Literature Collection

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Opioids & SU

The Literature Collection contains over 10,000 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).

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3304
Effectiveness of service linkages in primary mental health care: a narrative review part 1
Type: Journal Article
Authors: J. D. Fuller, D. Perkins, S. Parker, L. Holdsworth, B. Kelly, R. Roberts, L. Martinez, L. Fragar
Year: 2011
Publication Place: England
Abstract: BACKGROUND: With the move to community care and increased involvement of generalist health care providers in mental health, the need for health service partnerships has been emphasised in mental health policy. Within existing health system structures the active strategies that facilitate effective partnership linkages are not clear. The objective of this study was to examine the evidence from peer reviewed literature regarding the effectiveness of service linkages in primary mental health care. METHODS: A narrative and thematic review of English language papers published between 1998 and 2009. Studies of analytic, descriptive and qualitative designs from Australia, New Zealand, UK, Europe, USA and Canada were included. Data were extracted to examine what service linkages have been used in studies of collaboration in primary mental health care. Findings from the randomised trials were tabulated to show the proportion that demonstrated clinical, service delivery and economic benefits. RESULTS: A review of 119 studies found ten linkage types. Most studies used a combination of linkage types and so the 42 RCTs were grouped into four broad linkage categories for meaningful descriptive analysis of outcomes. Studies that used multiple linkage strategies from the suite of "direct collaborative activities" plus "agreed guidelines" plus "communication systems" showed positive clinical (81%), service (78%) and economic (75%) outcomes. Most evidence of effectiveness came from studies of depression. Long term benefits were attributed to medication concordance and the use of case managers with a professional background who received expert supervision. There were fewer randomised trials related to collaborative care of people with psychosis and there were almost none related to collaboration with the wider human service sectors. Because of the variability of study types we did not exclude on quality or attempt to weight findings according to power or effect size. CONCLUSION: There is strong evidence to support collaborative primary mental health care for people with depression when linkages involve "direct collaborative activity", plus "agreed guidelines" and "communication systems".
Topic(s):
Healthcare Policy See topic collection
3306
Effectiveness of Shared Decision-Making for Elderly Depressed Minority Primary Care Patients
Type: Journal Article
Authors: Patrick J. Raue PhD., Herbert C. Schulberg PhD., Martha L M.P.H. Bruce PhD., Samprit Banerjee PhD., Amanda M.A. Artis, Maria M.D. Espejo, Idalia M.A. Catalan, Sara M.A. Romero
Year: 2019
Publication Place: Washington
Topic(s):
Healthcare Disparities See topic collection
,
Measures See topic collection
3308
Effectiveness of Substance Use Navigation for Emergency Department Patients With Substance Use Disorders: An Implementation Study
Type: Journal Article
Authors: E. S. Anderson, E. Rusoja, J. Luftig, M. Ullal, R. Shardha, H. Schwimmer, A. Friedman, C. Hailozian, A. A. Herring
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
3309
Effectiveness of telephone support in increasing physical activity levels in primary care patients
Type: Journal Article
Authors: B. B. Green, T. McAfee, M. Hindmarsh, L. Madsen, M. Caplow, D. Buist
Year: 2002
Publication Place: Netherlands
Abstract: BACKGROUND: Physician counseling of patients to increase physical activity has had limited success in changing behavior. Providing organizational support to primary care providers and their patients may increase effectiveness. OBJECTIVE: This study evaluates the effectiveness of a telephone-based intervention to increase physical activity among patients who exercised <15 minutes daily and wanted to increase their physical activity over a 6-month period. DESIGN: This was a randomized controlled trial, conducted from 1997 to 1998, of 316 patients aged 18 to 65 who were recruited from a mailed health risk assessment. Baseline and 6-month post-intervention telephone assessments were conducted by telephone. SETTING: One family physician's patients in a suburban community. INTERVENTION: Three sessions of telephone-delivered motivational counseling. MAIN OUTCOME MEASURES: Physical activity score (11-item Physician-Based Assessment and Counseling for Exercise [PACE]) 6 months after the intervention. RESULTS: After adjusting for baseline exercise, there was a significantly higher level of self-reported exercise among individuals randomized to the intervention at the 6-month follow-up. The mean level of activity at follow-up for the intervention group was a PACE score of 5.37, compared to 4.98 in the control group (p<0.05). In the secondary analysis, which was limited to individuals who received the intervention, the effect was stronger (PACE score of 5.58 compared to 4.94, p<0.013). CONCLUSIONS: Patients can be recruited using a health-screening questionnaire to receive a telephone-delivered behavioral intervention to successfully increase their physical activity levels.
Topic(s):
Education & Workforce See topic collection
,
HIT & Telehealth See topic collection
3310
Effectiveness of telephone-based referral care management, a brief intervention to improve psychiatric treatment engagement
Type: Journal Article
Authors: Faika Zanjani, Bree Miller, Nicholas Turiano, Jennifer Ross, David W. Oslin
Year: 2008
Abstract: OBJECTIVE: This study examined the effectiveness of a telephone-based referral care management (TBR-CM) intervention for improving engagement in psychiatric treatment. METHODS: From September 2005 to May 2006, 169 primary care patients at the Philadelphia Veterans Affairs Medical Center completed a psychiatric diagnostic interview and were identified as needing psychiatric care. From this total of eligible patients, 113 (67%) gave informed consent and were randomly assigned to receive either usual care or the intervention. Usual care consisted of participants' being scheduled for a behavioral health care appointment, followed by a letter and reminder by telephone. The intervention group received the same, plus 1 or 2 brief motivational telephone sessions. Participant interviews and medical records provided study data. RESULTS: Research participants were primarily African American and 22-83 years old. In the sample, 40 patients (39%) had severe depression, 40 (39%) had substance use problems, and 33 (22%) had co-occurring severe depression and substance abuse. Overall, 40 participants (70%) in the intervention group compared with 18 (32%) in the usual care group engaged in at least 1 psychiatric treatment appointment (p < .001). Analyses also indicated that on average the intervention group attended more appointments (more than 3) compared with the usual care group (less than 2) (p = .008). CONCLUSIONS: The TBR-CM intervention program was effective at improving psychiatric treatment engagement. Future research is necessary to examine effectiveness of TBR-CM in more heterogeneous and larger samples and to evaluate economic benefits versus costs of intervention delivery. [Author Abstract]
Topic(s):
HIT & Telehealth See topic collection
3311
Effectiveness of the integrated care model Salut+Social in patients with chronic conditions: A mixed methods study protocol
Type: Journal Article
Authors: E. Gavaldà-Espelta, Del Mar Lleixà-Fortuño, J. Baucells-Lluis, M. Ferré-Ferraté, G. Mora-López, B. Tomàs-Navarro, C. Curto-Romeu, J. Lucas-Noll, Aguilar Martin, A. Q. Gonçalves, C. Ferré-Grau
Year: 2020
Abstract:

INTRODUCTION: Integrated care models aim to provide solutions to fragmentation of care by improving coordination. This study will evaluate the effectiveness of a new integrated care model (Salut + Social), which will promote the coordination and communication between social and healthcare services in southern Catalonia (Spain) to improve quality of life, adherence to treatment and access to medical services for patients with chronic conditions, and also to reduce caregiver burden. Additionally, we will evaluate the experience of caregivers, health professionals and social workers with the new model implemented. METHODS AND ANALYSIS: A clinical trial using mixed methodology will be carried out. The intervention consists of improving the coordination between the social and healthcare sectors during a 6-month period, by means of information and communication technology (ICT) tools that operate as an interface for the integrated care model. The study subjects are primary care patients with chronic health and social conditions that can benefit from a collaborative and coordinated approach. A sample size of 141 patients was estimated. Questionnaires that assess quality of life, treatment adherence, medical service and caregiver burden will be used at baseline and at 6, 9, and 12 months after the beginning of the study. The principal variable is quality of life. For statistical analysis, comparisons of means and proportions at different time points will be performed. A discussion group and semi-structured interviews will be conducted with the aim of improving the care model taking into account the opinions of professionals and caregivers. A thematic content analysis will be carried out. ETHICS AND DISSEMINATION: This study protocol has been approved by the Clinical Research Ethics Committee of the Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (code P17/100). Articles will be published in international, peer-reviewed scientific journals. TRIAL REGISTRATION: Clinical-Trials.gov: NCT04164160.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
3312
Effectiveness of transdiagnostic internet cognitive behavioural treatment for mixed anxiety and depression in primary care
Type: Journal Article
Authors: Jill M. Newby, Louise Mewton, Alishia D. Williams, Gavin Andrews
Year: 2014
Topic(s):
HIT & Telehealth See topic collection
3313
Effectiveness of trauma-focused cognitive behavioral therapy compared to psychosocial counseling in reducing HIV risk behaviors, substance use, and mental health problems among orphans and vulnerable children in Zambia: a community-based RCT
Type: Journal Article
Authors: J. C. Kane, C. Figge, A. Paniagua-Avila, S. Michaels-Strasser, C. Akiba, M. Mwenge, S. Munthali, P. Bolton, S. Skavenski, R. Paul, F. Simenda, K. Whetten, J. Cohen, K. Metz, L. K. Murray
Year: 2024
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
3315
Effectiveness Over Efficiency: Underestimating the Primary Care Physician Shortage.
Type: Journal Article
Authors: Robert L. Phillips, Andrew M. Bazemore, Lars Peterson
Year: 2014
Topic(s):
Education & Workforce See topic collection
3317
Effects of a nationwide programme: Interventions to reduce perceived barriers to collaboration and to increase structural one-on-one contact
Type: Journal Article
Authors: J. Heideman, M. Laurant, P. Verhaak, M. Wensing, R. Grol
Year: 2007
Publication Place: England
Abstract: OBJECTIVE: To describe the implementation of a nationwide programme and to determine the effects of specific quality improvement (QI) interventions within this programme on perceived barriers to collaboration between general practitioner (GPs) and mental health professionals and frequency of structural one-on-one contact regarding individual patients. METHODS: The implementation of regional QI-interventions, perceived barriers to collaboration, and frequency of structural one-on-one contact, were assessed in a cohort study involving two surveys (2001 and 2003) among a random sample of 2757 GPs. RESULTS: 1336 and 1358 GPs returned baseline and follow-up questionnaires respectively. Most of the interventions were only offered to a minority of GPs. Less than 25% of GPs that had been offered interventions actually participated. The frequency of structural one-on-one contact with mental health professionals did not change, but barriers to collaboration decreased between 2001 and 2003. For GPs who actually participated in interactive small group meetings or in intervention in which mental health professionals were integrated in general practice, a reduction of perceived barriers could be observed as well as an increase in the frequency of structural one-on-one contact. CONCLUSION: Interventions that could be characterized as interactive small group meetings as well as interventions that involved the integration of mental health professionals in general practice led to a reduction of perceived barriers as well as an increase in the frequency of structural one-on-one contact. These findings add to the knowledge of which interventions have an effect on the collaboration between different health care providers.
Topic(s):
Education & Workforce See topic collection
3318
Effects of a psychological intervention in a primary health care center for caregivers of dependent relatives: a randomized trial
Type: Journal Article
Authors: E. Rodriguez-Sanchez, M. C. Patino-Alonso, S. Mora-Simon, M. A. Gomez-Marcos, A. Perez-Penaranda, A. Losada-Baltar, L. Garcia-Ortiz
Year: 2013
Publication Place: United States
Abstract: PURPOSE: To assess, in the context of Primary Health Care (PHC), the effect of a psychological intervention in mental health among caregivers (CGs) of dependent relatives. DESIGN AND METHODS: Randomized multicenter, controlled clinical trial. The 125 CGs included in the trial were receiving health care in PHC. Inclusion criteria: Identifying oneself as principal CG of a dependent relative with dementia or any other disability, and having performed this task for at least 6 months. CGs were randomized to an intervention group (cognitive-behavioral treatment for managing dysfunctional thoughts about caregiving and training in self-help techniques) or to a control group (care as usual). CG mental health (General Health Questionnaire [GHQ-12]), dysfunctional thoughts about caregiving, quality of life, and burden were measured. RESULTS: The intervention group showed improvement in mental health: A mean reduction in GHQ-12 score of -3.33 points was recorded in the intervention group vs. the control group (95% CI: -5.95 to -0.70; p = .01; Cohen d = 0.55). Improvement was also recorded in dysfunctional thoughts about caregiving: (-5.84; 95% CI: -10.60 to -1.09; p = .01; Cohen d = 0.62). Among the CGs that completed the initial and final assessments, a mean of 4.77 (SD 2.68) attended a maximum of 8 sessions. Men attended more often (5.00 sessions with SD 2.68) than women (4.70 sessions with SD 2.45; p < .001). IMPLICATIONS: Psychological group intervention in the context of PHC, aimed at the CGs of dependent persons with dementia and other disabilities, has improved mental health condition in CGs.
Topic(s):
General Literature See topic collection
3319
Effects of a telephone counseling intervention on psychosocial adjustment in women following a cardiac event
Type: Journal Article
Authors: R. Gallagher, S. McKinley, K. Dracup
Year: 2003
Publication Place: United States
Abstract: OBJECTIVE: The purpose of this study was to test the effect of a post-discharge telephone counseling intervention on women's psychosocial adjustment following a cardiac event. DESIGN: The study was a prospective, randomized, controlled trial. PATIENTS: Women (n = 196) were recruited from 4 hospitals in Sydney, Australia, who were hospitalized for coronary artery disease: myocardial infarction, coronary artery bypass grafts, coronary angioplasty, or stable angina. Women were randomized to usual care (n = 103) or telephone counseling (n = 93) and were 67 years of age (range 34-92). The majority had not completed high school (92%) and were not employed (84%). OUTCOMES: Psychosocial adjustment was measured by the Psychosocial Adjustment to Illness Scale and the Hospital Anxiety and Depression Scale the day before hospital discharge and 12 weeks postdischarge. INTERVENTION: Individualized information and support, was designed to promote self-managed recovery and psychosocial adjustment, and began with an evaluation during admission and was followed up by telephone counseling at 1, 2, 3, and 6 weeks after discharge. RESULTS: The intervention had no effect on psychosocial adjustment (F[1,182] = 0.06, P =.8), anxiety (F[1,182] = 0.15, P =.69) or depression (F[1,182] = 0.11, P =.74) at 12 weeks after discharge. Women made significant improvements during the 12 weeks on mean scores for psychosocial adjustment (F[1,182] = 58.37, P =.00), anxiety (F [1,182] = 74.58, P =.00) and depression (F[1,182] = 14.11, P =.00). The predictors of poor psychosocial outcomes for women included being less than 55 years of age, being unemployed or retired, having poor psychosocial adjustment to illness at baseline, having readmission, or experiencing a stressful, personal event during follow-up. CONCLUSIONS: Women at risk for poor outcomes following hospitalization for a cardiac event can be identified (ie, women less than 55 years of age, unemployed or retired, poorly adjusted to their cardiac illness, or readmitted to hospital within 12 weeks of a previous cardiac admission), but an effective intervention to enhance psychosocial outcomes remains to be established.
Topic(s):
HIT & Telehealth See topic collection
3320
Effects of a trauma-informed mindful recovery program on comorbid pain, anxiety, and substance use during primary care buprenorphine treatment: A proof-of-concept study
Type: Journal Article
Authors: Z. Schuman-Olivier, T. Fatkin, T. B. Creedon, F. Samawi, S. K. Moore, K. Okst, A. K. Fredericksen, A. S. Oxnard, D. Roll, L. Smith, B. L. Cook, R. D. Weiss
Year: 2023
Topic(s):
Opioids & Substance Use See topic collection
,
Measures See topic collection