Literature Collection | Integration Academy

2801

Community coalition and key stakeholder perceptions of the community opioid epidemic before an intensive community-level intervention

Type: Journal Article

Authors: Mari-Lynn Drainoni, Hannah K. Knudsen, Kathy Adams, Shaquita Andrews-Higgins, Vanessa Auritt, Sandi Back, Laura K. Barkowski, Evan J. Batty, Melika R. Behrooz, Sydney Bell, Sadie Chen, Mia-Cara Christopher, Nicolette Coovert, Erika L. Crable, Anindita Dasgupta, Michael Goetz, Dawn Goddard-Eckrich, Jeanie L. Hartman, Holly Heffer, Pulwasha Iftikhar, Latasha Jones, Samantha Lang, Karsten Lunze, Anna Martin, Tara McCrimmon, Melissa Reedy-Johnson, Carter Roeber, Ariel L. Scalise, Cynthia J. Sieck, Daniel M. Walker, Galya Walt, Jennifer D. Wood, Priscilla Zito, Ann Scheck McAlearney

Year: 2022

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2802

Community correctional agents' views of medication-assisted treatment: Examining their influence on treatment referrals and community supervision practices

Type: Journal Article

Authors: S. G. Mitchell, J. Willet, L. B. Monico, A. James, D. S. Rudes, J. Viglioni, R. P. Schwartz, M. S. Gordon, P. D. Friedmann

Year: 2016

Publication Place: United States

Abstract: BACKGROUND: Alcohol and opioid use disorders are common among adults under community supervision. Although several medications (medication-assisted treatment or MAT) are Food and Drug Administration (FDA)-approved to treat such disorders, they are underutilized with this population despite established effectiveness at decreasing substance use. This paper examines how community correctional agents' understanding of addiction and views of MAT influence their professional actions regarding addiction medications. METHODS: A total of 118 semistructured qualitative interviews were conducted with community correctional agents taking part in the CJ-DATS MATICCE implementation study across 20 parole/probation offices in 9 US states. Using grounded theory methodology and an iterative analytic approach, issues of role perception, views of MAT, current treatment referral, and community supervision practices were explored. RESULTS: Agents often had limited autonomy to make direct treatment referrals, regardless of their views of MAT, as they were required to follow court orders and their organization's policies and procedures. Within some organizations, community correctional agents held sufficient autonomy to make direct treatment referrals, with agents struggling to reconcile their desire to support their clients who needed MAT with concerns about the abuse potential of opioid agonist medications. Viewing MAT as a "treatment of last resort" was counterbalanced by the view that it was an effective evidence-based practice. Agents described how MAT impacted their ability to supervise clients and how their knowledge and understanding of MAT was directly influenced by watching their clients who were successful or unsuccessful on MAT. Even those agents who were more accepting of MAT were largely unsupportive of it long-term use. CONCLUSIONS: Community correctional agents' views of MAT were influenced by their understanding of addiction as well as their experiences supervising clients receiving treatment with medications, but whether or not MAT referrals were made was not always within their control.

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2803

Community Engagement in a complex intervention to improve access to primary mental health care for hard-to-reach groups

Type: Journal Article

Authors: J. Lamb, C. Dowrick, H. Burroughs, S. Beatty, S. Edwards, K. Bristow, P. Clarke, J. Hammond, W. Waheed, M. Gabbay, L. Gask

Year: 2014

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2804

Community First: A Scalable Approach to Integrated Care in Naturally Occurring Retirement Communities

Type: Journal Article

Authors: M. Chang, J. Recknagel

Year: 2026

Abstract:

The naturally occurring retirement communities (NORC) Innovation Centre (NIC) at University Health Network (UHN) is reshaping aging in place through the UHN NORC model - a scalable, values-driven approach that integrates health and social care in NORCs. Currently implemented in 30 sites supporting more than 4,500 older adults, the model builds capacity for adaptive leadership and relational care practices to ensure that older adults can age well at home. Guided by local leaders, inter-professional teams and community partners, the model brings together social support, health promotion and timely access to care. Early results show increased sense of belonging, reduced emergency visits, improved experience and outcomes and stronger system integration. The UHN NORC model offers a solution to enable community-based care for older adults and a viable path to relieve growing system pressure.

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2805

Community Health Centers Are Serving More Patients Than Ever, but Financial Challenges Loom Large

Type: Government Report

Authors: Sara Federman, Alexandra Bryan, Celli Horstman, Corinne Lewis

Year: 2024

Publication Place: New York, NY

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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2806

Community Health Centers’ Progress and Challenges in Meeting Patients’ Essential Primary Care Needs

Type: Government Report

Authors: Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman

Year: 2024

Publication Place: New York, NY

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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2807

Community Health Worker Programs in Primary Care

Type: Report

Authors: Center for Health Care Strategies

Year: 2025

Publication Place: Hamilton, NJ

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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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2808

Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes

Type: Journal Article

Authors: M. L. Moffett, A. Kaufman, A. Bazemore

Year: 2018

Publication Place: Netherlands

Abstract: The Patient-Centered Medical Home (PCMH) model demonstrated that processes of care can be improved while unnecessary care, such as preventable emergency department utilization, can be reduced through better care coordination. A complementary model, the Integrated Primary Care and Community Support (I-PaCS) model, which integrates community health workers (CHWs) into primary care settings, functions beyond improved coordination of primary medical care to include management of the social determinants of health. However, the PCMH model puts downward pressure on the panel sizes of primary care providers, increasing the average fixed costs of care at the practice level. While the I-PaCS model layers an additional cost of the CHWs into the primary care cost structure, that additional costs is relatively small. The purpose of this study is to simulate the effects of the PCMH and I-PaCS models over a 3-year period to account for program initiation to maturity. The costs and cost offsets of the model were estimated at the clinic practice level. The studies which find the largest cost savings are for high-risk, paneled patients and therefore do not represent the effects of the PCMH model on moderate-utilizing patients or practice-level effects. We modeled a 12.6% decrease in the inpatient hospital, outpatient hospital and emergency department costs of high and moderate risk patients. The PCMH is expected to realize a 1.7% annual savings by year three while the I-PaCS program is expected to a 7.1% savings in the third year. The two models are complementary, the I-PaCS program enhancing the cost reduction capability of the PCMH.

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2809

Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes

Type: Journal Article

Authors: M. L. Moffett, A. Kaufman, A. Bazemore

Year: 2018

Publication Place: Netherlands

Abstract: The Patient-Centered Medical Home (PCMH) model demonstrated that processes of care can be improved while unnecessary care, such as preventable emergency department utilization, can be reduced through better care coordination. A complementary model, the Integrated Primary Care and Community Support (I-PaCS) model, which integrates community health workers (CHWs) into primary care settings, functions beyond improved coordination of primary medical care to include management of the social determinants of health. However, the PCMH model puts downward pressure on the panel sizes of primary care providers, increasing the average fixed costs of care at the practice level. While the I-PaCS model layers an additional cost of the CHWs into the primary care cost structure, that additional costs is relatively small. The purpose of this study is to simulate the effects of the PCMH and I-PaCS models over a 3-year period to account for program initiation to maturity. The costs and cost offsets of the model were estimated at the clinic practice level. The studies which find the largest cost savings are for high-risk, paneled patients and therefore do not represent the effects of the PCMH model on moderate-utilizing patients or practice-level effects. We modeled a 12.6% decrease in the inpatient hospital, outpatient hospital and emergency department costs of high and moderate risk patients. The PCMH is expected to realize a 1.7% annual savings by year three while the I-PaCS program is expected to a 7.1% savings in the third year. The two models are complementary, the I-PaCS program enhancing the cost reduction capability of the PCMH.

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2810

Community integration of transition-age individuals: views of young with mental health disorders

Type: Journal Article

Authors: P. Jivanjee, J. Kruzich, L. J. Gordon

Year: 2008

Publication Place: United States

Abstract: This qualitative study examines the perceptions of young adults with mental health disorders of community integration. Fifty-nine young men and women participated in 12 focus groups whose aim was to gain understanding of what community integration means to them. Focus group questions also explored barriers and supports for their community integration, as well as their goals for the future and advice to others facing similar challenges. Themes that emerged were reported within the multiple domains that participants used to describe their experiences of community integration (or the lack thereof). This study highlights the desires of these young people to achieve goals in education and employment and to have friendships. Participants identified a pervasive lack of understanding of mental health and prevalent stigmatizing attitudes as resulting in challenges to their community integration. Implications of the study discuss roles for behavioral health services in encouraging empowerment, choices, and connections so that young people with mental health disorders may achieve their preferred levels of community integration.

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2811

Community interventions against depression

Type: Journal Article

Authors: C. R. Chandrashekar

Year: 2007

Publication Place: India

Abstract: Depression appears to be the common psychiatric dosorder in any given community. Depression in different forms may affect 10% of the population at any given time. The paucity of mental health power has made people to ignore the presence of depression and its impact on individual's capacity of functioning. If we have to plan community based interventions some strategies are to be adopted. In primary healthcare systems short training of all categories of personnel in PHC and regular supply of free medicines are essential. With the experiences of general practitioners and their involvement, patients with depression can be approached for help. So also school and college teachers, trained counselors, religious and spiritual leaders can be involved in the processes. Family members can take care of patients. Stress management techniques, helpline, crisis intervention can be other methods to help the patients suffering from depression.

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2812

Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States

Type: Journal Article

Authors: F. Johnson Jr., A. RedCloud, J. Mootz, K. A. Hallgren, K. Elliott, C. Alexander, B. L. Greenfield

Year: 2023

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2813

Community Mental Health Center Integrated Care Outcomes

Type: Journal Article

Authors: R. Wells, B. Kite, E. Breckenridge, T. Sunbury

Year: 2018

Publication Place: United States

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2814

Community mental health nursing: Keeping pace with care delivery?

Type: Journal Article

Authors: J. Henderson, E. Willis, B. Walter, L. Toffoli

Year: 2008

Publication Place: Australia

Abstract: The National Mental Health Strategy has been associated with the movement of service delivery into the community, creating greater demand for community services. The literature suggests that the closure of psychiatric beds and earlier discharge from inpatient services, have contributed to an intensification of the workload of community mental health nurses. This paper reports findings from the first stage of an action research project to develop a workload equalization tool for community mental health nurses. The study presents data from focus groups conducted with South Australian community mental health nurses to identify issues that impact upon their workload. Four themes were identified, relating to staffing and workforce issues, clients' characteristics or needs, regional issues, and the impact of the health-care system. The data show that the workload of community mental health nurses is increased by the greater complexity of needs of community mental health clients. Service change has also resulted in poor integration between inpatient and community services and tension between generic case management and specialist roles resulting in nurses undertaking tasks for other case managers. These issues, along with difficulties in recruiting and retaining staff, have led to the intensification of community mental health work and a crisis response to care with less time for targeted interventions.

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2815

Community MH agencies prepare for primary care integration funding

Type: Journal Article

Year: 2009

Publication Place: URL

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2816

Community paramedicine in dementia care

Type: Journal Article

Authors: Colby Parsons, Christian Escobar, Amy Jasani, Duzhi Zhao, Peter Gliatto, Erik Blutinger, Katherine A. Ornstein

Year: 2024

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2817

Community partner perspectives on the implementation of a novel safer supply program in Canada: a qualitative study of the MySafe Project

Type: Journal Article

Authors: M. Mansoor, A. Foreman-Mackey, A. Ivsins, G. Bardwell

Year: 2023

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2818

Community perceptions of a biopsychosocial model of integrated care in the health center: the case of 4 health districts in South Kivu, Democratic Republic of Congo

Type: Journal Article

Authors: B. Kasongo, A. Mukalay, C. Molima, S. L. Makali, C. Chiribagula, G. Mparanyi, H. Karemere, G. Bisimwa, J. Macq

Year: 2023

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2819

Community perspectives on supervised consumption sites: Insights from four U.S. counties deeply affected by opioids

Type: Journal Article

Authors: J. Taylor, A. J. Ober, B. Kilmer, J. P. Caulkins, M . Y. Iguchi

Year: 2021

Publication Place: United States

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2820

Community pharmacists in Virginia dispensing naloxone under a standing order: A qualitative study

Type: Journal Article

Authors: S. C. Ijioma, E. V. Fernández, S. B. Gatewood, N. V. Carroll, T. M. Salgado

Year: 2021

Publication Place: United States

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