Email UpdatesLiterature Collection
Collection Insights
10K+
References
9K+
Articles
1400+
Grey Literature
4500+
Opioids & SU
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).
3663 Results
101
A case study evaluation of a community multidisciplinary team in South East England using a mixed-method approach
Type: Journal Article
Year: 2020
Publication Place: England
Topic(s):
Education & Workforce
See topic collection
, Measures
See topic collection
Reference Links: 
View the DOI record for A case study evaluation of a community multidisciplinary team in South East England using a mixed-method approach
View DOI Record
View the PubMed citation for A case study evaluation of a community multidisciplinary team in South East England using a mixed-method approach102
A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center
Type: Journal Article
Year: 2020
Abstract:
The US government funds integrated care demonstration projects to decrease health disparities for individuals with serious mental illness. Drawing on the Exploration Preparation Implementation Sustainability (EPIS) implementation framework, this case study of a community mental health clinic describes implementation barriers and sustainability challenges with grant-funded integrated care. Findings demonstrate that integrated care practices evolve during implementation and the following factors influenced sustainability: workforce rigidity, intervention clarity, policy and funding congruence between the agency and state/federal regulations, on-going support and training in practice application, and professional institutions. Implementation strategies for primary care integration within CMHCs include creating a flexible workforce, shared definition of integrated care, policy and funding congruence, and on-going support and training.
Topic(s):
Education & Workforce
See topic collection
, Financing & Sustainability
See topic collection
, Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center
View DOI Record
View the PubMed citation for A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center105
A chance to do it better: Methadone maintenance treatment in the age of Covid-19
Type: Journal Article
Year: 2021
Topic(s):
Education & Workforce
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for A chance to do it better: Methadone maintenance treatment in the age of Covid-19
View DOI Record
View the PubMed citation for A chance to do it better: Methadone maintenance treatment in the age of Covid-19106
A chronic opioid therapy dose reduction policy in primary care
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: BACKGROUND: High-dose opioids prescribed for the treatment of chronic pain have been associated with increased risk of opioid overdose. Health systems and states have responded by developing opioid dose limitation policies. Little is known about how these policies affect prescribing practices or characteristics of patients who respond best to opioid tapers from high-dose opioids. METHODS: We conducted a retrospective cohort study to evaluate change in total opioid dose after the implementation of a provider education intervention and a 120 mg morphine equivalents per day (MED) opioid dose limitation policy in one academic primary care clinic. We compared opioid prescriptions 1 year before and 1 year after the intervention. We used univariate and multivariate logistic regression to assess which patient characteristics predicted opioid dose reduction from high opioid dose. RESULTS: Out of a total of 516 patients prescribed chronic opioid therapy, 116 patients (22%) were prescribed high-dose opioid therapy (>120 mg MED). After policy adoption, the average daily dose of opioids declined by 64 mg MED (95% confidence interval [CI]: 32-96; P < .001) and 41 patients (37%) on high-dose opioids tapered their doses below 120 mg MED (Tapered to Safer Dose group). In multivariate analyses, female sex was the only significant association with dose taper; female patients were less likely to taper to a safer dose (adjusted odds ratio [aOR] = 0.28, 95% CI: 0.11-0.70). CONCLUSIONS: A combined intervention of education and a practice policy that limits opioid doses for patients prescribed chronic opioid therapy may be an important component of system-level strategies to reduce opioid misuse and overdose; it may also help identify patients suitable for medication-assisted treatment for opioid use disorder. Specific strategies may be needed to assist women with opioid dose tapers.
Topic(s):
Opioids & Substance Use
See topic collection
, Healthcare Disparities
See topic collection
, Education & Workforce
See topic collection
Reference Links:
View the DOI record for A chronic opioid therapy dose reduction policy in primary care
View DOI Record
View the PubMed citation for A chronic opioid therapy dose reduction policy in primary care108
A Clinical Care Algorithmic Toolkit for Promoting Screening and Next-Level Assessment of Pediatric Depression and Anxiety in Primary Care
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
110
A clinically integrated curriculum in evidence-based medicine for just-in-time learning through on-the-job training: The EU-EBM project
Type: Journal Article
Year: 2007
Publication Place: England
Abstract: BACKGROUND: Over the last years key stake holders in the healthcare sector have increasingly recognised evidence based medicine (EBM) as a means to improving the quality of healthcare. However, there is considerable uncertainty about the best way to disseminate basic knowledge of EBM. As a result, huge variation in EBM educational provision, setting, duration, intensity, content, and teaching methodology exists across Europe and worldwide. Most courses for health care professionals are delivered outside the work context ('stand alone') and lack adaptation to the specific needs for EBM at the learners' workplace. Courses with modern 'adaptive' EBM teaching that employ principles of effective continuing education might fill that gap. We aimed to develop a course for post-graduate education which is clinically integrated and allows maximum flexibility for teachers and learners. METHODS: A group of experienced EBM teachers, clinical epidemiologists, clinicians and educationalists from institutions from eight European countries participated. We used an established methodology of curriculum development to design a clinically integrated EBM course with substantial components of e-learning. An independent European steering committee provided input into the process. RESULTS: We defined explicit learning objectives about knowledge, skills, attitudes and behaviour for the five steps of EBM. A handbook guides facilitator and learner through five modules with clinical and e-learning components. Focussed activities and targeted assignments round off the learning process, after which each module is formally assessed. CONCLUSION: The course is learner-centred, problem-based, integrated with activities in the workplace and flexible. When successfully implemented, the course is designed to provide just-in-time learning through on-the-job-training, with the potential for teaching and learning to directly impact on practice.
Topic(s):
Education & Workforce
See topic collection
112
A collaborative approach to embedding graduate primary care mental health workers in the UK National Health Service
Type: Journal Article
Year: 2008
Publication Place: England
Abstract: The UK National Health Service (NHS) workforce has recently seen the arrival of the Graduate Mental Health Worker (GMHW) in primary care. We established a Quality Improvement Collaborative to assist in embedding this new workforce in one Strategic Health Authority Area of England. The intervention utilised 'collaborative' technology which involves bringing together groups of practitioners from different organizations to work in a structured way to improve the quality of their service. The process was evaluated by an action research project in which all stakeholders participated. Data collection was primarily qualitative. During the project, there was an increase in throughput of new patients seen by the GMHWs and increased workforce satisfaction with a sense that the collaborative aided the change process within the organizations. Involvement of managers and commissioners from the Primary Care Trusts where the GMHWs were employed appeared to be important in achieving change. This was not, however, sufficient to combat significant attrition of the first cohort of workers. The project identified several barriers to the successful implementation of a new workforce for mental health problems in primary care, including widespread variation in the level and quality of supervision and in payment and terms of service of workers. A collaborative approach can be used to support the development of new roles in health care; however, full engagement from management is particularly necessary for success in implementation. The problems faced by GMHWs reflect those faced by other new workers in healthcare settings, yet in some ways are even more disturbing given the lack of governance arrangements put in place to oversee these developments and the apparent use of relatively unsupported and inexperienced novices as agents of change in the NHS.
Topic(s):
Education & Workforce
See topic collection
Reference Links:
View the DOI record for A collaborative approach to embedding graduate primary care mental health workers in the UK National Health Service
View DOI Record
View the PubMed citation for A collaborative approach to embedding graduate primary care mental health workers in the UK National Health Service113
A collaborative care team to integrate behavioral health care and treatment of poorly-controlled type 2 diabetes in an urban safety net primary care clinic
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
114
A Collaborative Paradigm for Improving Management of Sleep Disorders in Primary Care: A Randomized Clinical Trial
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
Reference Links:
View the DOI record for A Collaborative Paradigm for Improving Management of Sleep Disorders in Primary Care: A Randomized Clinical Trial
View DOI Record
View the PubMed citation for A Collaborative Paradigm for Improving Management of Sleep Disorders in Primary Care: A Randomized Clinical Trial115
A commentary on the impact of COVID-19 on engagement of youth with substance use and co-occurring psychiatric disorders
Type: Journal Article
Year: 2020
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for A commentary on the impact of COVID-19 on engagement of youth with substance use and co-occurring psychiatric disorders
View DOI Record
View the PubMed citation for A commentary on the impact of COVID-19 on engagement of youth with substance use and co-occurring psychiatric disorders116
A comparison of buprenorphine and psychosocial treatment outcomes in psychosocial and medical settings
Type: Journal Article
Year: 2019
Topic(s):
Education & Workforce
See topic collection
, Financing & Sustainability
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for A comparison of buprenorphine and psychosocial treatment outcomes in psychosocial and medical settings
View DOI Record
View the PubMed citation for A comparison of buprenorphine and psychosocial treatment outcomes in psychosocial and medical settings118
A comparison of office-based buprenorphine treatment outcomes in Bronx community clinics before versus during the COVID-19 pandemic
Type: Journal Article
Year: 2022
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
, Opioids & Substance Use
See topic collection