Literature Collection

2701

COVID-19-related treatment service disruptions among people with single- and polysubstance use concerns

Type: Journal Article

Authors: Alexandra M. Mellis, Marc N. Potenza, Jessica N. Hulsey

Year: 2021

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

2702

COVID-19-related treatment service disruptions among people with single- and polysubstance use concerns

Type: Journal Article

Year: 2020

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

2703

COVID-19, Telehealth, and Pediatric Integrated Primary Care: Disparities in Service Use

Type: Journal Article

Authors: A. Chakawa, L. T. Belzer, T. Perez-Crawford, H. W. Yeh

Year: 2021

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

2704

COVID-19: A catalyst for change in telehealth service delivery for opioid use disorder management

Type: Journal Article

Authors: N. J. Mehtani, J. T. Ristau, H. Snyder, C. Surlyn, J. Eveland, S. Smith-Bernardin, K. R. Knight

Year: 2021

Publication Place: United States

Abstract: BACKGROUND: COVID-19 has exacerbated income inequality, structural racism, and social isolation-issues that drive addiction and have previously manifested in the epidemic of opioid-associated overdose. The co-existence of these epidemics has necessitated care practice changes, including the use of telehealth-based encounters for the diagnosis and management of opioid use disorder (OUD). METHODS: We describe the development of the "Addiction Telehealth Program" (ATP), a telephone-based program to reduce treatment access barriers for people with substance use disorders staying at San Francisco's COVID-19 Isolation and Quarantine (I&Q) sites. Telehealth encounters were documented in the electronic medical record and an internal tracking system for the San Francisco Department of Public Health (SFDPH) COVID-19 Containment Response. Descriptive statistics were collected on a case series of patients initiated on buprenorphine at I&Q sites and indicators of feasibility were measured. RESULTS: Between April 10 and May 25, 2020, ATP consulted on the management of opioid, alcohol, GHB, marijuana, and stimulant use for 59 I&Q site guests. Twelve patients were identified with untreated OUD and newly prescribed buprenorphine. Of these, all were marginally housed, 67% were Black, and 58% had never previously been prescribed medications for OUD. Four self-directed early discharge from I&Q-1 prior to and 3 after initiating buprenorphine. Of the remaining 8 patients, 7 reported continuing to take buprenorphine at the time of I&Q discharge and 1 discontinued. No patients started on buprenorphine sustained significant adverse effects, required emergency care, or experienced overdose. CONCLUSIONS: ATP demonstrates the feasibility of telephone-based management of OUD among a highly marginalized patient population in San Francisco and supports the implementation of similar programs in areas of the U.S. where access to addiction treatment is limited. Legal changes permitting the prescribing of buprenorphine via telehealth without the requirement of an in-person visit should persist beyond the COVID-19 public health emergency.

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

2705

Crack cocaine users views regarding treatment with contingency management in Brazil

Type: Journal Article

Authors: A. Q. C. Miguel, C. S. Madruga, V. Simões, R. Yamauchi, C. J. da Silva, R. R. Abdalla, M. McDonell, S. McPherson, J. M. Roll, J. J. Mari, R. R. Laranjeira

Year: 2018

Abstract:

BACKGROUND: Contingency management (CM) has recently shown efficacy in promoting abstinence and retention in treatment among crack cocaine users in Brazil. However, partially because of unawareness and resistance among health care providers, CM has not been widely employed. The objective of this study was to conduct a secondary analysis in order to evaluate how CM participants perceive their treatment experience. METHODS: Twenty-seven crack cocaine users, previously assigned to 12 weeks of CM treatment, were assessed with a structured questionnaire designed to assess their personal opinion of, difficulty in understanding, and acceptance of the CM intervention, as well as their opinion regarding its impact on their treatment responses. RESULTS: Descriptive analyses showed that 92.6% of the participants found it very easy to understand the CM protocol. All participants reported liking their CM experience quite a bit. For the perceived effects of CM on their treatment response, 81.5% of the participants stated that CM helped them considerably, the mean score for the impact of CM on treatment response (out of a maximum of 10) being 9 (SD = 1.5). When asked if they believed CM could help other people with crack cocaine dependence, 92.6% of the participants stated that CM could help such people a lot and 7.4% stated that it could help them a little. CONCLUSIONS: From the perspective of the patients, CM was easily assimilated, easily accepted, and had a direct positive effect on treatment response. These findings provide additional support for the incorporation of CM into substance abuse treatment services in Brazil.

Topic(s):

Reference Links:

Export Citation: RIS

View details

2706

CRAFFT as a Substance Use Screening Instrument for Adolescent Psychiatry Admissions

Type: Journal Article

Authors: T. S. Oesterle, M. J. Hitschfeld, T. W. Lineberry, T. D. Schneekloth

Year: 2015

Publication Place: United States

Abstract: BACKGROUND: Adolescent use of alcohol and illicit substances is quite common among pediatric psychiatry inpatients; however, little data exist on substance use screening instruments that can be used to augment thorough psychiatric diagnostic interviews. CRAFFT is a screening tool for adolescent substance use that has been validated in outpatient general medical settings. This is the first study to examine its use in adolescent psychiatric inpatients. METHODS: We performed a chart review of records from adolescents admitted to our inpatient psychiatric unit who completed a CRAFFT screen on admission. We compared CRAFFT scores with other measures of substance use, including urine drug screens and the diagnosis of a substance use disorder at discharge. We also examined measures of depression and suicidality in individuals with elevated CRAFFT scores (>/=2 positive answers out of 6) and compared them with measures in those with normal CRAFFT scores. RESULTS: Elevated CRAFFT scores were correlated with other measures of alcohol and substance use, including the diagnosis of a substance use disorder at discharge (P<0.0001), and laboratory screening for alcohol (P=0.0048) and marijuana (P<0.0001) on admission. Previous suicide attempts (P=0.005) and "psychiatric trauma" (P=0.0027) were also positively associated with elevated CRAFFT scores. CONCLUSIONS: CRAFFT scores in adolescent inpatients were correlated with other measures of substance use, supporting its efficacy as a screening tool in this population. CRAFFT scores were also positively correlated with a history of psychiatric trauma and past suicide attempts, which is consistent with the results of previous studies associating pediatric substance use and traumatic life events with an increased risk of suicide.

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

2707

CRAFFT Screen

Type: Web Resource

Year: 2021

Publication Place: Children's Hospital Boston

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

2708

Craving for heroin: difference between methadone maintenance therapy patients with and without ADHD

Type: Journal Article

Authors: M. Coppola, G. Sacchetto, R. Mondola

Year: 2019

Publication Place: Brazil

Abstract: INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder persisting in adulthood in 40-60% of cases. Clinical and neuroimaging studies suggest that patients affected by both drug addiction and ADHD show higher rates of craving for drug than patients without ADHD. We designed a pilot open-label study to investigate the effects of ADHD on craving for heroin in methadone maintenance therapy patients. METHOD: Patients were recruited from outpatient facilities in an addiction treatment unit in the municipality of Alba, Italy. They were assessed using the Structured Clinical Interview for DSM-5 (SCID-5), the SCID-5 for Personality Disorders (SCID-5-PD), the Diagnostic Interview for Adult ADHD, second edition (DIVA 2.0), and the Clinical Opiate Withdrawal Scale (COWS). Categorical variables were examined using the chi-square test, and continuous variables, the t-test and Mann-Whitney's U test for normally and non-normally distributed data, respectively. Data distribution was evaluated using Shapiro-Wilk's test. Significance was set at p=0.05. Bonferroni correction was applied (0.0063) to avoid type I error. RESULTS: A total of 104 patients were included in the study: 14 affected by ADHD (13.5%) and 90 were not affected (86.5%). Patients with ADHD showed higher intensity of craving for heroin than patients without ADHD in the absence of withdrawal symptoms. CONCLUSION: Drug addiction and ADHD share various neurobiological mechanisms that mutually influence the evolution of both disorders. In particular, dopamine dysfunction within various brain circuits may influence impulsivity levels, motivation, inhibitory control, executive functions, and behavior and, consequently, the intensity of craving.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

2709

Creating a 'reverse' integrated primary and mental healthcare clinic for those with serious mental illness

Type: Journal Article

Authors: A. Maragakis, R. Siddharthan, J. RachBeisel, C. Snipes

Year: 2016

Publication Place: England

Abstract: Individuals with serious mental illness (SMI) are more likely to experience preventable medical health issues, such as diabetes, hyperlipidemia, obesity, and cardiovascular disease, than the general population. To further compound this issue, these individuals are less likely to seek preventative medical care. These factors result in higher usage of expensive emergency care, lower quality of care, and lower life expectancy. This manuscript presents literature that examines the health disparities this population experiences, and barriers to accessing primary care. Through the identification of these barriers, we recommend that the field of family medicine work in collaboration with the field of mental health to implement 'reverse' integrated care (RIC) systems, and provide primary care services in the mental health settings. By embedding primary care practitioners in mental health settings, where individuals with SMI are more likely to present for treatment, this population may receive treatment for somatic care by experts. This not only would improve the quality of care received by patients, but would also remove the burden of managing complex somatic care from providers trained in mental health. The rationale for this RIC system, as well as training and policy reforms, are discussed.

Topic(s):

Reference Links:

Export Citation: RIS

View details

2710

Creating a "Pull Request" for Collaborative Care

Type: Journal Article

Authors: Barkil-Oteo A.

Year: 2013

Topic(s):

Export Citation: RIS

View details

2711

Creating A Culture of Whole Health: Recommendations for Integrating Behavioral Health and Primary Care

Type: Report

Authors: B. F. Miller, E. C. Gilchrist, K. M. Ross, S. L. Wong, L. A. Green

Year: 2016

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.

PDF (1730 KB)

Reference Links: PDF (1730 KB)

Export Citation: RIS

View details

2712

Creating a medical home for homeless persons with serious mental illness

Type: Journal Article

Authors: B. F. Henwood, L. C. Weinstein, S. Tsemberis

Year: 2011

Publication Place: United States

Topic(s):

Reference Links:

Export Citation: RIS

View details

2713

Creating a network of care: Healthy San Francisco connects uninsured residents to a primary care home

Type: Journal Article

Authors: D. S. Finley, T. Brigham

Year: 2011

Publication Place: United States

Topic(s):

Reference Links:

Export Citation: RIS

View details

2714

Creating a Primary Care Workforce: Strategies for Leaders, Clinicians, and Nurses

Type: Journal Article

Authors: P. Robinson, J. Oyemaja, B. Beachy, J. Goodie, L. Sprague, J. Bell, M. Maples, C. Ward

Year: 2018

Publication Place: United States

Abstract: Many primary care clinics struggle with rapid implementation and systematic expansion of primary care behavioral health (PCBH) services. Often, an uneven course of program development is due to lack of attention to preparing clinic leadership, addressing operational factors, and training primary care providers (PCPs) and nurses. This article offers competency tools for clinic leaders, PCPs, and nurses to use in assessing their status and setting change targets. These tools were developed by researchers working to disseminate evidence-based interventions in primary care clinics that included fully integrated behavioral health consultants and were then used by early adaptors of the PCBH model. By deploying these strategies, both practicing and teaching clinics will take a big step forward in developing the primary care workforce needed for primary care teams, where the behavioral health needs of a patient of any age can be addressed at the time of need.

Topic(s):

Reference Links:

Export Citation: RIS

View details

2715

Creating a safety net for patients with depression in primary care; a qualitative study of care managers' experiences

Type: Journal Article

Authors: I. Svenningsson, C. Udo, J. Westman, S. Nejati, D. Hange, C. Bjorkelund, E. L. Petersson

Year: 2018

Publication Place: United States

Abstract: OBJECTIVE: The aim of this study was to explore nurses' experiences and perceptions of working as care managers at primary care centers. DESIGN: Qualitative, focus group study. Systematic text condensation was used to analyze the data. SETTING: Primary health care in the region of Vastra Gotaland and region of Dalarna in Sweden. SUBJECTS: Eight nurses were trained during three days including treatment of depression and how to work as care managers. The training was followed by continuous support. MAIN OUTCOME MEASURES: The nurses' experiences and perceptions of working as care managers at primary care centers. RESULTS: The care managers described their role as providing additional support to the already existing care at the primary care center, working in teams with a person-centered focus, where they were given the opportunity to follow, support, and constitute a safety net for patients with depression. Further, they perceived that the care manager increased continuity and accessibility to primary care for patients with depression. CONCLUSION: The nurses perceived that working as care managers enabled them to follow and support patients with depression and to maintain close contact during the illness. The care manager function helped to provide continuity in care which is a main task of primary health care. Key Points The care managers described their role as an additional support to the already existing care at the primary care center. * They emphasized that as care managers, they had a person-centered focus and constituted a safety net for patients with depression. * Their role as care managers enabled them to follow and support patients with depression over time, which made their work more meaningful. * Care managers helped to achieve continuity and accessibility to primary health care for patients with depression.

Topic(s):

Reference Links:

Export Citation: RIS

View details

2716

Creating an Enabling Political Environment for Health and Social Care Integration

Type: Journal Article

Authors: A. Hendry

Year: 2016

Publication Place: England

Topic(s):

Reference Links:

Export Citation: RIS

View details

2717

Creating Capacity for Improvement in Primary Care: The Case for Developing a Quality Improvememt Infrastructure

Type: Government Report

Authors: E. F. Taylor, D. Peikes, J. Genevro, D. Meyers

Year: 2013

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.

Access Resource

Reference Links: Access Resource

Export Citation: RIS

View details

2718

Creating clinical and economic "wins" through integrated case management: Lessons for physicians and health system administrators

Type: Journal Article

Authors: R. G. Kathol, C. Lattimer, W. Gold, R. Perez, D. Gutteridge

Year: 2011

Publication Place: United States

Abstract: The 5% of patients using 50% of health resources commonly have interacting and persistent multimorbid illnesses; concurrent mental health problems; impaired social networks; and/or difficulties in accessing care through the health system. To improve outcomes in these patients, it is necessary to overcome clinical and nonclinical barriers that lead to poor health, treatment resistance, high health care cost, and disability. This article describes an innovative complexity-based and outcome-oriented approach using integrated case management. It helps treating physicians and health administrators understand how to incorporate value-based case managers to optimize care for complex patients while better utilizing resources.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details

2719

Creating collaborative learning environments for transforming primary care practices now

Type: Journal Article

Authors: William L. Miller, Joanne Cohen-Katz

Year: 2010

Publication Place: US: Educational Publishing Foundation; Systems, & Health

Topic(s):

, ,

Reference Links:

Export Citation: RIS

View details

2720

Creating Evidence-Based Youth Mental Health Policy in Sub-Saharan Africa: A Description of the Integrated Approach to Addressing the Issue of Youth Depression in Malawi and Tanzania

Type: Journal Article

Authors: S. Kutcher, K. Perkins, H. Gilberds, M. Udedi, O. Ubuguyu, T. Njau, R. Chapota, M. Hashish

Year: 2019

Publication Place: Switzerland

Abstract: Addressing depression in young people is a health-care policy need in sub-Saharan Africa. There exists poor mental health literacy, high levels of stigma, and weak capacity at the community level to address this health-care need. These challenges are significant barriers to accessing mental health care for depression, soon to be the largest single contributor to the global burden of disease. We here describe an innovative approach that addresses these issues simultaneously while concurrently strengthening key mental health components in existing education and health-care systems as successfully applied in Malawi and replicated in Tanzania. Improving the pathway to care for young people with depression requires the following: improving mental health literacy (MHL) of communities, youth, and teachers; enhancing case identification and linking schools to community health clinics; improving the capacity of community health-care providers to identify, diagnose, and effectively treat depression in youth. Funded by Grand Challenges Canada, we developed and applied a program called "An Integrated Approach to Addressing the Challenge of Depression Among the Youth in Malawi and Tanzania" (IACD). This was an example of, a horizontally integrated pathway to care model designed to be applied in low-resource settings. The model is designed to 1) improve awareness/knowledge of mental health and mental disorders (especially depression) in communities; 2) enhance mental health literacy among youth and teachers within schools; 3) enhance capacity for teachers to identify students with possible depression; 4) create linkages between schools and community health clinics for improved access to mental health care for youth identified with possible depression; and 5) enhance the capacity of community-based health-care providers to identify, diagnose, and effectively treat youth with depression. With the use of interactive, youth-informed weekly radio programs, mental health curriculum training for teachers and peer educators in secondary schools, and a clinical competency training program for community-based health workers, the innovation created a "hub and spoke" model for improving mental health care for young people. Positive results obtained in Malawi and replicated in Tanzania suggest that this approach may provide an effective and potentially sustainable framework for enhancing youth mental health care, thus providing a policy ready framework that can be considered for application in sub-Saharan Africa.

Topic(s):

,

Reference Links:

Export Citation: RIS

View details