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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).
10858 Results
381
A one-session treatment for patients suffering from medically unexplained symptoms in primary care: a randomized clinical trial
Type: Journal Article
Year: 2007
Publication Place: United States
Abstract: The aim of the study was to evaluate a one-session cognitive-behavior treatment (CBT) versus standard medical care for 140 primary-care patients with multiple somatoform symptoms. DSM-IV diagnoses were assessed with structured interviews. Primary outcome variables were healthcare utilization, number, and severity of somatoform symptoms, and secondary outcome measures were psychopathology dimensions. Assessments were done at study enrollment, at 4-weeks, and at 6-month follow-up. General acceptance of CBT was high (positive session evaluations, low dropout rate: 15%). Using an intent-to-treat analytic strategy, both groups improved. Yet results showed a stronger reduction in doctor visits and somatization severity in CBT versus standard care.
Topic(s):
Medically Unexplained Symptoms
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383
A parenting education program for women in treatment for opioid-use disorder at an outpatient medical practice
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract:
Opioid use during pregnancy poses serious risks for the mother and the unborn child. Opioid-use disorder may be managed with medication-assisted treatment (MAT) in an outpatient setting, but few MAT practices specifically address the challenges faced by pregnant women. This article describes a medical office-based educational support group for women in MAT for opioid-use disorder who were pregnant and/or parenting young children. Focus groups were conducted to elicit patient feedback. Women indicated that they found the educational support groups beneficial and offered suggestions. In-office educational support groups for pregnant women in treatment for opioid-use disorder are feasible and well received.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Opioids & Substance Use
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Reference Links: 
View the DOI record for A parenting education program for women in treatment for opioid-use disorder at an outpatient medical practice
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View the PubMed citation for A parenting education program for women in treatment for opioid-use disorder at an outpatient medical practice388
A Payer-Guided Approach To Widespread Diffusion Of Behavioral Health Homes In Real-World Settings
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Education & Workforce
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, Medical Home
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Reference Links:
View the DOI record for A Payer-Guided Approach To Widespread Diffusion Of Behavioral Health Homes In Real-World Settings
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View the PubMed citation for A Payer-Guided Approach To Widespread Diffusion Of Behavioral Health Homes In Real-World Settings390
A Peer Mentorship Program for Mental Health Professionals in Veterans Health Administration Home-Based Primary Care
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: OBJECTIVES: Mental health professionals working in integrated, interdisciplinary primary or geriatric care settings may have limited training for this growing model of care. Peer mentorship is one avenue of professional development support. We describe the development and evaluation of a peer mentorship program for mental health professionals working within Veterans Health Administration (VHA) Home Based Primary Care (HBPC) programs. METHODS: Electronic surveys were administered to 57 peer mentorship pairs matched for program participation. The survey examined program utilization characteristics, nature of peer contact, and benefits and challenges reported by participants. RESULTS: Overall, mentor and mentee respondents (N = 58) cited numerous benefits of engaging in the program. Mentees reported their peer mentorship relationships provided acceptance, support, encouragement and positive role modeling. CONCLUSIONS: Findings suggest peer mentoring can be an important professional resource to offer mental health professionals new to working in integrated, geriatric care settings. CLINICAL IMPLICATIONS: Mental health professionals new to working in geriatric and/or integrated care settings may have limited training to meet specialized needs of patients, families, and interdisciplinary care teams. Peer mentorship following formal academic training may be an important option for professional development, supporting enhanced competence and, ultimately, improved patient care and team functioning.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for A Peer Mentorship Program for Mental Health Professionals in Veterans Health Administration Home-Based Primary Care
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View the PubMed citation for A Peer Mentorship Program for Mental Health Professionals in Veterans Health Administration Home-Based Primary Care392
A pharmacy's journey toward the patient-centered medical home
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: OBJECTIVE: To describe the integration of a clinic pharmacy with a patient-centered medical home (PCMH). SETTING: Primary care clinic in Monroe, WA, from 1981 to January 2011. PRACTICE DESCRIPTION: Pharmacists and physicians with a previous working relationship in a family practice residency program established colocated practices in 1981. In addition to traditional pharmacy services, collaborative practice agreements were developed and clinical pharmacy services expanded over time. Reimbursement challenges for clinical pharmacy services existed in the fee-for-service environment. The acquisition of the clinic and pharmacy by Providence Health and Services created a new financial alignment with additional opportunities for collaboration. PRACTICE INNOVATION: An internally funded grant established a PCMH pilot that included pharmacist participation. PCMH pharmacists and the care provider team identified areas to improve physician and clinic efficiencies and to enhance patient care. RESULTS: Clinical pharmacy services expanded under the PCMH model. Pharmacist activities included value-added refill authorization services, coordinated patient visits with the PCMH pharmacist and physicians, medication therapy management, diabetes and anticoagulation services, hospital discharge medication reconciliation, and participation in the shared medical appointment. CONCLUSION: Clinical pharmacy services are woven into the PCMH fabric of this clinic. New pharmacists will be challenged and rewarded in this evolving health care model.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for A pharmacy's journey toward the patient-centered medical home
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View the PubMed citation for A pharmacy's journey toward the patient-centered medical home394
A philosophy for behavioral health integration in primary care
Type: Journal Article
Year: 2017
Publication Place: United States
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for A philosophy for behavioral health integration in primary care
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View the PubMed citation for A philosophy for behavioral health integration in primary care395
A physician-pharmacist collaborative care model to prevent opioid misuse
Type: Journal Article
Year: 2020
Topic(s):
Education & Workforce
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, Healthcare Policy
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, Opioids & Substance Use
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Reference Links:
View the DOI record for A physician-pharmacist collaborative care model to prevent opioid misuse
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View the PubMed citation for A physician-pharmacist collaborative care model to prevent opioid misuse396
A pilot feasibility randomised controlled trial of an adjunct brief social network intervention in opiate substitution treatment services
Type: Journal Article
Year: 2018
Publication Place: England
Abstract: BACKGROUND: Approximately 3% of people receiving opioid substitution therapy (OST) in the UK manage to achieve abstinence from prescribed and illicit drugs within three years of commencing treatment. Involvement of families and wider social networks in supporting psychological treatment may be an effective strategy in facilitating recovery, and this pilot study aimed to evaluate the impact of a social network-focused intervention for patients receiving OST. METHODS: A two-site, open feasibility trial randomised patients receiving OST for at least 12 months but still reporting illicit opiate use in the past 28 days to one of three treatments: 1) treatment as usual (TAU), 2) Brief Social Behaviour and Network Therapy (B-SBNT) + TAU, or 3) Personal Goal Setting (PGS) + TAU. The two active interventions consisted of 4 sessions. There were 3 aims: 1) test the feasibility of recruiting OST patients to a trial of B-SBNT, and following them up over 12 months; 2) test the feasibility of training clinicians to deliver B-SBNT; 3) test whether B-SBNT reduces heroin use 3 and 12 months after treatment, and to explore potential mediating factors. The primary outcome for aim 3 was number of days of heroin use in the past month, and a range of secondary outcome measures were specified in advance (level of drug dependence, mental health, social satisfaction, therapist rapport, treatment satisfaction, social network size and support). RESULTS: A total of 83 participants were randomised, and 70 (84%) were followed-up at 12 months. Fidelity analysis of showed that B-SBNT sessions were clearly distinguishable from PGS and TAU sessions, suggesting it was possible to train clinical staff to an adequate level of competence. No significant differences were found between the 3 intervention arms in the primary or secondary outcome measures. Attendance at psychosocial treatment intervention sessions was low across all three arms (44% overall). CONCLUSIONS: Patients receiving OST can be recruited into a trial of a social network-based intervention, but poor attendance at treatment sessions makes it uncertain whether an adequate dose of treatment was delivered. In order to achieve the benefits of psychosocial interventions, further work is needed to overcome poor engagement. TRIAL REGISTRATION: ISRCTN Trial Registration Number: ISRCTN22608399 . Date of registration: 27/04/2012. Date of first randomisation: 14/08/2012.
Topic(s):
Opioids & Substance Use
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