Literature Collection

2841

Detection of alcohol abuse in older patients with cancer: The integration of alcohol screening questionnaires in the comprehensive geriatric assessment

Type: Journal Article

Authors: M. Lycke, E. Martens, L. Ketelaars, J. Dezutter, T. Lefebvre, H. Pottel, K. Van Eygen, L. Cool, P. Schofield, T. Boterberg, P. R. Debruyne

Year: 2019

Publication Place: Netherlands

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2842

Detection of depression among low-income Mexican Americans in primary care

Type: Journal Article

Authors: K. B. Schmaling, D. V. Hernandez

Year: 2005

Publication Place: United States

Abstract: Between one and two thirds of depressive disorders go undetected in primary care settings. Four hundred ninety-six Mexican American primary care patients from high-poverty areas were screened for depressive symptoms, and 41% endorsed depressive symptoms. Eighty percent of screened patients with depressive symptoms agreed to structured diagnostic interviews and 90% of those interviewed met diagnostic criteria for one or more depressive disorders. Cases of depression detected through this systematic process were compared with evidence of depression detected by providers in medical charts. Provider and study evaluation agreement was poor (kappa= 0.13); providers noted depression in 21% of patients with depressive disorders based on the systematic evaluation. More work is needed to enhance detection of depression in primary care, especially in minority populations.

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2843

Detection of major depressive disorder in Chinese Americans in primary care

Type: Journal Article

Authors: G. L. K. Hsu, Y. M. Wan, D. Adler, W. Rand, E. Choi, B. Y. P. Tsang

Year: 2005

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2844

Determinants associated with the utilization of primary and specialized mental health services

Type: Journal Article

Authors: M. J. Fleury, G. Grenier, J. M. Bamvita, M. Perreault, J. Caron

Year: 2011

Abstract: The study aims to compare variables associated with the exclusive and joint use of primary and specialized care for mental health reasons by individuals diagnosed with a mental disorder in a Montreal/Canadian catchment area. Data were collected from a random sample (2,443 individuals). Among 406 people, diagnosed with a mental disorder 12 months pre-interview, 212 (52%) reported having used healthcare services. Compared to users of primary care only, people who sought both primary and specialized care presented more mental disorders and lower quality of life. People using only specialized healthcare received significantly less social support than persons using primary care exclusively and lived in neighborhoods with a high proportion of rental housing. Healthcare service provision should favor social networking and enable social cohesion and integration, particularly in neighborhoods with a high proportion of rental housing. Shared care and enhanced collaboration with other public and community-based resources should be encouraged.

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2845

Determinants of buprenorphine treatment for opioid dependence

Type: Journal Article

Authors: S. M. Murphy, P. A. Fishman, S. McPherson, D. G. Dyck, J. R. Roll

Year: 2014

Publication Place: United States

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2846

Determinants of common mental disorders detection by general practitioners in primary health care in Brazil

Type: Journal Article

Authors: D. A. Goncalves, S. Fortes, L. F. Tofoli, M. R. Campos, Mari Jde

Year: 2011

Publication Place: United States

Abstract: OBJECTIVE: Common mental disorders (CMD) are highly prevalent among patients attending primary care. Many of these disorders remain unrecognized by general practitioners (GPs), with the detection rates varying from 30 to 60%. This study aims to evaluate the CMD detection rates by Primary Heath Care (PHC) practitioners in Brazil-and factors that affect CMD detection. METHODS: A cross sectional study was conducted with users of five PHC units in the city of Petropolis. The CMD prevalence of psychiatric morbidity was estimated by the General Health Questionnaire-12, and the physician's CMD detection was evaluated by a questionnaire completed by GPs after each consultation. RESULTS: Seven hundred and fourteen subjects participated of the study, and 400 (56%) were screened positive using GHQ-12 cut-off point of 2/3. GPs diagnosed 379 people with CMD (53.1%), and 256(36%) subjects were detected by both GHQ and the GPs with an OR of 3.04 (95% CI 2.23-4.13). CMD detection accuracy by GPs was 65%. There was a strong association between the detection of CMD and the report of medically unexplained physical symptoms by GPs. Being female, married, and a frequent service user was also related to higher detection rates. CONCLUSION: CMD detection rate was similar to those reported worldwide, but contrary to other studies, the presence of MUS increased detection rates. The high frequency of CMD in Primary Health Care highlights the need for improving GP and health worker's training in order to enable them to accurately recognize and treat psychological distress with evidence-based interventions.

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2847

Determinants of mental health service use among depressed adolescents

Type: Journal Article

Authors: David J. Breland, Carolyn A. McCarty, Chuan Zhou, Elizabeth McCauley, Carol Rockhill, Wayne Katon, Laura P. Richardson

Year: 2014

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2848

Determinants of prescription opioid misuse among Black Americans: Evidence from the 2019 National Survey on Drug Use and Health

Type: Journal Article

Authors: H. L. Nicholson Jr., O. A. Alawode, J. A. Ford

Year: 2024

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2849

Determinants of psychology service utilization in a palliative care outpatient population

Type: Journal Article

Authors: Casey Azuero, Rebecca Sue Allen, Elizabeth Kvale, Andres Azuero, Patricia Parmelee

Year: 2014

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2850

Determinants of readiness for primary care-mental health integration (PC-MHI) in the VA Health Care System

Type: Journal Article

Authors: E. T. Chang, D. E. Rose, E. M. Yano, K. B. Wells, M. E. Metzger, E. P. Post, M. L. Lee, L. V. Rubenstein

Year: 2013

Publication Place: United States

Abstract: BACKGROUND: Depression management can be challenging for primary care (PC) settings. While several evidence-based models exist for depression care, little is known about the relationships between PC practice characteristics, model characteristics, and the practice's choices regarding model adoption. OBJECTIVE: We examined three Veterans Affairs (VA)-endorsed depression care models and tested the relationships between theoretically-anchored measures of organizational readiness and implementation of the models in VA PC clinics. DESIGN: 1) Qualitative assessment of the three VA-endorsed depression care models, 2) Cross-sectional survey of leaders from 225 VA medium-to-large PC practices, both in 2007. MAIN MEASURES: We assessed PC readiness factors related to resource adequacy, motivation for change, staff attributes, and organizational climate. As outcomes, we measured implementation of one of the VA-endorsed models: collocation, Translating Initiatives in Depression into Effective Solutions (TIDES), and Behavioral Health Lab (BHL). We performed bivariate and, when possible, multivariate analyses of readiness factors for each model. KEY RESULTS: Collocation is a relatively simple arrangement with a mental health specialist physically located in PC. TIDES and BHL are more complex; they use standardized assessments and care management based on evidence-based collaborative care principles, but with different organizational requirements. By 2007, 107 (47.5 %) clinics had implemented collocation, 39 (17.3 %) TIDES, and 17 (7.6 %) BHL. Having established quality improvement processes (OR 2.30, [1.36, 3.87], p = 0.002) or a depression clinician champion (OR 2.36, [1.14, 4.88], p = 0.02) was associated with collocation. Being located in a VA regional network that endorsed TIDES (OR 8.42, [3.69, 19.26], p < 0.001) was associated with TIDES implementation. The presence of psychologists or psychiatrists on PC staff, greater financial sufficiency, or greater spatial sufficiency was associated with BHL implementation. CONCLUSIONS: Both readiness factors and characteristics of depression care models influence model adoption. Greater model simplicity may make collocation attractive within local quality improvement efforts. Dissemination through regional networks may be effective for more complex models such as TIDES.

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2851

Developing a Bold Vision to Achieve Physical-Behavioral Health Integration in Medi-Cal

Type: Report

Authors: Logan Kelly

Year: 2019

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,

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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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2852

Developing a brief depression screen and identifying associations with comorbid physical and psychological illness in Australian Gulf War veterans

Type: Journal Article

Authors: Dean P. McKenzie, Malcolm R. Sim, David M. Clarke, Andrew B. Forbes, Jillian F. Ikin, Helen L. Kelsall

Year: 2015

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2853

Developing a cascade of care for opioid use disorder among individuals in jail

Type: Journal Article

Authors: Brad Ray, Grant Victor, Rahni Cason, Nicole Hamameh, Sheryl Kubiak, Catherine Zettner, Megan Dunnigan, Erin Comartin, Matthew Costello

Year: 2022

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2854

Developing a clinical decision support for opioid use disorders: A NIDA Center for the Clinical Trials Network Working Group report

Type: Journal Article

Authors: Gavin B. Bart, Andrew Saxon, David A. Fiellin, Jennifer McNeely, John P. Muench, Christopher W. Shanahan, Kristen Huntley, Robert Gore-Langton

Year: 2020

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2855

Developing a Community-Based Patient Safety Advisory Council

Type: Web Resource

Authors: AHRQ

Year: 2012

Abstract: The Guide for Developing a Community-Based Patient Safety Advisory Council provides information and guidance to empower individuals and organizations to develop a community-based advisory council. These councils involve patients, consumers, and a variety of practitioners and professionals from health care and community organizations to drive change for patient safety through education, collaboration, and consumer engagement.

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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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2856

Developing a Competent Workforce for Integrated Health and Social Care: What Does It Take?

Type: Journal Article

Authors: K. V. Stein

Year: 2016

Publication Place: England

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2857

Developing a Computer Application to Prepare Social Workers for Integrated Health Care: Integrated Healthcare (Version 1.0)

Type: Journal Article

Authors: D. R. Black, M. L. Held, T. H. Wyatt

Year: 2018

Publication Place: United States

Abstract: Integrated health care (IHC) is a proposed change to the U.S. health care system to address health care disparities for individuals with mental and physical health conditions. Computer applications may provide an effective strategy to prepare social workers for the transition to IHC. An Internet-based tool, Integrated Healthcare (Version 1.0) was developed and tested through rapid prototyping to access knowledge required for behavioral health providers to practice in IHC settings. Two focus groups (N = 5, N = 7) and individual interviews (N = 5) were conducted with social work professors and students. Nielsen's usability heuristics were used to evaluate data from focus groups and interviews, and changes were incorporated in development. The final computer application is an introduction to IHC concepts, reinforces the integrated nature of physical and behavioral health, and puts evidence-based knowledge at the point of care.

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2858

Developing a framework of care for opioid medication misuse in community pharmacy

Type: Journal Article

Authors: G. Cochran, A. J. Gordon, C. Field, J. Bacci, R. Dhital, T. Ylioja, M. Stitzer, T. Kelly, R. Tarter

Year: 2016

Publication Place: United States

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2859

Developing a Framework of Integrated Competencies for Adaptive Expertise in Integrated Physical and Mental Health Care

Type: Journal Article

Authors: S. Sockalingam, Z. K. Chaudhary, R. Barnett, J. Lazor, M. Mylopoulos

Year: 2020

Publication Place: United States

Abstract:

Phenomenon: Despite the emergence of the integrated care (IC) model, IC is variably taught and is challenged by current siloed competency domains. This study aimed to define IC competencies spanning multiple competency domains. Approach: Iterative facilitated discussions were conducted at a half-day education retreat with 25 key informants including clinician educators and education scientists. Seven one-on-one semistructured interviews were subsequently conducted with different interprofessional providers in IC settings within a Canadian context. Data collection grounded in patient cases with a physical illness and concurrent mental illness (medical psychiatry) were used to elicit identification of complex patient needs and the key medical psychiatry knowledge and skills required to address these needs. A thematic analysis of transcripts was performed using constant comparison to iteratively identify themes. Findings: Participants described 4 broad competency domains necessary for expertise in IC: (a) extensive integrated knowledge of biopsychosocial aspects of disease, systems of care, and social determinants of care; (b) skills to establish a longitudinal alliance with the patient and functional relationships with colleagues; (c) constructing a comprehensive understanding of individual patients' complex needs and how these can be met within their health and social systems; and (d) the ability to effectively meet the patient's needs using IC models. These 4 domains were linked by an overarching philosophy of care encompassing key enabling attitudes such as proactively pursuing depth to understand patient and system complexity while maintaining a patient-centered approach. Insights: The study addresses how development of IC expertise can be fostered by integration of individual IC competency domains. The findings align with previous research suggesting that competencies from existing frameworks are being enacted jointly in expert capabilities to meet the complex needs of patients, in this case with comorbid physical and mental health concerns.

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2860

Developing a measure of provider adherence to improve the implementation of behavioral health services in primary care: a Delphi study

Type: Journal Article

Authors: G. P. Beehler, J. S. Funderburk, K. Possemato, C. L. Vair

Year: 2013

Publication Place: England

Abstract: BACKGROUND: The integration of behavioral health services into primary care is increasingly popular, yet fidelity of implementation in this area has been infrequently assessed due to the few measurement tools available. A sentinel indicator of fidelity of implementation is provider adherence, or utilization of prescribed procedures and engagement in model-specific behaviors. This study aimed to develop the first self-report measure of behavioral health provider adherence for co-located, collaborative care, a commonly adopted model of behavioral health service delivery in primary care. METHODS: A preliminary 56-item measure was developed by the research team to represent critical components of adherence among behavioral health providers. To ensure the content validity of the measure, a modified Delphi study was conducted using a panel of co-located, collaborative care model experts. During three rounds of emailed surveys, panel members provided qualitative feedback regarding item content while rating each item's relevance for behavioral health provider practice. Items with consensus ratings of 80% or greater were included in the final adherence measure. RESULTS: The panel consisted of 25 experts representing the Department of Veterans Affairs, the Department of Defense, and academic and community health centers (total study response rate of 76%). During the Delphi process, two new items were added to the measure, four items were eliminated, and a high level of consensus was achieved on the remaining 54 items. Experts identified 38 items essential for model adherence, six items compatible (although not essential) for model adherence, and 10 items that represented prohibited behaviors. Item content addressed several domains, but primarily focused on behaviors related to employing a time-limited, brief treatment model, the scope of patient concerns addressed, and interventions used by providers. CONCLUSIONS: This study yielded the first content valid self-report measure of critical components of collaborative care adherence for use by behavioral health providers in primary care. Although additional psychometric evaluation is necessary, this measure may assist implementation researchers in clarifying how provider behaviors contribute to clinical outcomes. This measure may also assist clinical stakeholders in monitoring implementation and identifying ways to support frontline providers in delivering high quality services.

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