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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
863
Unrounding the corners of collaborative family health care
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Unrounding the corners of collaborative family health care
867
User-generated quality standards for youth mental health in primary care: a participatory research design using mixed methods
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: OBJECTIVES: To develop user-generated quality standards for young people with mental health problems in primary care using a participatory research model. METHODS: 50 young people aged 16-25 from community settings and primary care participated in focus groups and interviews about their views and experiences of seeking help for mental health problems in primary care, cofacilitated by young service users and repeated to ensure respondent validation. A second group of young people also aged 16-25 who had sought help for any mental health problem from primary care or secondary care within the last 5 years were trained as focus groups cofacilitators (n=12) developed the quality standards from the qualitative data and participated in four nominal groups (n=28). RESULTS: 46 quality standards were developed and ranked by young service users. Agreement was defined as 100% of scores within a two-point region. Group consensus existed for 16 quality standards representing the following aspects of primary care: better advertising and information (three); improved competence through mental health training and skill mix within the practice (two); alternatives to medication (three); improved referral protocol (three); and specific questions and reassurances (five). Alternatives to medication and specific questions and reassurances are aspects of quality which have not been previously reported. CONCLUSIONS: We have demonstrated the feasibility of using participatory research methods in order to develop user-generated quality standards. The development of patient-generated quality standards may offer a more formal method of incorporating the views of service users into quality improvement initiatives. This method can be adapted for generating quality standards applicable to other patient groups.
Topic(s):
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868
Users' involvement in mental health services: programme logic model of an innovative initiative in integrated care
Type: Journal Article
Year: 2017
Publication Place: England
Abstract: BACKGROUND: Collaboration and partnership are key issues for modern health systems seeking to implement quality integrated care that meets the needs of the population. The Carrefour Communautaire-Institutionnel-Usagers (Connecting Community organisations-Institutions-Users, CCIU), involving community- and institution-based mental health workers, carers and users, is an innovative normative integrated care group (group for shared values, culture and vision) established by the Canadian Mental Health Association-Montreal Branch. A programme evaluation approach was used to conduct a logic analysis of the CCIU in order to understand the relationships between its resources, activities and outcomes, build a common understanding and, allow for its replication. METHODS: Five steps were involved in the creation of a programme logic model. A non-exhaustive literature search for similar initiatives, a review of documents related to the CCIU process and direct observations led to the development of a first model. Then, following a participatory and reflexive process, this model was validated with CCIU participants. RESULTS: A comprehensive model and a simplified model were created. Participants' experiential knowledge and scientific knowledge helped to identify the essential components of the successful operation of the CCIU. CONCLUSIONS: The CCIU, with its eight essential components, including relations based on equality and mutual respect, corresponds to an essential step in normative integration and integrated care that lead to improved quality services.
Topic(s):
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View the DOI record for Users' involvement in mental health services: programme logic model of an innovative initiative in integrated care
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View the PubMed citation for Users' involvement in mental health services: programme logic model of an innovative initiative in integrated care869
Using a multi-level approach to implement a primary care mental health (PCMH) program
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
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View the DOI record for Using a multi-level approach to implement a primary care mental health (PCMH) program
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View the PubMed citation for Using a multi-level approach to implement a primary care mental health (PCMH) program870
Using evidence-based quality improvement methods for translating depression collaborative care research into practice
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
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View the DOI record for Using evidence-based quality improvement methods for translating depression collaborative care research into practice
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View the PubMed citation for Using evidence-based quality improvement methods for translating depression collaborative care research into practice871
Using patient-centred consultation when screening for depression in elderly patients: a comparative pilot study
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: OBJECTIVE: Using validated screening instruments to detect depressive symptoms in the elderly has been recommended. The aim of this study was to compare a patient-centred consultation model with the PRIME-MD screening questionnaire, using the MADRS-S as reference for detecting depressive symptoms in an elderly primary care population. DESIGN: Comparative study. SETTING: Primary care, Sweden. SUBJECTS: During an 11-month period 302 consecutive patients aged 60 and over attending a primary care centre were screened with the PRIME-MD and the Montgomery-Asberg Depression Rating Scale-Self-rated version (MADRS-S) instrument. The results were unknown to the GPs who used a structured, patient-centred consultation model comprising seven open-ended "key questions". MAIN OUTCOME MEASURES: Sensitivity, specificity, positive predictive values (PPV), and negative predictive values (NPV) were calculated for the PRIME-MD screening questionnaire and the patient-centred consultation model using MADRS-S as reference for possible depression at two cut-off levels with 15% prevalence. Results. Sensitivity was lower for the consultation model than the PRIME-MD screening questionnaire: 78% and 98%, respectively. The GPs failed to identify every fifth patient using the lower cut-off (MADRS-S>/=13) but the number of required diagnostic interviews decreased by almost 50%: 85 versus 162, respectively. PPV was 43% and 28%, respectively. Both instruments showed high sensitivity (93%) using the higher cut-off (MADRS-S>/=20) and had high NPV: 95% and 99%, respectively. CONCLUSIONS: The findings suggest that the consultation screening procedure might be as useful in everyday practice as the PRIME-MD screening questionnaire. Both screening procedures may also be useful for ruling out depressive symptoms.
Topic(s):
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View the DOI record for Using patient-centred consultation when screening for depression in elderly patients: a comparative pilot study
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View the PubMed citation for Using patient-centred consultation when screening for depression in elderly patients: a comparative pilot study872
Using Quality Improvement to Increase Access to Behavioral Health Care in Federally Qualified Health Centers
Type: Journal Article
Year: 2014
Topic(s):
General Literature
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Reference Links: View the PubMed citation for Using Quality Improvement to Increase Access to Behavioral Health Care in Federally Qualified Health Centers
873
Using research to transform care for women veterans: advancing the research agenda and enhancing research-clinical partnerships
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: The purpose of this paper is to report on the outcomes of the 2010 VA Women's Health Services Research Conference, which brought together investigators interested in pursuing research on women veterans and women in the military with leaders in women's health care delivery and policy within and outside the VA, to significantly advance the state and future direction of VA women's health research and its potential impacts on practice and policy. Building on priorities assembled in the previous VA research agenda (2004) and the research conducted in the intervening six years, we used an array of approaches to foster research-clinical partnerships that integrated the state-of-the-science with the informational and strategic needs of senior policy and practice leaders. With demonstrated leadership commitment and support, broad field-based participation, strong interagency collaboration and a push to accelerate the move from observational to interventional and implementation research, the Conference provided a vital venue for establishing the foundation for a new research agenda. In this paper, we provide the historical evolution of the emergence of women veterans' health services research and an overview of the research in the intervening years since the first VA women's health research agenda. We then present the resulting VA Women's Health Research Agenda priorities and supporting activities designed to transform care for women veterans in six broad areas of study, including access to care and rural health; primary care and prevention; mental health; post deployment health; complex chronic conditions, aging and long-term care; and reproductive health.
Topic(s):
General Literature
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875
Using the GAD-Q-IV to identify generalized anxiety disorder in psychiatric treatment seeking and primary care medical samples
Type: Journal Article
Year: 2014
Publication Place: Netherlands
Topic(s):
General Literature
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876
Using the tidal model of mental health recovery to plan primary health care for women in residential substance abuse recovery
Type: Journal Article
Year: 2010
Publication Place: England
Abstract: Women currently are 30% of the substance abuse recovery population in North America and have gender specific treatment needs as they enter the difficult work of recovery. Important among women's specific needs as they enter recovery is the need for a focus on primary health care. Few models designed to guide the provision of health care for this population are available in the literature. The Tidal Model of Mental Health Recovery and Reclamation is based on the concept of nursing as "caring with" persons in the experience of distress. Given the emphasis in this model on developing a partnership between caregiver and client, it is especially appropriate for women in recovery for substance abuse. The Tidal Model, integrated with the United States Substance Abuse and Mental Health Services' CSAT model for comprehensive alcohol and other drug (AOD) abuse treatment, is used to guide planning for delivery of primary health care in a residential women's substance abuse recovery center in the Midwest. This article describes the Tidal Model, and identifies how the model can improve the delivery of primary care to women in residential substance abuse treatment. Strategies for implementation of the model are proposed. Evaluation and outcome criteria are identified.
Topic(s):
General Literature
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877
Utilization of VA Mental Health and Primary Care Services Among Iraq and Afghanistan Veterans With Depression: The Influence of Gender and Ethnicity Status
Type: Journal Article
Year: 2014
Publication Place: United States
Topic(s):
General Literature
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878
VA primary care-mental health integration: patient characteristics and receipt of mental health services, 2008-2010
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: OBJECTIVE: In 2007, the U.S. Department of Veterans Affairs (VA) health system began nationwide implementation of primary care-mental health integration (PC-MHI) programs to enhance mental health access and promote treatment of common mental health conditions for patients in primary care settings. This report describes patients initiating PC-MHI services in fiscal years (FYs) 2008-2010, including those who received prior mental health services. METHODS: Using VA administrative records, the investigators examined characteristics and services utilization of individuals who initiated PC-MHI services in FY 2008 (N=76,985), FY 2009 (N=107,417), or FY 2010 (N=149,938). RESULTS: PC-MHI service initiation increased by 95%, from 76,985 to 149,938 veterans. Over time, new user cohorts were increasingly younger, newer to VA services, and less likely to have received VA mental health treatment in the prior year. CONCLUSIONS: This study documents substantial expansion in VA PC-MHI program activity. PC-MHI program expansion may increase access to mental health services in primary care settings.
Topic(s):
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View the DOI record for VA primary care-mental health integration: patient characteristics and receipt of mental health services, 2008-2010
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View the PubMed citation for VA primary care-mental health integration: patient characteristics and receipt of mental health services, 2008-2010880
Validation of an Expanded Measure of Integrated Care Provider Fidelity: PPAQ-2
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: This study aimed to validate the factor structure of the expanded Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ-2), which is designed to assess provider fidelity to both the Primary Care Behavioral Health (PCBH) and collaborative care management (CCM) models of integrated primary care. Two-hundred fifty-three integrated care providers completed self-reports of professional background, perceptions of clinic integration and related practice barriers, and the PPAQ-2. Confirmatory factor analyses were conducted to assess the theorized factor structure and criterion validity was assessed through correlational analysis. Factor analyses demonstrated adequate fit with the data and acceptable to excellent composite reliabilities across five PCBH domains and five CCM domains. Validity was demonstrated by correlations between adherence scores and measures of clinic integration and barriers to fidelity. The PPAQ-2 is a psychometrically sound measure that can be used in future integrated care dismantling studies to identify provider behaviors that best predict patient outcomes.
Topic(s):
General Literature
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View the DOI record for Validation of an Expanded Measure of Integrated Care Provider Fidelity: PPAQ-2
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View the PubMed citation for Validation of an Expanded Measure of Integrated Care Provider Fidelity: PPAQ-2