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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).
11248 Results
3303
Early Treatment for Neonatal Abstinence Syndrome: A Palliative Approach
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract:
Objective To describe medical, safety, and health care utilization outcomes associated with an early treatment model for neonatal opioid withdrawal. Study Design This is a retrospective review of 117 opioid-exposed infants born in a large regional hospital and treated in the level I nursery with methadone initiated within 48 hours of birth. Results For this cohort, mean length of stay was 8.3 days. Hospital safety events were infrequent; there were no medication errors or deaths. Within 30 days of discharge, 14% of infants visited the emergency department; 7% were readmitted. Per birth, mean hospital charges were $10,946.96; mean costs were $5,908.93. Conclusion This study is the first to describe an early treatment model in a low-acuity nursery to prevent severe neonatal opioid withdrawal. The described model may be safe, effective, low-cost, and feasible for replication.
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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, Opioids & Substance Use
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View the PubMed citation for Early Treatment for Neonatal Abstinence Syndrome: A Palliative Approach
Reference Links:
View the DOI record for Early Treatment for Neonatal Abstinence Syndrome: A Palliative Approach
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View the PubMed citation for Early Treatment for Neonatal Abstinence Syndrome: A Palliative Approach3304
Easing the staffing burden. Tuality Healthcare turns to a new solution to address its staffing stress
Type: Journal Article
Year: 2007
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links: View the PubMed citation for Easing the staffing burden. Tuality Healthcare turns to a new solution to address its staffing stress
3306
eCHAT for lifestyle and mental health screening in primary care
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: PURPOSE: Early detection and management of unhealthy behaviors and mental health issues in primary care has the potential to prevent or ameliorate many chronic diseases and increase patients' well-being. This study aimed to assess the feasibility and acceptability of the systematic use of a Web-based eCHAT (electronic Case-finding and Help Assessment Tool) screening patients for problematic drinking, smoking, and other drug use, gambling, exposure to abuse, anxiety, depression, anger control, and physical inactivity, and whether they want help with these issues. Patients self-administered eCHAT on an iPad in the waiting room and received summarized results, including relevant scores and interpretations, which could be by a family physician on the website and in the electronic health record (EHR) at the point of care. METHODS: We conducted a mixed method feasibility and acceptability study in 2 general practices in Auckland, New Zealand. Participants were consecutive adult patients attending the practice during a 2-week period, as well as all practice staff. Patients completed eCHAT, doctors accessed the summarized reports. Outcome measures were patients' responses to eCHAT, and patients' written and staff recorded interview feedback. RESULTS: Of the 233 invited patients, 196 (84%) completed eCHAT and received feedback. Domains where patients wanted immediate help were anxiety (9%), depression (7%), physical activity (6%), and smoking (5%), which was not overwhelming for physicians to address. Most patients found the iPad easy to use, and the questions easy to understand and appropriate; they did not object to questions. Feedback from 7 doctors, 2 practice managers, 4 nurses, and 5 receptionists was generally positive. Practices continue to use eCHAT regularly since the research was completed. CONCLUSIONS: eCHAT is an acceptable and feasible means of systemic screening patients for unhealthy behaviors and negative mood states and is easily integrated into the primary care electronic health record.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for eCHAT for lifestyle and mental health screening in primary care
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View the PubMed citation for eCHAT for lifestyle and mental health screening in primary care3308
Ecological momentary assessment in alcohol, tobacco, cannabis and opiate dependence: a comparison of feasibility and validity
Type: Journal Article
Year: 2012
Publication Place: Ireland
Topic(s):
Opioids & Substance Use
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, HIT & Telehealth
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3311
Economic costs of neuroticism: A population-based study
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: CONTEXT: The importance of neuroticism for mental health care use and public health is well established. However, most research has focused on the association between neuroticism and a single specific disorder or health outcome, and the overall effect of neuroticism on use of somatic and mental health care and on society is not clear. OBJECTIVE: To examine the economic costs of neuroticism to get an impression of the overall effect of neuroticism on mental health care and on society in general. DESIGN: Cross-sectional population-based study. SETTING: General population. PARTICIPANTS: A large representative sample (N = 5504) of the Dutch general population. MAIN OUTCOME MEASURES: The costs (health service uptake in primary and secondary mental health care, out-of-pocket costs, and production losses) associated with neuroticism. RESULTS: The total per capita excess costs were $12 362 per year for the reference year 2007 in the 5% highest scorers of neuroticism, $8243 in the 10% highest scorers, and $5572 in the 25% highest scorers. The per capita excess costs of neuroticism are considerably higher than those of mental disorders. The total excess costs of neuroticism per 1 million inhabitants resulting from the 25% highest scorers ($1.393 billion) were approximately 2.5 times as high as the excess costs of common mental disorders ($585 million). CONCLUSIONS: The economic costs of neuroticism are enormous and exceed those of common mental disorders. We should start thinking about interventions that focus not on each of the specific negative outcomes of neuroticism but rather on the starting point itself.
Topic(s):
Financing & Sustainability
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, Medically Unexplained Symptoms
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Reference Links: View the PubMed citation for Economic costs of neuroticism: A population-based study
3312
Economic evaluation of integrated new technologies for health and social care: Suggestions for policy makers, users and evaluators
Type: Journal Article
Year: 2016
Publication Place: England
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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3314
Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial
Type: Journal Article
Year: 2010
Publication Place: England
Abstract: BACKGROUND: Evidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236). AIMS: To assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU. METHOD: Costs, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses. RESULTS: Costs were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT. CONCLUSIONS: On balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.
Topic(s):
Financing & Sustainability
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, HIT & Telehealth
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3316
Economic Evaluation: A Randomized Pragmatic Trial of a Primary Care-based Cognitive Behavioral Intervention for Adults Receiving Long-term Opioids for Chronic Pain
Type: Journal Article
Year: 2022
Publication Place: United States
Topic(s):
Financing & Sustainability
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, Healthcare Disparities
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, Opioids & Substance Use
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3319
Economic impact of personality disorders in UK primary care attenders
Type: Journal Article
Year: 2002
Publication Place: England
Abstract: BACKGROUND: The economic impact of personality disorders on UK health services is unknown. AIMS: To test the hypothesis that people with personality disorders have higher mean health and non-health costs compared with those without personality disorders. METHOD: Prospective cohort study design. A total of 303 general practice attenders were followed-up I year after they had been assessed for the presence of personality disorders. Costs were estimated in pound sterling at 1999 price levels. RESULTS: The mean total cost for patients with personality disorders was pound sterling 3094 (s.d.=5324) compared with pound sterling 1633 (s.d.=3779) for those without personality disorders. Personality disorders were not independently associated with increased costs. Multivariate analyses identified the presence of a significant interaction between personality disorders and common mental disorders and increased total costs (coefficient=499, 95% CI 180.1-626.2, P=0.002). CONCLUSIONS: Personality disorders are not independently associated with increased costs. An interaction between personality disorders and common mental disorders significantly predicts increased total costs.
Topic(s):
Financing & Sustainability
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Reference Links: View the PubMed citation for Economic impact of personality disorders in UK primary care attenders
3320
Economic implications of shared care arrangements. A primary care based study of patients in an inner city sample
Type: Journal Article
Year: 2004
Publication Place: Germany
Abstract: BACKGROUND: Providing care for people with serious and enduring mental health problems has been prioritised in a number of countries. It has been recognised that good liaison between primary and secondary care services is required for care to be effective. However, little is known about the resource implications of different levels of 'shared care'. The aim of this study is to compare service use and costs of different levels of shared care between primary and secondary care services. METHOD: Service use data were collected at baseline and one year later for participants with severe mental illness and costs were calculated. Levels of shared care were categorised into low, medium and high tertiles. Comparisons were made between the groups using multivariate analysis to control for participant characteristics. RESULTS: Participants receiving a low level of shared care used residential care less and were less likely to have contacts with a psychiatrist or social worker than those receiving medium or high levels of shared care. Mean costs for a low level of shared care were significantly lower than for a medium level (a difference of pound 2606, 90% CI pound 452 to pound 4923), but not significantly lower than for a high level of shared care (difference of pound 1867, 90% CI- pound 287 to pound 3903). CONCLUSION: Different levels of shared care are associated with different patterns of service use, with greater resource consumption associated with a medium level of shared care. Further work is required to investigate the causal links between integrated care and service use and costs.
Topic(s):
Financing & Sustainability
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Reference Links:
View the DOI record for Economic implications of shared care arrangements. A primary care based study of patients in an inner city sample
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View the PubMed citation for Economic implications of shared care arrangements. A primary care based study of patients in an inner city sample