Literature Collection

Collection Insights

8K+

References

7K+

Articles

1000+

Grey Literature

3200+

Opioids & SU

The Literature Collection contains over 8,000 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).

Year
Sort by
Order
Show
8600 Results
81
A brief family intervention for depression in primary care
Type: Journal Article
Authors: Noosha Niv, Nikki Frousakis, Bonnie G. Zucker, Shirley Glynn, Lisa Dixon
Year: 2016
Source:
Niv N, Frousakis N, Zucker BG, Glynn S, Dixon L. A brief family intervention for depression in primary care. Journal Of Family Therapy 2016.
Topic(s):
General Literature See topic collection
82
A Brief History of the Integration of Behavioral Health in Primary Care
Type: Report
Authors: A. Blount
Year: 2015
Source:
Blount A. A Brief History of the Integration of Behavioral Health in Primary Care. 2015.
Topic(s):
Grey Literature See topic collection
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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

83
A brief report on certified community behavioral health clinics demonstration program
Type: Journal Article
Authors: Yuanyuan Hu, Victoria Stanhope, Elizabeth B. Matthew, Daniel M. Baslock
Year: 2021
Source:
Hu Y, Stanhope V, Matthew EB, Baslock DM. A brief report on certified community behavioral health clinics demonstration program. Social Work In Mental Health 2021. https://doi.org/10.1080/15332985.2021.1929663.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Opioids & Substance Use See topic collection
84
A brief report on rapid access to medication assisted treatment
Type: Journal Article
Authors: Daniel Baslock, Barbara Gramuglia, Alice Spirito, Javad Mashkuri, Victoria Stanhope
Year: 2021
Source:
Baslock D, Gramuglia B, Spirito A, Mashkuri J, Stanhope V. A brief report on rapid access to medication assisted treatment. Social Work In Mental Health 2021. https://doi.org/10.1080/15332985.2021.1927936.
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
85
A broad diagnostic framework to simplify the approach to mental disorders in primary care
Type: Journal Article
Authors: J. Parker
Year: 2014
Source:
Parker J. A broad diagnostic framework to simplify the approach to mental disorders in primary care. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde 2014;104:69-71, .
Publication Place: South Africa
Abstract: Overemphasis on detailed classification of a psychiatic disorder at a primary level assessment may be unhelpful and prone to error. True rigour demands a continuous process of hypothesis formation that guides further enquiry. A simple categorisation of priority conditions provides a useful framework for a process. This approach has been set out by the World Health Organization (WHO) Mental Health Gap Action Program (MHGAP) Intervention Guide, which can then be adapted for use in the South African context. This then provides the basis for further enquiry and risk assessment at the initial consultation.
Topic(s):
General Literature See topic collection
86
A budget impact analysis of telemedicine-based collaborative care for depression
Type: Journal Article
Authors: J. C. Fortney, M. L. Maciejewski, S. P. Tripathi, T. L. Deen, J. M. Pyne
Year: 2011
Source:
Fortney JC, Maciejewski ML, Tripathi SP, Deen TL, Pyne JM. A budget impact analysis of telemedicine-based collaborative care for depression. Medical Care 2011;49:872-880, . https://doi.org/10.1097/MLR.0b013e31821d2b35.
Publication Place: United States
Abstract: BACKGROUND: Patients with depression use more health services than patients without depression. However, when depression symptoms respond to treatment, use of health services declines. Most depression quality improvement studies increase total cost in the short run, which if unevenly distributed across stakeholders, could compromise buy-in and sustainability. The objective of this budget impact analysis was to examine patterns of utilization and cost associated with telemedicine-based collaborative care, an intervention that targets patients treated in small rural primary care clinics. METHODS: Patients with depression were recruited from VA Community-based Outpatient Clinics, and 395 patients were enrolled and randomized to telemedicine-based collaborative care or usual care. Dependent variables representing utilization and cost were collected from administrative data. Independent variables representing clinical casemix were collected from self-report at baseline. RESULTS: There were no significant group differences in the total number or cost of primary care encounters. However, as intended, patients in the intervention group had significantly greater depression-related primary care encounters (marginal effect=0.34, P=0.004) and cost (marginal effect=$61.4, P=0.013) to adjust antidepressant therapy for nonresponders. There were no significant group differences in total mental health encounters or cost. However, as intended, the intervention group had significantly higher depression-related mental health costs (marginal effect=$107.55, P=0.03) due to referrals of treatment-resistant patients. Unexpectedly, patients in the intervention group had significantly greater specialty physical health encounters (marginal effect =0.42, P=0.001) and cost (marginal effect =$490.6, P=0.003), but not depression-related encounters or cost. Overall, intervention patients had a significantly greater total outpatient cost compared with usual care (marginal effect=$599.28, P=0.012). CONCLUSIONS: Results suggest that telemedicine-based collaborative care does not increase total workload for primary care or mental health providers. Thus, there is no disincentive for mental health providers to offer telemedicine-based collaborative care or for primary care providers to refer patients to telemedicine-based collaborative care.
Topic(s):
Financing & Sustainability See topic collection
87
A Budget Impact Analysis of the Collaborative Care Model for Treating Opioid Use Disorder in Primary Care
Type: Journal Article
Authors: C. M. Lee, C. Scheuter, D. Rochlin, T. Platchek, R. M. Kaplan
Year: 2019
Source:
Lee CM, Scheuter C, Rochlin D, Platchek T, Kaplan RM. A Budget Impact Analysis of the Collaborative Care Model for Treating Opioid Use Disorder in Primary Care. Journal Of General Internal Medicine 2019;34:1693-1694, . https://doi.org/10.1007/s11606-019-04998-5.
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Opioids & Substance Use See topic collection
88
A buprenorphine education and training program for primary care residents: Implementation and evaluation
Type: Journal Article
Authors: H. V. Kunins, N. L. Sohler, A. Giovanniello, D. Thompson, C. O. Cunningham
Year: 2013
Source:
Kunins HV, Sohler NL, Giovanniello A, Thompson D, Cunningham CO. A buprenorphine education and training program for primary care residents: Implementation and evaluation. Substance Abuse 2013;34:242-247, . https://doi.org/10.1080/08897077.2012.752777.
Publication Place: United States
Abstract: BACKGROUND: Although substance use disorders are highly prevalent, resident preparation to care for patients with these disorders is frequently insufficient. With increasing rates of opioid abuse and dependence, and the availability of medication-assisted treatment, one strategy to improve resident skills is to incorporate buprenorphine treatment into training settings. METHODS: In this study, esidency faculty delivered the BupEd education and training program to 71 primary care residents. BupEd included (1) a didactic session on buprenorphine, (2) an interactive motivational interviewing session, (3) monthly case conferences, and (4) supervised clinical experience providing buprenorphine treatment. To evaluate BupEd, the authors assessed (1) residents' provision of buprenorphine treatment during residency, (2) residents' provision of buprenorphine treatment after residency, and (3) treatment retention among patients treated by resident versus attending physicians. RESULTS: Of 71 residents, most served as a covering or primary provider to at least 1 buprenorphine-treated patient (84.5 and 66.2%, respectively). Of 40 graduates, 27.5% obtained a buprenorphine waiver and 17.5% prescribed buprenorphine. Treatment retention was similar between patients cared for by resident PCPs versus attending PCPs (90-day retention: 63.6% [n = 35] vs. 67.9% [n = 152]; P = .55). CONCLUSION: These results show that BupEd is feasible, provides residents with supervised clinical experience in treating opioid-dependent patients, and can serve as a model to prepare primary care physicians to care for patients with opioid dependence.
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
89
A call to maximize impact of the SUPPORT for Patients and Communities Act through standard inclusion of opioid use disorder treatment curricula in medical schools
Type: Journal Article
Authors: A. Shapiro, L. R. Villarroel, P. George
Year: 2019
Source:
Shapiro A, Villarroel LR, George P. A call to maximize impact of the SUPPORT for Patients and Communities Act through standard inclusion of opioid use disorder treatment curricula in medical schools. Advances In Medical Education And Practice 2019;10:581-583, . https://doi.org/10.2147/AMEP.S205946.
Abstract:

Physicians who want to prescribe buprenorphine to treat opioid use disorder require a waiver established by the Drug Addiction Treatment Act (DATA) of 2000, often through completion of an eight-hour training course. This is an issue for a number of reasons, including that opioid overdose deaths continue to rise nationally. However, on October 24, 2018, the SUPPORT (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment) for Patients and Communities Act was signed into law. This bill allows any physician who graduates in good standing from an allopathic or osteopathic medical school in the United States that incorporates necessary material around opioid misuse in their standard curriculum, without need for any additional training, to prescribe buprenorphine. This perspective piece describes why this is an important first step and what more needs to be done within medical education to combat the opioid epidemic.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Policy See topic collection
,
Opioids & Substance Use See topic collection
90
A care management model for enhancing physician practice for Alzheimer Disease in primary care
Type: Journal Article
Authors: Mary Guerriero Austrom, Cora Hartwell, Patricia S. Moore, Malaz Boustani, Hugh C. Hendrie, Christopher M. Callahan
Year: 2005
Source:
Austrom MG, Hartwell C, Moore PS, Boustani M, Hendrie HC, Callahan CM. A care management model for enhancing physician practice for Alzheimer Disease in primary care. Clinical Gerontologist: The Journal Of Aging And Mental Health 2005;29:35-43, . https://doi.org/10.1300/J018v29n02_05.
Publication Place: US: Haworth Press
Topic(s):
Education & Workforce See topic collection
91
A case of pseudosomatization disorder
Type: Web Resource
Authors: S. Epstein, R. M. McCarron
Year: 2006
Source:
Epstein S, McCarron RM. A case of pseudosomatization disorder. Psychiatric Times 2006;23.
Topic(s):
Grey Literature See topic collection
,
Medically Unexplained Symptoms See topic collection
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.

92
A case report: Implementing a nurse telecare program for treating depression in primary care
Type: Journal Article
Authors: J. F. Meresman, E. M. Hunkeler, W. A. Hargreaves, A. J. Kirsch, P. Robinson, A. Green, E. Z. Mann, M. Getzell, P. Feigenbaum
Year: 2003
Source:
Meresman JF, Hunkeler EM, Hargreaves WA, Kirsch AJ, Robinson P, Green A, et al. A case report: Implementing a nurse telecare program for treating depression in primary care. The Psychiatric Quarterly 2003;74:61-73, .
Publication Place: United States
Abstract: The treatment of depression in primary care needs improvement. Previously, we reported that a nurse telecare intervention for treating depression in primary care clinics significantly improved treatment outcomes. The usefulness of nurse telecare, however, depends upon the feasibility of dissemination. In this report we describe nurse telecare and the steps required for implementation, and describe its dissemination in various settings. In addition to medication, which is managed by a primary care physician, the key elements of nurse telecare are focused behavioral activation, emotional support, patient education, promotion of treatment adherence, and monitoring of progress, delivered in ten brief telephone appointments over four months by primary care nurses. Support from key administrators and clinical champions is crucial to success. Nurses need "dedicated" scheduled time for telecare activities. Nurse telecare has been piloted and disseminated in diverse settings. The model required only small modifications for dissemination, and was implemented with minimal investment of resources and no negative impact on clinic operations.
Topic(s):
Education & Workforce See topic collection
93
A case series of buprenorphine/naloxone treatment in a primary care practice
Type: Journal Article
Authors: B. Doolittle, W. Becker
Year: 2011
Source:
Doolittle B, Becker W. A case series of buprenorphine/naloxone treatment in a primary care practice. Substance Abuse 2011;32:262-265, . https://doi.org/10.1080/08897077.2011.599256.
Publication Place: United States
Abstract: Physicians' adoption of buprenorphine/naloxone treatment is hindered by concerns over feasibility, cost, and lack of comfort treating patients with addiction. We examined the use of buprenorphine/naloxone in a community practice by two generalist physicians without addiction training, employing a retrospective chart review. From 2006-2010, 228 patients with opiate abuse/dependence were treated with buprenorphine/naloxone using a home-induction protocol. Multiple co-morbidities including diabetes (23% of patients), hypertension (36%), Hepatitis C (43%), and depression (74%) were concurrently managed. In this diverse sample, 1/228 experienced precipitated withdrawal during induction. Of the convenience subsample analyzed (n = 28), 82% (+/-10%) had negative urine drug tests for opioids; 92% (+/-11%) were negative for cocaine; 88% (+/-12%) were positive for buprenorphine. This case series demonstrated feasibility and safety of a low-cost buprenorphine/naloxone home induction protocol employed by generalists. Concurrent treatment of multiple comorbidities conforms with the patient-centered medical home ideal. Randomized trials of this promising approach are needed.
Topic(s):
Opioids & Substance Use See topic collection
,
Medical Home See topic collection
94
A case study evaluation of a community multidisciplinary team in South East England using a mixed-method approach
Type: Journal Article
Authors: J. W. Muscat
Year: 2020
Source:
Muscat JW. A case study evaluation of a community multidisciplinary team in South East England using a mixed-method approach. The British Journal Of General Practice : The Journal Of The Royal College Of General Practitioners 2020;70. https://doi.org/10.3399/bjgp20X711569.
Publication Place: England
Topic(s):
Education & Workforce See topic collection
,
Measures See topic collection
95
A case study of early experience with implementation of collaborative care in the Veterans Health Administration
Type: Journal Article
Authors: M. Tai-Seale, M. E. Kunik, A. Shepherd, J. Kirchner, A. Gottumukkala
Year: 2010
Source:
Tai-Seale M, Kunik ME, Shepherd A, Kirchner J, Gottumukkala A. A case study of early experience with implementation of collaborative care in the Veterans Health Administration. Population Health Management 2010;13:331-337, . https://doi.org/10.1089/pop.2009.0082.
Publication Place: United States
Abstract: Primary care remains critically important for those who suffer from mental disorders. Although collaborative care, which integrates mental health services into primary care, has been shown to be more effective than usual care, its implementation has been slow and the experience of providers and patients with collaborative care is less well known. The objective of this case study was to examine the effects of collaborative care on patient and primary care provider (PCP) experiences and communication during clinical encounters. Participating physicians completed a self-administered visit reconstruction questionnaire in which they logged details of patient visits and described their perceptions of the visits and the influence of collaborative care. Audio recordings of visits were analyzed to assess the extent of discussion about colocated mental health services and visit time devoted to mental health topics. The main outcome measures were the extent of discussion and recommendation for collaborative care during clinical visits and providers' experiences based on their responses to the visit reconstruction questionnaire. Providers surveyed expressed enthusiasm about collaborative care and cited the time constraint of office visits and lack of specialty support as the main reasons for limiting their discussion of mental health topics with patients. Despite the availability of mental health providers at the same clinic, PCPs missed many opportunities to address mental health issues with their patients. Ongoing education for PCPs regarding how to conduct a "warm handoff" to colocated providers will need to be an integral part of the implementation of collaborative care.
Topic(s):
General Literature See topic collection
96
A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center
Type: Journal Article
Authors: M. Aby
Year: 2020
Source:
Aby M. A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center. The Journal Of Behavioral Health Services & Research 2020;47:293-308, . https://doi.org/10.1007/s11414-019-09671-7.
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
97
A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center
Type: Journal Article
Authors: Aby Martha
Year: 2020
Source:
Martha A. A Case Study of Implementing Grant-Funded Integrated Care in a Community Mental Health Center. The Journal Of Behavioral Health Services & Research 2020;47:293-308, . https://doi.org/10.1007/s11414-019-09671-7.
Publication Place: New York
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
98
A chance to do it better: Methadone maintenance treatment in the age of Covid-19
Type: Journal Article
Authors: D. Frank
Year: 2021
Source:
Frank D. A chance to do it better: Methadone maintenance treatment in the age of Covid-19. Journal Of Substance Abuse Treatment 2021;123:108246+. https://doi.org/10.1016/j.jsat.2020.108246.
Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
99
A Change in Perspective: From Dual Diagnosis to Multimorbidity
Type: Journal Article
Authors: Ish P. Bhalla, Robert A. Rosenheck
Year: 2017
Source:
Bhalla IP, Rosenheck RA. A Change in Perspective: From Dual Diagnosis to Multimorbidity. Psychiatric Services 2017. https://doi.org/10.1176/appi.ps.201700194.
Abstract: Objective: There has been increasing interest within psychiatry in the concept of multimorbidity because psychiatric patients typically present with multiple concurrent disorders, these disorders mutually exacerbate one another, and their interaction shapes treatment options. Metrics have not been developed to document multimorbidity in psychiatric clinical practice. Methods: Four classes of indicators relevant to multimorbidity were defined and evaluated among veterans treated in mental health specialty clinics nationally in the Veterans Health Administration (VHA) in fiscal year 2012. Results: Of the 843,583 veterans with at least three visits to a specialty mental health clinic, 94.6% had more than one general medical or mental disorder and 77.6% had more than one mental disorder, compared with 30.6% with co-occurring psychiatric and substance use disorders. Conclusions: Real-world psychiatric care is more accurately approached from the multimorbidity perspective than from the perspective of principal, dual, or comorbid diagnoses.
Topic(s):
Healthcare Disparities See topic collection
100
A chronic opioid therapy dose reduction policy in primary care
Type: Journal Article
Authors: M. B. Weimer, D. M. Hartung, S. Ahmed, C. Nicolaidis
Year: 2016
Source:
Weimer MB, Hartung DM, Ahmed S, Nicolaidis C. A chronic opioid therapy dose reduction policy in primary care. Substance Abuse 2016;37:141-147, . https://doi.org/10.1080/08897077.2015.1129526.
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