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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).

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11248 Results
3982
Fact Sheet: Final Rules under the Mental Health Parity and Addiction Equity Act (MHPAEA)
Type: Report
Authors: U.S. Department of Labor
Year: 2024
Publication Place: Washington, DC
Topic(s):
Healthcare Policy See topic collection
,
Grey Literature See topic collection
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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

3983
Fact Sheet: Substance (Other Than Tobacco) Abuse Structured Assessment and Brief Intervention (SBIRT) Services
Type: Government Report
Authors: Medicare Learning Network
Year: 2011
Publication Place: Baltimore, MD
Topic(s):
Grey Literature See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Policy See topic collection
,
Opioids & Substance Use See topic collection
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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

3984
Factors affecting behavioral health provider turnover in us US Air Force care behavioral health services
Type: Journal Article
Authors: Ryan R. Landoll, Matthew K. Nielsen, Kathryn K. Waggoner
Year: 2018
Topic(s):
Education & Workforce See topic collection
3985
Factors affecting costs in Medicaid populations with behavioral health disorders
Type: Journal Article
Authors: E. Freeman, C. A. McGuire, J. W. Thomas, D. A. Thayer
Year: 2014
Publication Place: United States
Abstract: BACKGROUND: Persons with behavioral disorders incur higher healthcare costs. Although they utilize behavioral health (BH) services others do not, they also have higher utilization of medical services OBJECTIVES: : To determine the degree to which higher costs for persons with BH disorders are attributable to utilization of BH services, multiple chronic medical conditions (CMCs) or other issues specific to populations with BH disorders. RESEARCH DESIGN: Data base consisted of claims for 63,141 Medicaid beneficiaries, 49% of whom had one of 5 categories of BH disorder. Generalized linear models were used to identify relative impact of demographics, BH status, multiple CMCs and primary care access on total, behavioral, nonbehavioral, and medical/surgical costs. RESULTS: Number of CMCs was associated with significant increases in all cost categories, including behavioral costs. Presence of any BH disorder significantly influenced these same costs, including those not associated with BH care. Effect size in each cost category varied by BH group. CONCLUSIONS: BH status has a large impact on all healthcare costs, including costs of medical and other non-BH services. The number of CMCs affects BH costs independent of BH disorder. Results suggest that costs might be reduced through better integration of behavioral and medical health services.
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
3986
Factors affecting implementation of perinatal mental health screening in women of refugee background
Type: Journal Article
Authors: N. Nithianandan, M. Gibson-Helm, J. McBride, A. Binny, K. M. Gray, C. East, J. A. Boyle
Year: 2016
Publication Place: England
Abstract: BACKGROUND: For women of refugee background, the increased risk of mental illness associated with pregnancy is compounded by pre- and post-settlement stressors. In Australia, antenatal screening for depression and anxiety symptoms using the Edinburgh Postnatal Depression Scale is recommended for all women. Despite this, screening is not routinely implemented and little is known about barriers and enablers to implementation for women of refugee background. METHODS: Semi-structured interviews were conducted with a range of health professionals (n = 28: midwives, obstetricians, perinatal mental health and refugee health experts, interpreters) and women of refugee background (n = 9). Themes generated from thematic analysis were examined in relation to the Theoretical Domains Framework and Cultural Competence Conceptual Framework, followed by identification of effective behaviour change techniques to address the barriers and enablers identified by participants. These techniques formed the basis of recommendations to inform sustainable implementation of screening and referral. RESULTS: Almost all participants perceived perinatal mental health screening to be necessary and most recognised the importance of post-traumatic stress disorder (PTSD) screening. Barriers and enablers were identified and related to eight domains: knowledge, skills, professional roles, beliefs about capabilities and consequences, environmental context, social influences and behavioural regulation. CONCLUSIONS: This research clarifies how mental health screening may be integrated into routine antenatal care for women of refugee background, in order to improve provision of recommended care. These theory-informed recommendations include an inter-disciplinary approach, coordinating care within and across services, addition of PTSD screening, and effective communication with women.
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
3987
Factors affecting norbuprenorphine level in monitoring clinical outcome for buprenorphine-maintained patients.
Type: Journal Article
Authors: Ayman Fareed, Kelly Scheinberg, Sreedevi Vayalapalli, Steven Stout, Robin Gale, Aalok Chandora, Karen Drexler
Year: 2013
Topic(s):
Opioids & Substance Use See topic collection
3988
Factors affecting patients' journey with primary healthcare services during mental health-related sick leave
Type: Journal Article
Authors: J. Labourot, É Pinette, N. Giguère, M. Menear, C. Cameron, E. Marois, B. Vachon
Year: 2024
Topic(s):
Healthcare Disparities See topic collection
3989
Factors Affecting State-Level Enforcement of the Federal Mental Health Parity and Addiction Equity Act: A Cross-Case Analysis of Four States
Type: Journal Article
Authors: R. Presskreischer, C. L. Barry, A. K. Lawrence, A. McCourt, R. Mojtabai, E. E. McGinty
Year: 2023
3990
Factors affecting willingness to provide buprenorphine treatment
Type: Journal Article
Authors: J. Netherland, M. Botsko, J. E. Egan, A. J. Saxon, C. O. Cunningham, R. Finkelstein, M. N. Gourevitch, J. A. Renner, N. Sohler, L. E. Sullivan, L. Weiss, D. A. Fiellin, BHIVES Collaborative
Year: 2009
Publication Place: United States
Abstract: Buprenorphine is an effective long-term opioid agonist treatment. As the only pharmacological treatment for opioid dependence readily available in office-based settings, buprenorphine may facilitate a historic shift in addiction treatment from treatment facilities to general medical practices. Although many patients have benefited from the availability of buprenorphine in the United States, almost half of current prescribers are addiction specialists suggesting that buprenorphine treatment has not yet fully penetrated general practice settings. We examined factors affecting willingness to offer buprenorphine treatment among physicians with different levels of prescribing experience. Based on their prescribing practices, physicians were classified as experienced, novice, or as a nonprescriber and asked to assess the extent to which a list of factors impacted their prescription of buprenorphine. Several factors affected willingness to prescribe buprenorphine for all physicians: staff training; access to counseling and alternate treatment; visit time; buprenorphine availability; and pain medications concerns. Compared with other physicians, experienced prescribers were less concerned about induction logistics and access to expert consultation, clinical guidelines, and mental health services. They were more concerned with reimbursement. These data provide important insight into physician concerns about buprenorphine and have implications for practice, education, and policy change that may effectively support widespread adoption of buprenorphine.
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
3991
Factors associated with a patient-centered medical home among children with behavioral health conditions
Type: Journal Article
Authors: C. Knapp, L. Woodworth, D. Fernandez-Baca, J. Baron-Lee, L. Thompson, M. Hinojosa
Year: 2013
Publication Place: United States
Abstract: At some point in their lives, nearly one-half of all American children will have a behavioral health condition. Many will not receive the care they need from a fragmented health delivery system. The patient-centered medical home is a promising model to improve their care; however, little evidence exists. Our study aim was to examine the association between several behavioral health indicators and having a patient-centered medical home. 91,642 children's parents or guardians completed the 2007 National Survey of Children's Health. An indicator for patient-centered medical home was included in the dataset. Descriptive statistics, bivariate tests, and multivariate regression models were used in the analyses. Children in the sample were mostly Male (52 %), White (78 %), non-Hispanic (87 %), and did not have a special health care need (80 %). 6.2 % of the sample had at least one behavioral health condition. Conditions ranged from ADHD (6 %) to Autism Spectrum Disorder (ASD) (1 %). Frequency of having a patient-centered medical home also varied for children with a behavioral health condition (49 % of children with ADHD and 33 % of children with ASD). Frequency of having a patient-centered medical home decreased with multiple behavioral health conditions. Higher severity of depression, anxiety, and conduct disorder were associated with a decreased likelihood of a patient-centered medical home. Results from our study can be used to target patient-centered medical home interventions toward children with one or more behavioral health conditions and consider that children with depression, anxiety, and conduct disorder are more vulnerable to these disparities.
Topic(s):
Healthcare Disparities See topic collection
,
Medical Home See topic collection
3992
Factors associated with being a false positive on the General Health Questionnaire
Type: Journal Article
Authors: T. Bell, M. Watson, D. Sharp, I. Lyons, G. Lewis
Year: 2005
Publication Place: Germany
Abstract: BACKGROUND: The General Health Questionnaire (GHQ) has been used extensively in community and primary care research as an alternative to longer, time-consuming and more expensive assessments of the common mental disorders of depression and anxiety. The sensitivity and specificity of the GHQ compared with longer more detailed assessments is between 70 and 80%. Though satisfactory, this raises the concern about the possibility of bias in relation to longer assessments. We studied socio-demographic factors that were associated with being a false positive on the GHQ in order to investigate any ascertainment bias in relation to more detailed assessments. METHOD: A total of 7,357 consecutive patients aged 16 and over, in five general practices in Cardiff, Bristol and Pontypridd, were invited to complete the 12-item GHQ. Of these, 1,154 patients scored 3 or more, our case definition on the GHQ, and completed a computerised version of the Revised Clinical Interview Schedule (CIS-R) together with a short socio-demographic questionnaire. RESULTS: Of the 1,154 subjects who were cases on the GHQ, 344 (30 %) (95% CI 27%-32%) were false positive and were not cases on the CIS-R. After adjustment for the other variables, including GHQ score, false positive subjects were more likely to be employed [odds ratio (OR) 2.7, 95% CI 1.4-5.3], owner-occupiers (OR 1.6, 95% CI 1.0-2.4) and to have a close friend or relative to talk to about personal problems (OR 2.2, 95 % CI 1.4-3.5). CONCLUSION: Our results suggest that in this study there was an ascertainment bias on the GHQ in relation to the CIS-R. Studies that use the GHQ to study the relationship between socio-economic status and common mental disorder could lead to biased estimates of association compared to studies that use the CIS-R. It is likely that the GHQ will lead to a higher estimate of prevalence than the CIS-R in subjects who are better off financially and who have better social support.
Topic(s):
HIT & Telehealth See topic collection
3993
Factors associated with complicated buprenorphine inductions
Type: Journal Article
Authors: S. D. Whitley, N. L. Sohler, H. V. Kunins, A. Giovanniello, X. Li, G. Sacajiu, C. O. Cunningham
Year: 2010
Publication Place: United States
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
3994
Factors associated with concurrent illicit use of opiates and crack/cocaine among opiate-users in treatment: implications for treatment services in England
Type: Journal Article
Authors: Arun Sondhi, Lucy Pointon, Anna Kawalek, Alessandro Leidi, David Best
Year: 2020
Publication Place: Philadelphia, Pennsylvania
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Measures See topic collection
,
Opioids & Substance Use See topic collection
3995
Factors associated with discontinuation of methadone maintenance therapy (MMT) among persons who use alcohol in Vancouver, Canada
Type: Journal Article
Authors: J. Klimas, E. Nosova, E. Socias, S. Nolan, R. Brar, K. Hayashi, M. J. Milloy, T. Kerr, E. Wood
Year: 2018
Publication Place: Ireland
Topic(s):
Opioids & Substance Use See topic collection
3997
Factors Associated with Gabapentin Misuse among People Who Inject Drugs in Appalachian Kentucky
Type: Journal Article
Authors: Mance E. Buttram, Hilary L. Surratt
Year: 2020
Publication Place: Philadelphia, Pennsylvania
Topic(s):
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
3998
Factors Associated with Implementing the Integrated Behavioral Health Care Model and Iraqi Refugees in the USA
Type: Journal Article
Authors: Y. Peer, A. Koren, P. DiNapoli, R. Gautam
Year: 2023
Topic(s):
Healthcare Disparities See topic collection
4000
Factors associated with Medicaid patients' access to buprenorphine treatment
Type: Journal Article
Authors: J. D. Baxter, R. E. Clark, M. Samnaliev, G . Y. Leung, L. Hashemi
Year: 2011
Publication Place: United States
Topic(s):
Opioids & Substance Use See topic collection