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Opioids & SU
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).
11248 Results
2043
Children's behavioral and mental health: Addressing the workforce issues
Type: Journal Article
Year: 2009
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Children's behavioral and mental health: Addressing the workforce issues
2047
CHOICES: an integrated behavioral intervention to prevent alcohol-exposed pregnancies among high-risk women in community settings
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: CHOICES is an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. The intervention uses motivational interviewing and cognitive-behavioral strategies, and targets adoption of effective contraception and reduction of alcohol use. The CHOICES intervention includes four manual-guided counseling sessions delivered by behavioral health counselors and one contraceptive session with a family planning clinician. CHOICES's efficacy has been established through a series of randomized controlled trials in settings including primary care, university hospital-based obstetrical/gynecology practices, urban jails, substance abuse treatment settings, and a media-recruited sample in three large cities. This article describes the CHOICES line of research including the epidemiology, feasibility, and efficacy studies. It also details the CHOICES intervention and the components of each session. In addition, the authors describe current studies testing modifications of the CHOICES intervention, the dissemination efforts to date, and implications for social work practice.
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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2048
Chronic care and addictions treatment: a feasibility study on the implementation of posttreatment continuing recovery monitoring
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: In the treatment of drug addiction, as with other chronic conditions, the effects of treatment are significant but not long lasting after discharge unless continuing monitoring is provided. Efforts to help patients sustain positive treatment outcomes are generally directed to community support. Postdischarge checkups can help patients evaluate their behavior and recovery-related issues--similar to a person with diabetes reporting on blood sugar levels and diet and exercise patterns. The challenge for providers is to raise awareness of the importance of continuing recovery monitoring and the responsibility of the treatment program to build a more seamless continuum of care for patients who have completed a primary treatment episode. This article reviews a pilot project of the Department of Alcohol & Drug Services of Santa Clara County, California that tested the feasibility of implementing a continuing recovery monitoring (CRM) service using post-discharge telephone check-ups for volunteer patients (N=32) who completed treatment. The aims of the study were to (a) develop a model for continuing recovery monitoring, (b) gather data on the model's utility including identifying organizational and logistical challenges and, (c) describe several changes needed in the system of care to add CRM. The study showed that the model of continuing recovery monitoring is a feasible way to extend a system's existing continuum of care.
Topic(s):
HIT & Telehealth
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2054
Chronic Disease Screening and Prevention Activities in Mental Health Clinics in New York State: Current Practices and Future Opportunities
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: To understand mental health clinics' chronic disease screening and prevention activities, we surveyed mental health clinics in New York State regarding 16 preventive services. Both numerical and qualitative data were collected. Responding clinics (123, 24.7%) were most likely to report having up-to-date screening/management of tobacco use (114, 92.7%) and were most likely to refer out for infectious disease and cancer screening (57.7%-62.6%). Compared to private/non-profit clinics, county- and state-operated clinics were more likely to refer out for infectious disease screening and to ensure up-to-date: lipid disorder screening, abnormal glucose screening, HIV screening, and cancer screenings. Clinics reported a need for: (1) hiring more (dedicated) medical staff; (2) providing staff trainings; (3) educating patients; and (4) integrating with patients' primary care providers. Implementing proven approaches-and developing new ones-for enhanced chronic disease prevention activities through improvements in policy, staffing, and reimbursement is warranted in mental health clinics.
Topic(s):
General Literature
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2055
Chronic Disease Screening and Prevention Activities in Mental Health Clinics in New York State: Current Practices and Future Opportunities
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract: To understand mental health clinics' chronic disease screening and prevention activities, we surveyed mental health clinics in New York State regarding 16 preventive services. Both numerical and qualitative data were collected. Responding clinics (123, 24.7%) were most likely to report having up-to-date screening/management of tobacco use (114, 92.7%) and were most likely to refer out for infectious disease and cancer screening (57.7%-62.6%). Compared to private/non-profit clinics, county- and state-operated clinics were more likely to refer out for infectious disease screening and to ensure up-to-date: lipid disorder screening, abnormal glucose screening, HIV screening, and cancer screenings. Clinics reported a need for: (1) hiring more (dedicated) medical staff; (2) providing staff trainings; (3) educating patients; and (4) integrating with patients' primary care providers. Implementing proven approaches-and developing new ones-for enhanced chronic disease prevention activities through improvements in policy, staffing, and reimbursement is warranted in mental health clinics.
Topic(s):
General Literature
See topic collection
2059
Chronic noncancer pain management in primary care: Family medicine physicians' risk assessment of opioid misuse
Type: Journal Article
Year: 2015
Publication Place: England
Abstract: OBJECTIVE: The majority of patients with chronic noncancer pain (CNCP) are managed in the primary care settings. The primary care family physician (PCFP) generally has limited time, training, or access to resources to effectively evaluate and treat these patients, particularly when there is the added potential liability of prescribing opioids. The aim of this study is to make a favorable change in PCFPs' knowledge, attitudes, and practices about opioid use in CNCP via education on assessment of the risk of opioid misuse. MATERIALS AND METHODS: The universe of this cross-sectional study comprised 36 family physicians working at Family Health Centers affiliated to Antalya Provincial Directorate of Health who volunteered to participate in the study. Initially, a survey on patients risk assessment was performed in both intervention and control groups; whereas the intervention group received education on assessment of the risk of opioid misuse, the control group did not. The survey was repeated after 6 months and the intervention group underwent a core examination. Data obtained were analyzed with Statistical Package for the Social Sciences 18.0 statistics program. Intervention and control groups were compared. Additionally, pre- and post-education results of the intervention group were also compared. RESULTS: About 61.1% of family physicians reported concern and hesitation in prescribing opioids due to known risks, such as overdose, addiction, dependence, or diversion, and agreed that family physicians should apply risk assessment before opioid use in CNCP. Only 16.6% of PCFP reported that risk assessment is not so necessary, whereas 22.2% of PCFP were undecided. Although 47.2% of the family physicians expressed a willingness to apply risk assessment before starting opioids, the rate of eagerness increased markedly to 77.7% after the education, but the rate of increase in practicing was not statistically significant. CONCLUSION: Knowledge and competency of the family physicians in managing CNCP were improved as was expected. Although the rate of eagerness about risk assessment of opioid misuse was increased, expected increase in the rate of using risk assessment was not achieved. Further studies are needed to identify the reasons of the difficulties on changing the attitudes and practices of primary care physicians about this subject.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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Reference Links:
View the DOI record for Chronic noncancer pain management in primary care: Family medicine physicians' risk assessment of opioid misuse
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View the PubMed citation for Chronic noncancer pain management in primary care: Family medicine physicians' risk assessment of opioid misuse2060
Chronic obstructive pulmonary disease (COPD) among opioid-dependent patients in agonist treatment. A diagnostic study
Type: Journal Article
Year: 2019
Publication Place: England
Topic(s):
Measures
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, Opioids & Substance Use
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Reference Links:
View the DOI record for Chronic obstructive pulmonary disease (COPD) among opioid-dependent patients in agonist treatment. A diagnostic study
View DOI Record
View the PubMed citation for Chronic obstructive pulmonary disease (COPD) among opioid-dependent patients in agonist treatment. A diagnostic study