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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
801
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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802
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 physician804
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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805
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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Reference Links:
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 care806
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 Centre808
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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809
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 Program810
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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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 Providers811
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
View DOI Record
View the PubMed citation for The Next Step in Integrated Care: Universal Primary Mental Health Providers812
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 Providers813
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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Reference Links:
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 care816
The Prevalence of Emotional and Behavior Problems in Pediatric Primary Care Serving Rural Children
Type: Journal Article
Year: 2011
Abstract: OBJECTIVES: To examine the prevalence of parent-reported emotional and behavior problems in pediatric primary care clinics serving rural Appalachia using methods commensurate with studies of broader samples. METHODS: Parents presenting to pediatric primary care clinics completed a rating scale (Pediatric Symptom Checklist) of psychosocial problems for their child. RESULTS: Approximately 21% of all rating scales were in the clinically significant range. Across all parents, 63% identified the child's physician as their most common source of help. In contrast, mental health professionals had been sought out by only 24% of the sample. CONCLUSIONS: These data replicate previous findings showing high rates of parent-rated psychosocial problems in pediatric primary care. Given the prevalence of these problems in primary care and parents' frequent help seeking in this setting, more research is needed on innovative approaches to integrated care in rural settings.
Topic(s):
General Literature
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Reference Links:
View the DOI record for The Prevalence of Emotional and Behavior Problems in Pediatric Primary Care Serving Rural Children
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View the PubMed citation for The Prevalence of Emotional and Behavior Problems in Pediatric Primary Care Serving Rural Children817
The primary care physician and Alzheimer's disease: an international position paper
Type: Journal Article
Year: 2010
Publication Place: France
Abstract: This paper aims to define the role of the primary care physician (PCP) in the management of Alzheimer's disease (AD) and to propose a model for a work plan. The proposals in this position paper stem from a collaborative work of experts involved in the care of AD patients. It combines evidence from a literature review and expert's opinions who met in Paris, France, on July 2009 during the International Association of Geriatrics and Gerontology (IAGG) World Congress. The PCP's intervention appears essential at many levels: detection of the onset of dementia, diagnostic management, treatment and follow-up. The key role of the PCP in the management of AD, as care providers and care planners, is consolidated by the family caregiver's confidence in their skills. In primary care practice the first step is to identify dementia. The group proposes a "case finding" strategy, in target situations in which dementia should be detected to allow, secondarily, a diagnosis of AD, in certain cases. We propose that the PCP identifies 'typical' cases. In typical cases, among older subjects, the diagnosis of "probable AD" can be done by the PCP and then confirm by the specialist. While under-diagnosis of AD exists, so does under-disclosure. Disclosure to patient and family should be done by both specialist and PCP. Then, the PCP has a central role in management of the disease with the general objectives to detect, prevent and treat, when possible, the complications of the disease (falls, malnutrition, behavioural and psychological symptoms of dementia). The PCP needs to give basic information to the caregiver on respite care and home support services in order to prevent crisis situations such as unplanned institutionalisation and "emergency" hospital admission. Finally, therapeutic research must be integrated in the daily practice of PCP. It is a matter of patients' right to benefit from access to innovation and clinical research whatever his age or diseases, while of course fully respecting the rules and protective measures that are in force.
Topic(s):
General Literature
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Reference Links: View the PubMed citation for The primary care physician and Alzheimer's disease: an international position paper
818
The promise of shared decision making in mental health
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
General Literature
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Reference Links: View the PubMed citation for The promise of shared decision making in mental health
819
The Psychiatric Assessment and Brief Intervention Program: Partnering With Primary Care Providers
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for The Psychiatric Assessment and Brief Intervention Program: Partnering With Primary Care Providers
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View the PubMed citation for The Psychiatric Assessment and Brief Intervention Program: Partnering With Primary Care Providers820
The relationship of depression and diabetes: Pathophysiological and treatment implications
Type: Journal Article
Year: 2011
Topic(s):
General Literature
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Reference Links:
View the DOI record for The relationship of depression and diabetes: Pathophysiological and treatment implications
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View the PubMed citation for The relationship of depression and diabetes: Pathophysiological and treatment implications