Email UpdatesLiterature Collection
Collection Insights
11K+
References
9K+
Articles
1500+
Grey Literature
4600+
Opioids & SU
The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
12257 Results
3141
Depression care management for Chinese Americans in primary care: A feasibility pilot study
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: This study describes a culturally relevant intervention using a collaborative depression care model to integrate mental health and primary care services for depressed low income Chinese-Americans at a community health center. A total of 6,065 patients were screened for depression. Of the 341 who screened positive, 57 participated and were randomly assigned to receive either enhanced physician care with care management (32) or enhanced physician care only (25). All enrolled participants were assessed at baseline and 4 monthly follow-up visits for depression, physical and mental health functioning, and perceived stigma toward receiving depression care, to determine the impact, if any, of their mental health treatment. Both groups reported significant reduction of depressive symptoms and improved mental health functioning from baseline to follow-up assessments although there was no significant difference between the two groups. Although the study found no advantage to adding the care management component in the treatment of depression, screening and assertive treatment of immigrant Chinese Americans who tend to underutilize mental health services is important and consistent with the increased adoption of team based care models in patient centered medical homes. High refusal rates for enrollment in the study have implications for future study designs for this group.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links: 
View the DOI record for Depression care management for Chinese Americans in primary care: A feasibility pilot study
View DOI Record
View the PubMed citation for Depression care management for Chinese Americans in primary care: A feasibility pilot study3142
Depression complexity prevalence and outcomes among veterans affairs patients in integrated primary care
Type: Journal Article
Year: 2022
Topic(s):
Healthcare Disparities
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Depression complexity prevalence and outcomes among veterans affairs patients in integrated primary care
View DOI Record
View the PubMed citation for Depression complexity prevalence and outcomes among veterans affairs patients in integrated primary care3144
Depression diagnoses and antidepressant use in primary care practices: a study from the Practice Partner Research Network (PPRNet)
Type: Journal Article
Year: 2000
Publication Place: UNITED STATES
Abstract: BACKGROUND: We examined the pharmacologic management and follow-up of adults with newly diagnosed depression, and the use of antidepressants among patients not diagnosed with depression in primary care practice. A total of 389 physicians in 39 practices in the Practice Partner Research Network (PPRNet), a national network of primary care physicians provided data for the study. METHODS: We performed a retrospective cohort study for the year 1996 using demographic, contact, diagnosis, and prescription data available in the December 1997 PPRNet database. We identified patients with new diagnoses of depression from the problem lists in the electronic medical record. Psychopharmacologic agents prescribed within 5 days of the diagnosis, follow-up contacts within 6 months of the diagnosis, and diagnoses of patients prescribed antidepressants without a new diagnosis of depression were also identified. We performed descriptive analyses for all practices and for individual practices. RESULTS: During 1996, there were 149,327 active adult patients in the 39 participating practices. Of the 131,141 patients without a history of depression or antidepressant prescription, 2103 (1.6%) had a new diagnosis of depression in 1996. Incidence among the 39 practices ranged from 0.4% to 4.0%. Forty-nine percent of the newly diagnosed patients received an antidepressant prescription within 5 days of diagnosis; 81% of the prescriptions were for selective serotonin reuptake inhibitors. Ninety percent of the patients prescribed antidepressants had at least one contact in the 6 months after diagnosis (mean = 5.3 contacts). One third of the patients who had not begun antidepressants within 5 days of their diagnoses started taking one by the end of 1996. Among the 149,327 active patients, 6.3% received a prescription for an antidepressant in 1996. More than 40% of these patients had never been diagnosed with depression. CONCLUSIONS: Our study highlights the high prevalence and wide interpractice variations of diagnosing depression and prescribing antidepressants in primary care. Follow-up of patients newly diagnosed with depression was common and consistent with published guidelines. Opportunities for increased detection and treatment of depression exist in approximately half of the study practices.
Topic(s):
HIT & Telehealth
See topic collection
3145
Depression during perimenopause: the role of the obstetrician-gynecologist
Type: Journal Article
Year: 2020
Publication Place: Austria
Abstract: Depression in women is more common during perimenopause (the transition to menopause) than at other times in the life cycle. Symptoms of depression may be different in perimenopausal women compared to younger or older women, and are often dismissed as part of normal menopause. This is an expert narrative review. There are several evidence-based screening modalities which can be integrated into routine women's health visits, and can facilitate distinguishing between depression and normal perimenopausal symptoms. There is emerging evidence regarding the effect of hormonal changes on the development of perimenopausal depression and its optimal treatment, though critical research gaps remain. Obstetrician-gynecologists and other primary care providers play a vital role in the detection and management of depression in women. Providers caring for women during perimenopause have a unique opportunity to diagnose depression in their patients and identify appropriate treatment options.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Depression during perimenopause: the role of the obstetrician-gynecologist
View DOI Record
View the PubMed citation for Depression during perimenopause: the role of the obstetrician-gynecologist3146
Depression during perimenopause: the role of the obstetrician-gynecologist
Type: Journal Article
Year: 2020
Publication Place: Austria
Abstract: Depression in women is more common during perimenopause (the transition to menopause) than at other times in the life cycle. Symptoms of depression may be different in perimenopausal women compared to younger or older women, and are often dismissed as part of normal menopause. This is an expert narrative review. There are several evidence-based screening modalities which can be integrated into routine women's health visits, and can facilitate distinguishing between depression and normal perimenopausal symptoms. There is emerging evidence regarding the effect of hormonal changes on the development of perimenopausal depression and its optimal treatment, though critical research gaps remain. Obstetrician-gynecologists and other primary care providers play a vital role in the detection and management of depression in women. Providers caring for women during perimenopause have a unique opportunity to diagnose depression in their patients and identify appropriate treatment options.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Depression during perimenopause: the role of the obstetrician-gynecologist
View DOI Record
View the PubMed citation for Depression during perimenopause: the role of the obstetrician-gynecologist3149
Depression in African Americans: Breaking barriers to detection and treatment
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: OBJECTIVE: Recent studies in primary care settings indicate that African Americans face health disparities in the treatment of major depression. We reviewed the literature to find evidence of specific patient, physician, and practice-setting factors related to such barriers. DATA SOURCES: We searched for and retrieved articles in Medline (1966-2004) and hand-checked bibliographies to find additional articles that were relevant to the evaluation and treatment of African Americans with depression. STUDY SELECTION AND DATA EXTRACTION: Two investigators (AKD, MO) independently examined the abstracts retrieved from the literature search, and excluded articles that did not match a predefined search strategy. Two other investigators (HLC, MMW) identified potential articles through bibliographic review. In the extracted set articles, we examined cited barriers to diagnosis and effective management. RESULTS: We found 24 articles that fulfilled our criteria. These studies indicate that African Americans face a number of barriers in the recognition and treatment of major depression including clinical presentation with somatization, stigma about diagnosis, competing clinical demands of comorbid general medical problems, problems with the physician-patient relationship, and lack of comprehensive primary care services. CONCLUSIONS: Research indicates that African Americans who have depression may be frequently under diagnosed and inadequately managed in primary care as a result of patient, physician, and treatment-setting factors. Our systematic review can assist family physicians in understanding how to overcome such barriers to the diagnosis and treatment of depressive disorders in African American patients.
Topic(s):
Healthcare Disparities
See topic collection
, Medically Unexplained Symptoms
See topic collection
Reference Links: View the PubMed citation for Depression in African Americans: Breaking barriers to detection and treatment
3150
Depression in primary care: assessing suicide risk
Type: Journal Article
Year: 2017
Publication Place: Singapore
Topic(s):
General Literature
See topic collection
3152
Depression in primary care: challenges & controversies
Type: Journal Article
Year: 2014
Publication Place: India
Topic(s):
Education & Workforce
See topic collection
, Healthcare Disparities
See topic collection
Reference Links: View the PubMed citation for Depression in primary care: challenges & controversies
3153
Depression in primary care: current and future challenges
Type: Journal Article
Year: 2013
Publication Place: Canada
Abstract: OBJECTIVES: To describe the current state of knowledge about detection and treatment of major depressive disorder (MDD) by family physicians (FPs), and to identify gaps in practice and current and future challenges. METHODS: We reviewed the recent literature on MDD (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, or International Classification of Diseases, Revision 10) in primary care, with an emphasis on systematic reviews and meta-analyses addressing prevalence, the impact of an aging population and of chronic disease on MDD rates in primary care, detection and treatment rates by FPs, adequacy of treatment, and interventions that could improve recognition and treatment. RESULTS: About 10% of primary care patients are likely to meet criteria for MDD. The number of cases will increase as the baby boomer cohort ages and as the prevalence of chronic disease increases. The bidirectional relation between MDD and chronic disease is now firmly established. Detection and treatment rates in primary care remain low. Treatment quality is frequently inadequate in terms of follow-up and monitoring. Formal case management and collaborative care interventions are likely to provide some benefits. CONCLUSIONS: Low detection rates and low treatment rates need to be addressed. Planned reassessment may improve detection rates when the FP is uncertain whether MDD is present, but further research is needed to determine why FPs frequently do not initiate treatment, even when MDD is detected. A caring, attentive FP who monitors depressed patients is likely to have considerable placebo effect. Greater focus on integrated, concurrent treatment for MDD and chronic physical diseases in the middle-aged and elderly is also required.; Publisher: Abstract available from the publisher.
Topic(s):
General Literature
See topic collection
Reference Links: View the PubMed citation for Depression in primary care: current and future challenges
3155
Depression in primary care: Strategies for a psychiatry-scarce environment
Type: Journal Article
Year: 2016
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
Reference Links:
View the DOI record for Depression in primary care: Strategies for a psychiatry-scarce environment
View DOI Record
View the PubMed citation for Depression in primary care: Strategies for a psychiatry-scarce environment3156
Depression in primary health care: From evidence to policy
Type: Journal Article
Year: 2008
Publication Place: Australia
Abstract: OBJECTIVE: To consider the implications for mental health policy of a recent synthesis of the literature on the effectiveness of different service delivery models for depression in primary care. METHODS: A discussion based on the results of several systematic reviews of primary care models for depression management. Primary care was defined broadly within a prevention, early-intervention, treatment and recovery/support framework, and incorporated both community and general practice settings. RESULTS: There were promising effective models for depression interventions both in the broader community and in general practice settings. CONCLUSIONS: There is a need to support evidence-based models for depression care, including innovative new technologies for facilitating consumer self-management of depression. The ability of practitioner training and guideline implementation to improve consumer outcomes for depression is limited. Policies and incentives are required to facilitate the reorganisation of general practice and, in particular, the implementation of care management as well as enhanced care and guided self-help in these settings.
Topic(s):
Education & Workforce
See topic collection
, Healthcare Policy
See topic collection
Reference Links: View the PubMed citation for Depression in primary health care: From evidence to policy
3157
Depression is under-recognised in the sport setting: time for primary care sports medicine to be proactive and screen widely for depression symptoms
Type: Journal Article
Year: 2016
Publication Place: England
Topic(s):
Healthcare Disparities
See topic collection
3158
Depression management interests among Alaska Native and American Indian adults in primary care
Type: Journal Article
Year: 2018
Publication Place: Netherlands
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Depression management interests among Alaska Native and American Indian adults in primary care
View DOI Record
View the PubMed citation for Depression management interests among Alaska Native and American Indian adults in primary care3159
Depression Outcomes From a Fully Integrated Obstetric Mental Health Clinic: A 10-Year Examination
Type: Journal Article
Year: 2021
Abstract:
BACKGROUND: A fully integrated Obstetric Mental Health Clinic (OBMHC) was established in 2007 in the rural northwest United States to address perinatal depression. AIMS: The purpose of this mixed methods study was to examine depression outcomes in women receiving outpatient psychiatric services between 2007 and 2017 at a fully integrated OBMHC and to explore patient and obstetric team perceptions of OBMHC experiences. METHOD: A retrospective database study was employed; depression was measured at baseline and follow-up visits using the Edinburgh Postnatal Depression Scale. Descriptive statistics, regression models, and trend analysis were employed to determine effectiveness. A subset of patients participated in telephone interviews; the obstetric team was surveyed regarding perceptions of the service. RESULTS: The sample included 192 women (195 pregnancies). Approximately 72% experienced less depression by the first follow-up visit. Patients taking three or more psychiatric medications attended more OBMHC visits. Trend analysis indicated that women with the highest levels of depression had the best response to the intervention. Three qualitative themes emerged: Safe Place, Mental/Emotional Stability, and Integrated Personalized Approach. Obstetric team members (n = 11) perceived the clinic to be helpful and noted improved access to mental health care. CONCLUSION: OBMHCs can be effective when psychiatric nurses are embedded within an outpatient obstetric service. Improved access, timely services, and patient reassurance can lead to an improved pregnancy experience and reduced depressive symptoms. The longevity of this clinic's experience serves as a role model for other centers to replicate this successful integrated model of care.
Topic(s):
Healthcare Disparities
See topic collection
, Measures
See topic collection
Reference Links:
View the DOI record for Depression Outcomes From a Fully Integrated Obstetric Mental Health Clinic: A 10-Year Examination
View DOI Record
View the PubMed citation for Depression Outcomes From a Fully Integrated Obstetric Mental Health Clinic: A 10-Year Examination3160
Depression Outcomes in Adults Attending Family Practice Were Not Improved by Screening, Stepped-Care, or Online CBT during a 12-Week Study when Compared to Controls in a Randomized Trial
Type: Journal Article
Year: 2017
Publication Place: Switzerland
Abstract: There is uncertainty regarding possible benefits of screening for depression in family practice, as well as the most effective treatment approach when depression is identified. Here, we examined whether screening patients for depression in primary care, and then treating them with different modalities, was better than treatment-as-usual (TAU) alone. Screening was carried out for depression using the 9-item Patient Health Questionnaire (PHQ-9), with a score of >/=10 indicating significant depressive symptoms. PHQ-9 scores were given to family physicians prior to patients being seen (except for the Control group). Patients (n = 1,489) were randomized to one of four groups. Group #1 were controls (n = 432) in which PHQ-9 was administered, but results were not shared. Group #2 was screening followed by TAU (n = 426). Group #3 was screening followed by both TAU and the opportunity to use an online cognitive behavioral therapy (CBT) treatment program (n = 440). Group #4 utilized an evidence-based Stepped-care pathway for depression (n = 191, note that this was not available at all clinics). Of the study sample 889 (60%) completed a second PHQ-9 rating at 12 weeks. There were no statistically significant differences in baseline PHQ-9 scores between these groups. Compared to baseline, mean PHQ-9 scores decreased significantly in the depressed patients over 12 weeks, but there were no statistically significant differences between any groups at 12 weeks. Thus, for those who were depressed at baseline Control group (Group #1) scores decreased from 15.3 +/- 4.2 to 4.0 +/- 2.6 (p < 0.001), Screening group (Group #2) scores decreased from 15.5 +/- 3.9 to 4.6 +/- 3.0 (p < 0.001), Online CBT group (Group #3) scores decreased from 15.4 +/- 3.8 to 3.4 +/- 2.7 (p < 0.01), and the Stepped-care pathway group (Group #4) scores decreased from 15.3 +/- 3.6 to 5.4 +/- 2.8 (p < 0.05). In conclusion, these findings from this controlled randomized study do not suggest that using depression screening tools in family practice improves outcomes. They also suggest that much of the depression seen in primary care spontaneously resolves and do not support suggestions that more complex treatment programs or pathways improve depression outcomes in primary care. Replication studies are required due to study limitations.
Topic(s):
General Literature
See topic collection