Literature Collection

3121

Does Screening for Opioid Use Disorder in Primary Care Increase the Percentage of Patients With a New Diagnosis?

Type: Journal Article

Authors: J. C. Fortney, A. D. Ratzliff, B. E. Blanchard, M. Johnson, L. Ferro, E. J. Austin, E. C. Williams, M. H. Duncan, J. O. Merrill, J. Thomas, B. Kitay, M. Schoenbaum, P. J. Heagerty, A. J. Saxon

Year: 2023

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3122

Does sexuality matter? A cross-sectional study of drug use, social injecting, and access to injection-specific care among men who inject drugs in Melbourne, Australia

Type: Journal Article

Authors: S. E. Schroeder, A. L. Wilkinson, D. O'Keefe, A. Bourne, J. S. Doyle, M. Hellard, P. Dietze, A. Pedrana

Year: 2023

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3123

Does shared care help in the treatment of depression?

Type: Journal Article

Authors: M. Agius, C. L. Murphy, R. Zaman

Year: 2010

Publication Place: Croatia

Abstract: INTRODUCTION: shared or Collaborative Care in the treatment of Depression is an evidence based intervention which has been shown to be more effective than ordinary general Practitioner care in the treatment of Depression, however, it is not yet Government policy in the United Kingdom. We aimed to bring together in one place all the studies which have been carried out, up till mid 2009, in order to demonstrate the evidence that shared collaborative care has important advantages in terms both of depression outcomes and cost benefits, in order to argue for the adoption of this approach in the United Kingdom and n Europe. METHODS: we carried out a literature search using PUBMED in order to identify and describe all trials, systematic reviews and Metanalyses which have been carried out on shared care until mid 2009. We also described a shared care service for depression which some of us had been involved in developing and working in in Luton in the late 1990's. We have excluded papers which describe trials which have not yet been carried out, and instead focussed on the trials which have reported. RESULTS: it has been demonstrated in numerous recent studies that shared care in the treatment of depression, which includes the training of General Practitoners in the treatment of depression, and the provision in Primary Care of a Nurse specialist or another professional who will impart psycho-education, ensure concordance with medication, and may provide psychotherapy, leads to both improved treatment outcomes and increased doctor and patient satisfaction, as well providing some cost-benefits, despite somewhat increased immediate costs. This is the case in both adult and adolescent patients, while in the case of diabetic patients depression is improved, despite the lack of improvement in glycaemic control. The shared care intervention continues to be useful in the case of patients with resistant depressive symptoms, though a longer input will be necessary in such cases. Patients with subthreshold depression will not benefit as much, and patients expressed more satisfaction when psychological interventions were offered. It is also the case that collaborative or shared care is effective in treating depression in the elderly. This is shown by studies which include older patients who also suffer from multiple health conditions, arthritis, diabetes, anxiety and PTSD, the poorer, those with suicidal ideation, and also in Ethnic Minorities. DISCUSSION: The results described above are mostly based on studies carried out in the USA, but similar studies have been reported from the United Kingdom, and are consistent with the experience of the service in Luton which we describe. From these results it would seem important that shared, collaborative care, with primary and secondary care doctors (General Practitioners and Psychiatrists) working as part of a single team, with the help of mental health practitioners attached to primary care, but with easy access to secondary care is a productive way of optimising the treatment of depression. In the UK, however, it has not yet been possible to develop such a service for the whole population. This is becausein the UK, General Practice is managed by Primary Care Trusts, while Secondary Care, including Psychiatry, is managed by Mental Health Trusts. This has led the National Institute of Health and Clinical Excellence, and indeed local commissioners of care to focus on a Stepped Model for the treatment of depression, with one key issue being access (or referral) to secondary care, and discharge back to primary care, with a group of Mental Health workers focussing on the facilitation (or gate-keeping) of these processes, rather than focussing on actually optimising outcomes of care. CONCLUSION: the evidence argues for the development of collaborative care between primary and secondary care for the treatment of Depression. This will require common medication guidelines across both Primary and Secondary Care, easy access so that General Practitioners can receive advice from Psychiatrists about patients, and the use of Mental Health Professionals to provide patients with psycho-education, support of concordance with treatment, and psychotherapy. It may be that, in order for this to be achieved, services may need to be re-structured, to allow easy communication between professionals.

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3124

Does somatization influence quality of life among older primary care patients?

Type: Journal Article

Authors: B. Sheehan, R. Lall, C. Bass

Year: 2005

Publication Place: URL

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3125

Does symptom severity matter in stepped and collaborative care for depression?

Type: Journal Article

Authors: B. Watzke, D. Heddaeus, M. Steinmann, A. Daubmann, K. Wegscheider, M. Harter

Year: 2020

Publication Place: Netherlands

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3126

Does teaching an entire nursing degree rurally have more workforce impact than rural placements?

Type: Journal Article

Authors: D. Playford, B. Wheatland, A. Larson

Year: 2010

Publication Place: Australia

Abstract: Education plays a key role in recruitment of health workforce to rural and remote locations. In Australia, Schools of Nursing have set up a variety of educational programmes to encourage rural workforce choices. These programmes include rural campuses and short-term rural placement programmes out of urban campuses. This study compares the relative workforce impacts of rural campus versus short-term rural placements out of urban campus. The single outcome measure - rural or urban location after graduation - showed that the rural school graduated a significantly higher proportion of rural-working graduates (chi(2) 4.46, p = 0.04). However there was no difference in the rural workforce choices of students from rural backgrounds, irrespective of their university location (chi(2) = 1.45, p = 0.23). We conclude that both rural universities and affirmative action for selecting rural students into nursing programmes are effective workforce strategies, but that rural campuses have the added benefit of encouraging under-represented rural students to access university education.

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3127

Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?

Type: Journal Article

Authors: J. Park, X. Wu, B. K. Frogner, P. Pittman

Year: 2018

Publication Place: United States

Abstract: BACKGROUND: Few studies have looked under the hood of practice redesign to understand whether and, if so, how staffing changed with the adoption of patient-centered medical home (PCMH), and whether these staffing changes impacted utilization. OBJECTIVES: To examine the workforce transformation occurring in community health centers that have achieved PCMH status, and to assess the relationship of those changes to utilization, as measured by the number of visits. RESEARCH DESIGN, SUBJECTS, MEASURES: Using a difference-in-differences approach, we compared staffing and utilization outcomes in 450 community health centers that had adopted a PCMH model between 2007 and 2013 to a matched sample of 243 nonadopters located in the 50 states and the District of Columbia. RESULTS: We found that adopting a PCMH model was significantly associated with a growth in use of advanced practice staff (nurse practitioners and physician assistants) [0.53 full-time equivalent (FTE), 8.77%; P<0.001], other medical staff (medical assistants, nurse aides, and quality assurance staff) (1.23 FTE, 7.46%; P=0.001), mental health/substance abuse staff (0.73 FTE, 17.63%; P=0.005), and enabling service staff (case managers and health educators) (0.36 FTE, 6.14%; P=0.079), but not primary care physicians or nurses. We did not observe a significant increase in utilization, as measured in total number of visits per year. However, the visits marginally attributed to advanced practice staff (539 FTE, 0.89%; P=0.037) and mental health/substance abuse staff (353 FTE, 0.59%; P=0.051) significantly increased. CONCLUSIONS: Our findings suggest that the implementation of PCMH actively reengineers staff composition and this, in turn, results in changes in marginal utilization by each staff type.

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3128

Does the Patient-centered Medical Home Model Change Staffing and Utilization in the Community Health Centers?

Type: Journal Article

Authors: J. Park, X. Wu, B. K. Frogner, P. Pittman

Year: 2018

Publication Place: United States

Abstract: BACKGROUND: Few studies have looked under the hood of practice redesign to understand whether and, if so, how staffing changed with the adoption of patient-centered medical home (PCMH), and whether these staffing changes impacted utilization. OBJECTIVES: To examine the workforce transformation occurring in community health centers that have achieved PCMH status, and to assess the relationship of those changes to utilization, as measured by the number of visits. RESEARCH DESIGN, SUBJECTS, MEASURES: Using a difference-in-differences approach, we compared staffing and utilization outcomes in 450 community health centers that had adopted a PCMH model between 2007 and 2013 to a matched sample of 243 nonadopters located in the 50 states and the District of Columbia. RESULTS: We found that adopting a PCMH model was significantly associated with a growth in use of advanced practice staff (nurse practitioners and physician assistants) [0.53 full-time equivalent (FTE), 8.77%; P<0.001], other medical staff (medical assistants, nurse aides, and quality assurance staff) (1.23 FTE, 7.46%; P=0.001), mental health/substance abuse staff (0.73 FTE, 17.63%; P=0.005), and enabling service staff (case managers and health educators) (0.36 FTE, 6.14%; P=0.079), but not primary care physicians or nurses. We did not observe a significant increase in utilization, as measured in total number of visits per year. However, the visits marginally attributed to advanced practice staff (539 FTE, 0.89%; P=0.037) and mental health/substance abuse staff (353 FTE, 0.59%; P=0.051) significantly increased. CONCLUSIONS: Our findings suggest that the implementation of PCMH actively reengineers staff composition and this, in turn, results in changes in marginal utilization by each staff type.

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3129

Does the patient-centred medical home work? A critical synthesis of research on patient-centred medical homes and patient-related outcomes

Type: Journal Article

Authors: Jeffrey A. Alexander, Daniel Bae

Year: 2012

Publication Place: United Kingdom

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3130

Does the Primary Care Behavioral Health Model Reduce Emergency Department Visits?

Type: Journal Article

Authors: N. Serrano, R. Prince, M. Fondow, K. Kushner

Year: 2018

Publication Place: United States

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3131

Does training in motivational interviewing for community pharmacists improve outcomes for methadone patients? A cluster randomised controlled trial

Type: Journal Article

Authors: M. Jaffray, C. Matheson, C. M. Bond, A. J. Lee, D. J. McLernon, A. Johnstone, L. Skea, B. Davidson

Year: 2014

Publication Place: England

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3132

Does use of primary care-based behavioral health programs differ by race and ethnicity? Evidence from a multi-site collaborative care model

Type: Journal Article

Authors: B. Kovachy, T. Chang, C. Vogeli, S. Tolland, S. Garrels, B. P. Forester, V. Fung

Year: 2023

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3133

Don Bloch Award, 2013.

Type: Journal Article

Authors: Frank deGruy

Year: 2014

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3134

Don Bloch's vision for Collaborative Family Health Care: Progress and next steps

Type: Journal Article

Authors: C. J. Peek

Year: 2015

Publication Place: United States

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3135

Don Bloch's vision: A commentary

Type: Journal Article

Authors: W. J. Doherty

Year: 2015

Publication Place: United States

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3136

Dreamland: The True Tale of America's Opiate Epidemic

Type: Book

Authors: Sam Quinones

Year: 2015

Publication Place: New York

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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3137

Drive Time to Addiction Treatment Facilities Providing Contingency Management across Rural and Urban Census Tracts in 6 US States

Type: Journal Article

Authors: P. J. Joudrey, K. Chen, B. J. Oldfield, E. Biegacki, D. A. Fiellin

Year: 2023

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3138

Drug Overdose Deaths in the United States

Type: Web Resource

Authors: NORC at the University of Chicago

Year: 2021

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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3139

Drug Abuse Warning Network (DAWN): Alcohol-Related ED Visits Short Report

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2024

Publication Place: Rockville, 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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3140

Drug Abuse Warning Network (DAWN): Findings from Drug-Related Emergency Department Visits 2022

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2023

Publication Place: Rockville, 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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