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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).
883 Results
782
The Fracture of Relational Space in Depression: Predicaments in Primary Care Help Seeking
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: Primary care clinicians treat the majority of cases of depression in the United States. The primary care clinic is also a site for enactment of a disease-oriented concept of depression that locates disorder within an individual body. Drawing on theories of the self and stigma, this article highlights problematics of primary care depression treatment by examining the lived experience of depression. The data come from individuals who screened positive for depressive symptoms in primary care settings and were followed over ten years. After iterative mixed-methodological exploration of a large dataset, we analyzed interviews from a purposive sample of 46 individuals using grounded and phenomenological approaches. We describe two major results. First, we note that depression is experienced as located within and inextricable from relational space and that the self is experienced as relational, rather than autonomous, in depression. Second, we describe the ways in which the experience of depression contradicts a disease-oriented concept such that help-seeking intensifies rather than alleviates the relational problem of depression. We conclude by highlighting that an understanding of illness experience may be essential to improving primary care depression treatment and by questioning the bracketing of relational concerns in depression within the construct of stigma.
Topic(s):
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View the DOI record for The Fracture of Relational Space in Depression: Predicaments in Primary Care Help Seeking
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View the PubMed citation for The Fracture of Relational Space in Depression: Predicaments in Primary Care Help Seeking784
The Hennepin County Medical Center Program in medical psychiatry: addressing the shortened lifespan of patients with mental illness
Type: Journal Article
Year: 2013
Publication Place: United States
Topic(s):
General Literature
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785
The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders
Type: Journal Article
Year: 2012
Publication Place: England
Abstract: BACKGROUND: Chronically ill patients often experience psychosocial problems in everyday life. A biopsychosocial approach is considered to be essential in chronic care. In Dutch primary health care the current biomedically oriented clinical practice may conflict with the biopsychosocial approach. This study is aimed to explore the views of Dutch stakeholders on achieving a biopsychosocial approach to the care of patients with chronic diseases. METHODS: In a qualitative explorative study design, we held semi-structured interviews with stakeholders, face-to-face or by telephone. Data were analysed using content analysis. Thirty representatives of Dutch patients with chronic illnesses, primary care professionals, policy makers, health inspectorate, health insurers, educational institutes and researchers were interviewed. RESULTS: Stakeholders were aware that a systematic biopsychosocial care approach is lacking in current practice. Opportunities for effective change are multidimensional. Achieving a biopsychosocial approach to care relates to active patient participation, the training of professionals, high-quality guidelines, protocols and tools, integrated primary care, research and financial issues. CONCLUSIONS: Although the principles and importance of the biopsychosocial model have been recognized, the provision of care that starts from the medical, emotional or social needs of individual patients does not fit in easily with the current Dutch health care system. All parties involved need to make a commitment to realize the ideal of biopsychosocial chronic care. Together they need to equip health professionals with skills to understand patients' multifaceted needs and to reward integrated biopsychosocial care. Patients need to be empowered to be active partners in their own care.
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View the DOI record for The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders
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View the PubMed citation for The ideal of biopsychosocial chronic care: how to make it real? A qualitative study among Dutch stakeholders787
The impact of behavioral health consultations on medical encounter duration in pediatric primary care: A retrospective match-controlled study
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
General Literature
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788
The impact of cognitive challenges in major depression: the role of the primary care physician
Type: Journal Article
Year: 2016
Publication Place: England
Abstract: Nearly 1 in 5 Americans will struggle with major depression in their lives; some will have recurring bouts. Recent psychiatric research has given new attention to the prevalence of cognitive deficits in major depression and the impact such deficits have on remission and overall life functioning. When depression is partially treated i.e., leaving residual symptoms, patients have higher rates of relapse and lower functional outcomes. Impaired cognitive functioning is a frequent residual symptom, persisting in about 45% of patients even when emotional symptoms have improved, and results in a disproportionate share of the functional impairment, particularly in the workplace. Patients with depression have disrupted circuitry in brain regions responsible for cognition and it is therefore important to screen depressed patients for cognitive as well as emotional symptoms. Cognitive dysfunction should be evaluated in every mood disordered patient with validated self-report scales such as the Patient Health Questionnaire-9 or the Beck Depression Inventory and objective measures of cognitive function are also very very useful. Two easily administered tests are the Trails B Test and the Digit Symbol Substitution Test. Each take less than two minutes and measure working memory, executive function, and processing speed and can track cognitive improvement in depressed patients. Treatment of cognitive dysfunction in major depression is complicated by the 'serotonin conundrum': SSRI's frequently do not treat to full remission, and can cause cognitive blunting-actually adding to cognitive problems. Based on recent data including results from a recently completed meta-analysis by McIntyre and colleagues, an evidence-based algorithm for treating cognitive symptoms in depression is presented. A hierarchy of antidepressants and augmentation strategies based on the best available evidence is discussed. In conclusion, cognitive symptoms in major depressive disorder have been recognized as a target of therapeutic improvement by the FDA and have become a focus of clinical importance.
Topic(s):
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View the DOI record for The impact of cognitive challenges in major depression: the role of the primary care physician
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View the PubMed citation for The impact of cognitive challenges in major depression: the role of the primary care physician790
The implementation and testing of a referral management system to address barriers to treatment seeking among primary care veterans with PTSD
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
General Literature
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791
The implementation of a clinical toolkit and adolescent depression screening program in primary care
Type: Journal Article
Year: 2014
Publication Place: United States
Topic(s):
General Literature
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View the DOI record for The implementation of a clinical toolkit and adolescent depression screening program in primary care
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View the PubMed citation for The implementation of a clinical toolkit and adolescent depression screening program in primary care792
The Integrated Health Hub (IHH) Model: The Evolution of a Community Based Primary Care and Mental Health Centre
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
General Literature
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View the DOI record for The Integrated Health Hub (IHH) Model: The Evolution of a Community Based Primary Care and Mental Health Centre
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View the PubMed citation for The Integrated Health Hub (IHH) Model: The Evolution of a Community Based Primary Care and Mental Health Centre794
The integration of mental health into pediatric practice: pediatricians and child and adolescent psychiatrists working together in new models of care
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
General Literature
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795
The Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration Program
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: OBJECTIVE:: This study examined organizational variability of process-of-care and depression outcomes at eight community health centers (CHCs) in the years following implementation of collaborative care (CC) for depression. METHODS:: The authors used 8 years of observational data for 13,362 unique patients at eight CHCs that participated in Washington State's Mental Health Integration Program. Organization-level changes in depression and process-of-care outcomes over time were studied. RESULTS:: On average, depression outcomes improved for the first 2 years before improvement slowed, peaking at year 5. Significant organization-level variation was noted in outcomes. Improvements in depression outcomes tended to follow process-of-care measures. CONCLUSIONS:: Findings suggest that it may take 2 years after implementation of CC to fully observe depression outcome improvement at an organization level. Substantial variation between organizations in depression outcomes over time suggests that sustained attention to processes of care may be necessary to maintain initially achieved gains.
Topic(s):
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View the DOI record for The Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration Program
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View the PubMed citation for The Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration Program796
The Next Step in Integrated Care: Universal Primary Mental Health Providers
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: Current models of mental health care often do not address three barriers to mental health: the binary view of mental illness (healthy vs. mentally ill), stigma, and prevention. Care models where some patients are selected for referral or consultation with a mental health professional can reinforce this binary view and the stigma associated with seeing mental health services. By only selecting patients who currently are experiencing mental health problems, current integrated care models do not offer sufficient avenues for prevention. To address these barriers, this article proposes building on current models through the development of primary mental health providers (PMHPs). PMHPs-like primary care providers-would provide regular check-ups, assessments, prevention interventions, first-line treatment, or referral to more specialized professionals. This universal approach will help decrease the binary view of mental health, decrease the stigma of seeing a mental health professional through universal access, and improve prevention efforts.
Topic(s):
General Literature
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View the DOI record for The Next Step in Integrated Care: Universal Primary Mental Health Providers
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View the PubMed citation for The Next Step in Integrated Care: Universal Primary Mental Health Providers797
The Next Step in Integrated Care: Universal Primary Mental Health Providers
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: Current models of mental health care often do not address three barriers to mental health: the binary view of mental illness (healthy vs. mentally ill), stigma, and prevention. Care models where some patients are selected for referral or consultation with a mental health professional can reinforce this binary view and the stigma associated with seeing mental health services. By only selecting patients who currently are experiencing mental health problems, current integrated care models do not offer sufficient avenues for prevention. To address these barriers, this article proposes building on current models through the development of primary mental health providers (PMHPs). PMHPs-like primary care providers-would provide regular check-ups, assessments, prevention interventions, first-line treatment, or referral to more specialized professionals. This universal approach will help decrease the binary view of mental health, decrease the stigma of seeing a mental health professional through universal access, and improve prevention efforts.
Topic(s):
General Literature
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Reference Links:
View the DOI record for The Next Step in Integrated Care: Universal Primary Mental Health Providers
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View the PubMed citation for The Next Step in Integrated Care: Universal Primary Mental Health Providers798
The Next Step in Integrated Care: Universal Primary Mental Health Providers
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: Current models of mental health care often do not address three barriers to mental health: the binary view of mental illness (healthy vs. mentally ill), stigma, and prevention. Care models where some patients are selected for referral or consultation with a mental health professional can reinforce this binary view and the stigma associated with seeing mental health services. By only selecting patients who currently are experiencing mental health problems, current integrated care models do not offer sufficient avenues for prevention. To address these barriers, this article proposes building on current models through the development of primary mental health providers (PMHPs). PMHPs-like primary care providers-would provide regular check-ups, assessments, prevention interventions, first-line treatment, or referral to more specialized professionals. This universal approach will help decrease the binary view of mental health, decrease the stigma of seeing a mental health professional through universal access, and improve prevention efforts.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for The Next Step in Integrated Care: Universal Primary Mental Health Providers
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View the PubMed citation for The Next Step in Integrated Care: Universal Primary Mental Health Providers799
The presentation, recognition and management of bipolar depression in primary care
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: Bipolar disorder is a mood disorder characterized by episodes of major depression and mania or hypomania. Most patients experience chronic symptoms of bipolar disorder approximately half of the time, most commonly subsyndromal depressive symptoms or a full depressive episode with concurrent manic symptoms. Consequently, patients with bipolar depression are often misdiagnosed with major depressive disorder. Individual patient characteristics and population screening tools may be helpful in improving recognition of bipolar depression in primary care. Health risk behaviors including tobacco use, sedentary activity level and weight gain are highly prevalent in patients with bipolar disorder, as are the comorbid chronic diseases such as diabetes mellitus and cardiovascular disease. Patients with bipolar illness have about an eight-fold higher risk of suicide and a two-fold increased risk of death from chronic medical illnesses. Recognition of bipolar depression and its associated health risk behaviors and chronic medical problems can lead to the use of appropriate interventions for patients with bipolar disorder, which differ in important ways from the treatments used for major depressive disorder. The above topics are reviewed in detail in this article.
Topic(s):
General Literature
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View the DOI record for The presentation, recognition and management of bipolar depression in primary care
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View the PubMed citation for The presentation, recognition and management of bipolar depression in primary care