Literature Collection

1081

Racial/ethnic differences in medication for addiction treatment for opioid use disorders among pregnant women in treatment facilities supported by state funds

Type: Journal Article

Authors: P. Kitsantas, S. M. Aljoudi, K. M. Baker, L. Peppard, K. M. Oh

Year: 2023

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1082

Racial/ethnic differences in treatment quality among youth with primary care provider‐initiated versus mental health specialist‐initiated care for major depressive disorders

Type: Journal Article

Authors: Aylin Yucel, Swarnava Sanyal, Ekere J. Essien, Osaro Mgbere, Rajender Aparasu, Vinod S. Bhatara, Joy P. Alonzo, Hua Chen

Year: 2019

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1083

Randomised Controlled Trial (RCT) of cannabinoid replacement therapy (Nabiximols) for the management of treatment-resistant cannabis dependent patients: A study protocol

Type: Journal Article

Authors: Anjali K. Bhardwaj, David J. Allsop, Jan Copeland, Iain S. McGregor, Adrian Dunlop, Marian Shanahan, Raimondo Bruno, Nghi Phung, Mark Montebello, Craig Sadler, Jessica Gugusheff, Melissa Jackson, Jennifer Luksza, Nicholas Lintzeris

Year: 2018

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1084

Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy and usual general practitioner care in the management of depression as well as mixed anxiety and depression in primary care

Type: Journal Article

Authors: M. King, B. Sibbald, E. Ward, P. Bower, M. Lloyd, M. Gabbay, S. Byford

Year: 2000

Publication Place: ENGLAND

Abstract: OBJECTIVES: The aim of this study was to determine both the clinical and cost-effectiveness of usual general practitioner (GP) care compared with two types of brief psychological therapy (non-directive counselling and cognitive-behaviour therapy) in the management of depression as well as mixed anxiety and depression in the primary care setting. DESIGN: The design was principally a pragmatic randomised controlled trial, but was accompanied by two additional allocation methods allowing patient preference: the option of a specific choice of treatment (preference allocation) and the option to be randomised between the psychological therapies only. Of the 464 patients allocated to the three treatments, 197 were randomised between the three treatments, 137 chose a specific treatment, and 130 were randomised between the psychological therapies only. The patients underwent follow-up assessments at 4 and 12 months. SETTING: The study was conducted in 24 general practices in Greater Manchester and London. SUBJECTS: A total of 464 eligible patients, aged 18 years and over, were referred by 73 GPs and allocated to one of the psychological therapies or usual GP care for depressive symptoms. INTERVENTIONS: The interventions consisted of brief psychological therapy (12 sessions maximum) or usual GP care. Non-directive counselling was provided by counsellors who were qualified for accreditation by the British Association for Counselling. Cognitive-behaviour therapy was provided by clinical psychologists who were qualified for accreditation by the British Association for Behavioural and Cognitive Psychotherapies. Usual GP care included discussions with patients and the prescription of medication, but GPs were asked to refrain from referring patients for psychological intervention for at least 4 months. Most therapy sessions took place on a weekly basis in the general practices. By the 12-month follow-up, GP care in some cases did include referral to mental healthcare specialists. MAIN OUTCOME MEASURES: The clinical outcomes included depressive symptoms, general psychiatric symptoms, social function and patient satisfaction. The economic outcomes included direct and indirect costs and quality of life. Assessments were carried out at baseline during face-to-face interviews as well as at 4 and 12 months in person or by post. RESULTS: At 4 months, both psychological therapies had reduced depressive symptoms to a significantly greater extent than usual GP care. Patients in the psychological therapy groups exhibited mean scores on the Beck Depression Inventory that were 4-5 points lower than the mean score of patients in the usual GP care group, a difference that was also clinically significant. These differences did not generalize to other measures of outcome. There was no significant difference in outcome between the two psychological therapies when they were compared directly using all 260 patients randomised to a psychological therapy by either randomised allocation method. At 12 months, the patients in all three groups had improved to the same extent. The lack of a significant difference between the treatment groups at this point resulted from greater improvement of the patients in the GP care group between the 4- and 12-month follow-ups. At 4 months, patients in both psychological therapy groups were more satisfied with their treatment than those in the usual GP care group. However, by 12 months, patients who had received non-directive counselling were more satisfied than those in either of the other two groups. There were few differences in the baseline characteristics of patients who were randomised or expressed a treatment preference, and no differences in outcome between these patients. Similar outcomes were found for patients who chose either psychological therapy. Again, there were no significant differences between the two groups at 4 or 12 months. Patients who chose counselling were more satisfied with treatment than those who chose c

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1085

Randomized trial of onsite versus referral primary medical care for veterans in addictions treatment

Type: Journal Article

Authors: Andrew J. Saxon, Carol A. Malte, Kevin L. Sloan, John S. Baer, Donald A. Calsyn, Paul Nichol, Michael K. Chapko, Daniel R. Kivlahan

Year: 2006

Publication Place: US: Lippincott Williams & Wilkins

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1086

Rapid Growth in Medicaid Spending on Medications to Treat Opioid Use Disorder and Overdose

Type: Report

Authors: Lisa Clemans-Cope, Marni Epstein, Genevieve M. Kenney

Year: 2017

Publication Place: Washington, DC

Topic(s):

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1087

Rationale and design for eHealth Familias Unidas Primary Care: A drug use, sexual risk behavior, and STI preventive intervention for hispanic youth in pediatric primary care clinics

Type: Journal Article

Year: 2019

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1088

Re-engineering methadone—Cost-effectiveness analysis of a patient-centered approach to methadone treatment

Type: Journal Article

Authors: Laura J. Dunlap, Gary A. Zarkin, Stephen Orme, Angelica Meinhofer, Sharon M. Kelly, Kevin E. O'Grady, Jan Gryczynski, Shannon G. Mitchell, Robert P. Schwartz

Year: 2018

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1089

Re-imagining Rural Health: Themes, Concepts, and Next Steps from the CMS Innovation Center “Hackathon” Series

Type: Web Resource

Authors: Centers for Medicare & Medicaid Services

Year: 2024

Publication Place: Baltimore, MD

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1090

Realigning clinical and economic incentives to support depression management within a medicaid population: the Colorado access experience

Type: Journal Article

Authors: Marshall R. Thomas, Jeanette A. Waxmonsky, Gretchen Flanders McGinnis, Colleen L. Barry

Year: 2006

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1091

Realigning economic incentives for depression care at UCSF

Type: Journal Article

Authors: M. D. Feldman, M. K. Ong, D. L. Lee, E. Perez-Stable

Year: 2006

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1092

Recent Telehealth Utilization at a Large Federally Qualified Health Center System: Evidence of Disparities Even Within Telehealth Modalities

Type: Journal Article

Authors: E. Weber, S. J. Miller, N. Shroff, M. Beyrouty, N. Calman

Year: 2023

Abstract:

Objective: To explore overall trends as well as racial/ethnic disparities in utilization of different telehealth modalities (telephone vs. televideo) at federally qualified health centers (FQHCs) during the COVID-19 pandemic. Methods: Using electronic health record data from a large New York-based FQHC system, we aggregated (separately) Behavioral Health and Family Practice visits per month occurring in-person, by telephone, or by televideo and graphed monthly trends in visits across the pre-pandemic, peak-pandemic, and post-peak-pandemic periods. We calculated fractions of visits conducted by modality for each patient demographic (race/ethnicity, primary language, age, gender, insurance type, and geography) and conducted bivariate assessments to test relationships between patient characteristics and modality. Results: Our data contained 121,072 unique patients and 811,105 visits overall. Telehealth use peaked in April 2020 but continued to account for a significant fraction of FQHC visits-nearly 25% (N = 4,908) of monthly Family Practice visits and a massive 98% (N = 14,173) of Behavioral Health visits as late as June 2021. Of all telehealth visits, nearly half were by telephone. Moreover, demographic factors differed between FQHC patients using telephone visits versus those using televideo: Black, non-English speaking, older, and Medicaid patients had significantly higher utilization of telephone visits than televideo visits (e.g., 25.9% of all Black patients' visits were via telephone vs. 17.1% via televideo; p < 0.001). In contrast, younger, Asian, and privately insured patients had significantly higher televideo visits. Conclusions: Our results suggest that telephone visits remain critical to the provision of health care for FQHC patients. They also suggest that disparities extend beyond the telehealth versus in-person dichotomy and inequities exist even within the type of telehealth used. This has implications for patient health, FQHC quality outcomes, as well as optimal Medicaid telehealth reimbursement policy.

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1093

Recommendations for a Standardized State Methodology to Measure Clinical Behavioral Health Spending

Type: Government Report

Authors: Milbank Memorial Fund

Year: 2024

Publication Place: New York, NY

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1094

Recovery from depression, work productivity, and health care costs among primary care patients

Type: Journal Article

Authors: G. E. Simon, D. Revicki, J. Heiligenstein, L. Grothaus, M. Von Korff, W. J. Katon, T. R. Hylan

Year: 2000

Publication Place: UNITED STATES

Abstract: We describe a secondary analysis of data from a randomized trial conducted at seven primary care clinics of a Seattle area HMO. Adults with major depression (n=290) beginning antidepressant treatment completed structured interviews at baseline, 1, 3, 6, 9, 12, 18, and 24 months. Interviews examined clinical outcomes (Hamilton Depression Rating Scale and depression module of the Structured Clinical Interview for DSM-IIIR), employment status, and work days missed due to illness. Medical comorbidity was assessed using computerized pharmacy data, and medical costs were assessed using the HMO's computerized accounting data. Using data from the 12-month assessment, patients were classified as remitted (41%), improved but not remitted (47%), and persistently depressed (12%). After adjustment for depression severity and medical comorbidity at baseline, patients with greater clinical improvement were more likely to maintain paid employment (P=.007) and reported fewer days missed from work due to illness (P<.001). Patients with better 12-month clinical outcomes had marginally lower health care costs during the second year of follow-up (P=.06). We conclude that recovery from depression is associated with significant reductions in work disability and possible reductions in health care costs. Although observational data cannot definitively prove any causal relationships, these longitudinal results strengthen previous findings regarding the economic burden of depression on employers and health insurers.

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1095

Recruitment, partnerships shape Montana integrated care work

Type: Journal Article

Authors: Valerie A. Canady

Year: 2019

Publication Place: Hoboken, New Jersey

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1096

Redesigning care delivery with patient support personnel: Learning from accountable care organizations

Type: Journal Article

Authors: Ksenia O. Gorbenko, Taressa Fraze, Valerie A. Lewis

Year: 2016

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1097

Referral without access: For psychiatric services, wait for the beep

Type: Journal Article

Authors: K. V. Rhodes, T. L. Vieth, H. Kushner, H. Levy, B. R. Asplin

Year: 2009

Publication Place: United States

Abstract: STUDY OBJECTIVE: We examine access to care for acute depression by insurance status compared to access for acute medical conditions in 9 metropolitan areas in the United States. METHODS: Using an audit study design, trained research assistants posing as patients referred from a local emergency department (ED) for treatment of depression called each clinic twice, with differing insurance status. The main outcome measure was the ability to schedule a mental health appointment within 2 weeks of the ED visit. RESULTS: In 45% of 322 calls to mental health clinics, the research assistant reached an answering machine compared with 8% of calls to medical clinics. As a result, only 31% of callers with depression vignettes were able to determine whether they could get an appointment versus 78% of callers with medical complaints. When they reached appointment personnel by telephone, 57% of depression callers successfully arranged an appointment (39% within 14 days). Among depression callers who reached appointment personnel, 67% of privately insured and 33% of Medicaid callers were able to make an appointment, for overall appointment rates of 22% and 12%, respectively. Appointment success for the uninsured was comparable to that of Medicaid patients. The high percentage of callers who encountered answering machines prevented us from completing the designed analysis of paired calls to individual clinics. CONCLUSION: Our findings indicate that the process for obtaining urgent follow-up appointments is systematically different for patients seeking behavioral health care than for those with physical complaints. The use of voicemail, in lieu of having a person answer the telephone, is much more prevalent in behavioral than physical health settings. More work is needed to determine the effect of this practice on depressed individuals and vulnerable populations.

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1098

Reimbursement for Medications for Addiction Treatment Toolkit

Type: Report

Authors: American Medical Association

Year: 2021

Publication Place: Washington, D.C.

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, ,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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1099

Reimbursement for primary care mental health

Type: Journal Article

Authors: R. J. Hilt

Year: 2013

Publication Place: United States

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1100

Reimbursement of mental health services in primary care settings

Type: Government Report

Authors: C. Kautz, D. Mauch, S. A. Smith

Year: 2008

Publication Place: Rockville, MD

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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