Literature Collection

2141

Clonidine in outpatient detoxification from methadone maintenance

Type: Journal Article

Authors: R. D. Kleber, C. E. Riordan, B. Rounsaville, T. Kosten, D. Charney, J. Gaspari, I. Hogan, C. O'Connor

Year: 1985

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2142

Closing the False Divide: Sustainable Approaches to Integrating Mental Health Services into Primary Care

Type: Journal Article

Authors: K. Kroenke, J. Unutzer

Year: 2017

Publication Place: United States

Abstract: Mental disorders account for 25% of all health-related disability worldwide. More patients receive treatment for mental disorders in the primary care sector than in the mental health specialty setting. However, brief visits, inadequate reimbursement, deficits in primary care provider (PCP) training, and competing demands often limit the capacity of the PCP to produce optimal outcomes in patients with common mental disorders. More than 80 randomized trials have shown the benefits of collaborative care (CC) models for improving outcomes of patients with depression and anxiety. Six key components of CC include a population-based approach, measurement-based care, treatment to target strategy, care management, supervision by a mental health professional (MHP), and brief psychological therapies. Multiple trials have also shown that CC for depression is equally or more cost-effective than many of the current treatments for medical disorders. Factors that may facilitate the implementation of CC include a more favorable alignment of medical and mental health services in accountable care organizations and patient-centered medical homes; greater use of telecare as well as automated outcome monitoring; identification of patients who might benefit most from CC; and systematic training of both PCPs and MHPs in integrated team-based care.

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2143

Closing the gaps: The impact of inpatient detoxification and continuity of care on client outcomes

Type: Journal Article

Authors: L. K. Ford, P. Zarate

Year: 2010

Publication Place: United States

Abstract: Inpatient detoxification is a critical element of the continuum of care for chemically dependent individuals, especially for those unable to establish sobriety on an outpatient basis. This study evaluated the impact of one such detoxification program on client outcomes during the year after detoxification. The program was a public/private partnership between Ventura County, California, and Tarzana Treatment Center in Los Angeles. Before admission, applicants agreed to enroll in treatment after detoxification. Clients were contacted at one month post-admission and quarterly thereafter for one year to collect data, corroborated by county records, on treatment and outcome variables. The sample included 117 consecutive admissions between July 2007 and June 2009. Detoxification completion rates and follow-up treatment enrollment rates were substantial: 85% of the sample completed detoxification; 71% enrolled in treatment afterward. Client outcomes were positive, particularly for those enrolled in followup treatment: compared to clients not completing detoxification, and to client functioning in the year before admission, sobriety and employment rates increased, and rates of homelessness, arrests and days incarcerated decreased. The study concludes that public investment in inpatient detoxification services and aftercare is an effective means to decrease both individual and societal costs of addiction.

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2144

Closing the Medication-Assisted Treatment Gap for Youth With Opioid Use Disorder

Type: Journal Article

Authors: Brendan Saloner, Kenneth A. Feder, Noa Krawczyk

Year: 2017

Publication Place: United States

Abstract:

In years past, an adolescent patient presenting to primary care with symptoms of opioid use disorder (OUD) would have been a highly rare event in most communities. With OUD and fatal overdoses rising among adolescents and young adults (termed youth) over the past 15 years, this scenario has unfortunately become more common. Fatal drug overdoses increased 3.5-fold for youth aged 15 to 24 years from 1999 to 2014.1 Amidst this epidemic, relatively little is known about how primary care clinicians treat youth with OUD. Of particular interest is whether youth receive medication-assisted treatments (MATs), which have been shown to improve quality of life and reduce overdose risk.2

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2145

Closing the Opioid Treatment Gap Through Advance Practice Nursing Activation: Curricular Design and Initial Outcomes

Type: Journal Article

Authors: M. Tierney, E. Castillo, A. Leonard, E. Huang

Year: 2023

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2146

Clusters and pathways in mental health: What are the implications for inequalities?

Type: Journal Article

Authors: Michael Clark

Year: 2010

Publication Place: United Kingdom: Pier Professional

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2147

CM, best treatment for stimulants, avoided due to kickback laws

Type: Journal Article

Year: 2020

Publication Place: Hoboken, New Jersey

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2148

CM, only effective treatment for stimulants, on the ropes as methamphetamine surges

Type: Journal Article

Authors: Alison Knopf

Year: 2020

Publication Place: Hoboken, New Jersey

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2149

CMCS Calls for Improving Service Access for Enrollees Experiencing Homelessness

Type: Report

Authors: Daniel Tsai

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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2150

CMS Cross Cutting Initiative: Behavioral Health

Type: Web Resource

Authors: Centers for Medicare and Medicaid Services

Year: 2024

Publication Place: Baltimore, 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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2151

Co-Constructing a Community-Based Telemedicine Program for People With Opioid Use Disorder During the COVID-19 Pandemic: Lessons Learned and Implications for Future Service Delivery

Type: Journal Article

Authors: S. B. Høj, C. de Montigny, S. Chougar, R. Léandre, MÈ Beauchemin-Nadeau, G. Boyer-Legault, A. Goyette, S. K. Lamont, J. Bruneau

Year: 2023

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2152

Co-creating collaborative health care in a federally qualified health center: Exploring clients' experiences of behavioral health services [Thesis]

Type: Web Resource

Authors: Ginny-Lea Tonore

Year: 2011

Abstract: Research indicates that living in poverty exacerbates the risk for poor mental health, yet low-income people are less likely to seek mental health treatment than are people in higher income brackets. The research literature reports that this reluctance to seek behavioral health care is often due to a variety of barriers, such as stigma, costs, victimization, discrimination, and labeling. Federally Qualified Health Centers (FQHCs) are collaborative healthcare clinics that are uniquely positioned to eliminate many recognized barriers to care that hinder access to mental health services for some vulnerable and underserved populations. Most of the collaborative health care literature is reported from the perspectives of healthcare professionals and administrators, while consumers' viewpoints are vastly underrepresented and unexplored. This study helped to address this research gap. The purpose of this qualitative study was to understand perceptions and experiences of clients utilizing behavioral health services within a collaborative healthcare FQHC. Using a phenomenological methodology, this study explored the real-lived experiences of 11 low-income clients who voluntarily participated in individual interviews. Using data analysis procedures recommended by Moustakas (1994), the participants' interviews were examined and went through multiple levels of abstraction to explore the deeper meanings of their experiences. Data analysis suggested that the participants' positive and caring relationships established with their therapists had a profound impact on their behavioral health experiences. Through the trusting relationships established with their therapists, participants felt safe to engage in the therapeutic process and work towards change. Participants described their behavioral health experiences as being a safe-haven that helped them achieve personal growth and better self-understanding. Relationships with the health center's staff and the environment of care at the FQHC were additionally acknowledged as having a meaningful impact on the participants' experiences of care received. The collaborative health care relationship also surfaced as an indispensible resource in breaking barriers to mental health treatment, and thus, increased the likelihood for consumers to utilize behavioral health services. The results of the study support much of the literature pertaining to the effectiveness of the collaborative health care approach and have clinical implications for Marriage and Family Therapists and other healthcare professionals. Copies of dissertations may be obtained by addressing your request to ProQuest, 789 E. Eisenhower Parkway, P.O. Box 1346, Ann Arbor, MI 48106-1346. Telephone 1-800-521-3042; e-mail: disspub@umi.com

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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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2153

Co-creation and collaboration: A promising approach towards successful implementation. Experience from an integrated communication and mental health skills training programme for Japanese General Practice

Type: Journal Article

Authors: E. van Weel-Baumgarten, J. Benson, G. Hoshi, C. Hurle, J. Mendive, C. Dowrick, R. Kassai

Year: 2021

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2154

Co-Leadership - A Management Solution for Integrated Health and Social Care

Type: Journal Article

Authors: C. Klinga, J. Hansson, H. Hasson, M. A. Sachs

Year: 2016

Publication Place: England

Abstract: INTRODUCTION: Co-leadership has been identified as one approach to meet the managerial challenges of integrated services, but research on the topic is limited. In the present study, co-leadership, practised by pairs of managers - each manager representing one of the two principal organizations in integrated health and social care services - was explored. AIM: To investigate co-leadership in integrated health and social care, identify essential preconditions in fulfilling the management assignment, its operationalization and impact on provision of sustainable integration of health and social care. METHOD: Interviews with eight managers exercising co-leadership were analysed using directed content analysis. Respondent validation was conducted through additional interviews with the same managers. RESULTS: Key contextual preconditions were an organization-wide model supporting co-leadership and co-location of services. Perception of the management role as a collective activity, continuous communication and lack of prestige were essential personal and interpersonal preconditions. In daily practice, office sharing, being able to give and take and support each other contributed to provision of sustainable integration of health and social care. CONCLUSION AND DISCUSSION: Co-leadership promoted robust management by providing broader competence, continuous learning and joint responsibility for services. Integrated health and social care services should consider employing co-leadership as a managerial solution to achieve sustainability.

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2155

Co-Located hepatitis C virus infection treatment within an opioid treatment program promotes opioid agonist treatment retention

Type: Journal Article

Authors: B. Severe, J. M. Tetrault, L. Madden, R. Heimer

Year: 2020

Publication Place: Ireland

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2156

Co-located Heroin Assisted Treatment within primary care: A preliminary analysis of the implications for healthcare access, cost, and treatment delivery in the UK

Type: Journal Article

Authors: H. L. Poulter, H. J. Moore, D. Ahmed, F. Riley, T. Walker, M. Harris

Year: 2024

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2157

Co-location of behavioral health and primary care services: Community Care of North Carolina and the Center of Excellence for Integrated Care

Type: Journal Article

Authors: F. Stein, M. Lancaster, S. Yaggy, R. S. Dickens

Year: 2011

Publication Place: United States

Abstract: The North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services works with partners to reduce the impact of behavioral health conditions in communities throughout the state. We review state-funded behavioral health initiatives that provide support to military personnel and their families, with special attention to public services and co-location efforts.

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2158

Co-location of mental health professionals in primary care settings: Three North Carolina models

Type: Journal Article

Authors: J. Williams, S. E. Shore, J. M. Foy

Year: 2006

Publication Place: United States

Abstract: The pressing need for identification and treatment of behavioral health disorders in primary care has renewed interest in the concept of co-located models of care. The purpose of this article is to describe three North Carolina practice models in which mental health professionals are co-located with pediatric primary care providers. Each of the models was sustainable, partly due to systemic changes brought about by advocacy efforts. In addition to providing practical guidance for possible replication in primary care, this article reflects on how advocacy efforts can impact the success of co-location models.

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2159

Co-location with primary care may prove essential in SBIRT

Type: Journal Article

Authors: Gary Enos

Year: 2014

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2160

Co-occurring Attention Deficit Hyperactivity Disorder symptoms in adults affected by heroin dependence: Patients characteristics and treatment needs

Type: Journal Article

Authors: F. Lugoboni, F. R. Levin, M. C. Pieri, M. Manfredini, L. Zamboni, L. Somaini, G. Gerra, Gics Gruppo InterSert Collaborazione Scientifica

Year: 2017

Publication Place: Ireland

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