital Signs
View DOI Record
View the PubMed citation for Progress Monitoring in an Integrated Health Care System: Tracking Behavioral Health Vital Signs651
Promoting Mental Health Equity: The Role of Integrated Care
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: People suffering from mental illness experience poor physical health outcomes, including an average life expectancy of 25 years less than the rest of the population. Stigma is a frequent barrier to accessing behavioral health services. Health equity refers to the opportunity for all people to experience optimal health; the social determinants of health can enable or impede health equity. Recommendations from the U.S. government and the World Health Organization support mental health promotion while recognizing barriers that preclude health equity. The United States Preventive Services Task Force recently recommended screening all adults for depression. The Satcher Health Leadership Institute at the Morehouse School of Medicine (SHLI/MSM) is committed to developing leaders who will help to reduce health disparities as the nation moves toward health equity. The SHLI/MSM Integrated Care Leadership Program (ICLP) provides clinical and administrative healthcare professionals with knowledge and training to develop culturally-sensitive integrated care practices. Integrating behavioral health and primary care improves quality of life and lowers health system costs.
Topic(s):
General Literature
See topic collection
Reference Links: View the PubMed citation for Promoting Mental Health Equity: The Role of Integrated Care
652
Promoting mental health in older people admitted to hospitals
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: Mental health problems are common in older people admitted to general hospitals. With an increasing ageing population, admissions will rise and nurses will be expected to manage patients' co-existing mental health problems as well as physical problems. This article explores potential strategies for the management of patients with depression, delirium and dementia. The emphasis is on improving quality of care for this group of vulnerable patients.
Topic(s):
General Literature
See topic collection
Reference Links: View the PubMed citation for Promoting mental health in older people admitted to hospitals
653
Promoting psychiatrist-pediatrician collaborations on postnatal depression prevention
Type: Journal Article
Year: 2019
Publication Place: France
Topic(s):
General Literature
See topic collection
Reference Links: View the PubMed citation for Promoting psychiatrist-pediatrician collaborations on postnatal depression prevention
654
Promoting psychiatrist-pediatrician collaborations on postnatal depression prevention
Type: Journal Article
Year: 2019
Publication Place: France
Topic(s):
General Literature
See topic collection
Reference Links: View the PubMed citation for Promoting psychiatrist-pediatrician collaborations on postnatal depression prevention
655
Provider practices in the primary care behavioral health (PCBH) model: an initial examination in the Veterans Health Administration and United States Air Force
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: The goals of this study were to identify characteristics of both behavioral health providers (BHPs) and the patients seen in a primary care behavioral health (PCBH) model of service delivery using prospective data obtained from BHPs. A secondary objective was to explore similarities and differences between these variables within the Veterans Health Administration (VHA) and United States Air Force (USAF) primary care clinics. A total of 159 VHA and 23 USAF BHPs, representing almost every state in the United States, completed the study, yielding data from 403 patient appointments. BHPs completed a web-based questionnaire that assessed BHP and setting characteristics, and a separate questionnaire after each patient seen on one day of clinical service. Data demonstrated that there are many similarities between the VHA and USAF BHPs and practices. Both systems tend to use well-trained psychologists as BHPs, had systems that support the BHP being in close proximity to the primary care providers, and have seamless operational elements (i.e., shared record, one waiting room, same-day appointments, and administrative support for BHPs). Comorbid anxiety and depression was the most common presenting problem in both systems, but overall rates were higher in VHA clinics, and patients were significantly more likely to meet diagnostic criteria for mental health conditions. This study provides the first systematic, prospective examination of BHPs and practices within a PCBH model of service delivery in two large health systems with well over 5 years of experience with behavioral health integration. Many elements of the PCBH model were implemented in a manner consistent with the model, although some variability exists within both settings. These data can help guide future implementation and training efforts.
Topic(s):
General Literature
See topic collection
656
Psychiatric Case Review and Treatment Intensification in Collaborative Care Management for Depression in Primary Care
Type: Journal Article
Year: 2018
Abstract: OBJECTIVE: This study examined whether psychiatric case review was associated with depression medication modification in a large implementation program of collaborative care for depression in safety-net primary care clinics. METHODS: Registry data were examined from an implementation of the collaborative care model in Washington State. A total of 14,960 adults from 178 primary care clinics who initiated care between January 1, 2008, and September 30, 2014, and who had a baseline Patient Health Questionnaire-9 (PHQ-9) score of 10 or higher were included. Rates of psychiatric case reviews and receipt of new depression medications were extracted from the registry for all patients and for a subset of patients who did not improve by eight weeks of treatment (did not achieve a PHQ-9 score of less than 10 or a reduction in PHQ-9 score of 50% or more, compared with baseline). RESULTS: One-half of patients received a new depression medication. Psychiatric case review in any given month was associated with a doubling of the probability of receiving a new medication in the following month. Among patients who did not improve by eight weeks of treatment, a psychiatric case review during weeks 8-12 was associated with a higher rate of receipt of new medications during weeks 8-16 or weeks 8-20. CONCLUSIONS: In a collaborative care program, psychiatric case review was associated with higher rates of subsequent receipt of a new depression medication. This finding supports the importance of psychiatric case review in reducing clinical inertia in collaborative care treatment of depression.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Psychiatric Case Review and Treatment Intensification in Collaborative Care Management for Depression in Primary Care
View DOI Record
View the PubMed citation for Psychiatric Case Review and Treatment Intensification in Collaborative Care Management for Depression in Primary Care657
Psychiatric disorders in primary care
Type: Journal Article
Year: 2014
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Psychiatric disorders in primary care
View DOI Record
View the PubMed citation for Psychiatric disorders in primary care658
Psychiatrists' and Primary Care Physicians' Beliefs About Overtreatment of Depression and Anxiety
Type: Journal Article
Year: 2015
Abstract: Critics say that physicians overdiagnose and overtreat depression and anxiety. We surveyed 1504 primary care physicians (PCPs) and 512 psychiatrists, measuring beliefs about overtreatment of depression and anxiety and predictions of whether persons would benefit from taking medication, investing in relationships, and investing in spiritual life. A total of 63% of PCPs and 64% of psychiatrists responded. Most agreed that physicians too often treat normal sadness as a medical illness (67% of PCPs and 62% of psychiatrists) and too often treat normal worry and stress as a medical illness (59% of PCPs, 55% of psychiatrists). Physicians who agreed were less likely to believe that depressed or anxious people would benefit "a lot" from taking an antidepressant (36% vs. 58% of PCPs) or antianxiety medication (25% vs. 42% of PCPs, 42% vs. 57% of psychiatrists). Most PCPs and psychiatrists believe that physicians too often treat normal sadness and worry as a medical illness.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Psychiatrists' and Primary Care Physicians' Beliefs About Overtreatment of Depression and Anxiety
View DOI Record
View the PubMed citation for Psychiatrists' and Primary Care Physicians' Beliefs About Overtreatment of Depression and Anxiety660
Psychiatry in primary care using the three-stage assessment
Type: Journal Article
Year: 2014
Publication Place: South Africa
Topic(s):
General Literature
See topic collection
Reference Links: View the PubMed citation for Psychiatry in primary care using the three-stage assessment