Email UpdatesLiterature Collection
Collection Insights
11K+
References
9K+
Articles
1400+
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).
11198 Results
4021
Family physicians' proficiency in urine drug test interpretation
Type: Journal Article
Year: 2007
Publication Place: United States
Abstract: OBJECTIVE: To determine the proficiency in urine drug test interpretation among family medicine physicians who order these tests to monitor adherence in their patients on chronic opioid therapy. METHODS: A seven-question instrument, consisting of six, five-option, single-best-answer multiple choice questions and one yes/no question was administered to 80 family medicine physicians attending a University of Kentucky Family Medicine Review Course. We calculated frequencies and performed chi2 analyses to examine bivariate associations between urine drug test utilization and interpretive knowledge. RESULTS: The instrument was completed by 60/80 (75 percent) of eligible physicians (44 order urine drug testing; 16 do not). None of the physicians who order urine drug testing answered more than five of the seven questions correctly, and only 20 percent answered more than half correctly. Physicians who order urine drug testing performed better than physicians who do not order urine drug testing on only four of the seven questions, although there were no statistically significant differences between the groups on any question. CONCLUSIONS: Family medicine physicians who order urine drug testing to monitor their patients on chronic opioid therapy are not proficient in their interpretation. This study highlights the need for improved physician education in this area. It is imperative for physicians to work closely with certified laboratory professionals when ordering and interpreting urine drug tests.
Topic(s):
Opioids & Substance Use
See topic collection
, Education & Workforce
See topic collection
Reference Links: View the PubMed citation for Family physicians' proficiency in urine drug test interpretation
4022
Family practice enhancements for patients with severe mental illness
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: Individuals with severe mental health disorders experience difficulty maneuvering the complexity encountered in primary care (PC). This study describes the impact of three components of primary care practice enhancements on: changes in missed appointments, changes in health outcomes, number of ER visits and hospitalization days, and perceptions of integrated care. Missed PC appointments: baseline to post practice enhancement changed from 42 to 11, statistically significant (p < .01). Changes in health outcomes: SF-12 scores had no significant change nor did ER utilization and hospitalization; however, outcomes are low-base rate and assessment period was short. Integration of care: liaison was most helpful in accessing and navigating PC, educating and reconciling medication lists. Behavioral health staff voiced relief regarding access and felt better informed. Strategies focusing on increasing communication, staff education, and reducing barriers to access and receipt of PC may improve integration and continuity of care.
Topic(s):
Education & Workforce
See topic collection
Reference Links:
View the DOI record for Family practice enhancements for patients with severe mental illness
View DOI Record
View the PubMed citation for Family practice enhancements for patients with severe mental illness4024
Family Related Factors and Concurrent Heroin Use in Methadone Maintenance Treatment in China
Type: Journal Article
Year: 2018
Publication Place: England
Abstract: BACKGROUND: The use of heroin during Methadone Maintenance Treatment (MMT) is a challenging problem that contributes to poor treatment outcomes. Families may play an important role in addressing concurrent heroin use during MMT, especially in collectivist societies such as China. OBJECTIVES: In this study, we explored the relationship between family-related factors and concurrent heroin use during MMT in China. METHODS: This study was conducted at 68 MMT clinics in five provinces of China. There were 2,446 MMT clients in the analysis. Demographic information, MMT dosage, family members' heroin use status, family support of MMT, family problem, and self-reported heroin use were collected in a cross-sectional survey. The most recent urinalysis of opiate use was obtained from clinical records. RESULTS: Of the 2,446 participants, 533 (21.79%) self-reported heroin use in the previous seven days or had a positive urine morphine test result in the clinic record. Participants whose family member[s] used heroin were 1.59 times (95% CI: 1.17, 2.15) more likely to use concurrently during treatment. Those with family members who totally support them on the MMT were less likely to use (AOR: 0.75, 95% CI: 0.60, 0.94). Having more family problems was positively associated with concurrent heroin use (AOR: 2.01, 95% CI: 1.03, 3.93). CONCLUSIONS: The results highlight the importance of the family's role in concurrent heroin use during MMT programs. The study's findings may have implications for family-based interventions that address concurrent heroin use.
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Family Related Factors and Concurrent Heroin Use in Methadone Maintenance Treatment in China
View DOI Record
View the PubMed citation for Family Related Factors and Concurrent Heroin Use in Methadone Maintenance Treatment in China4025
Family science and family-based research in integrated and health care contexts: Future considerations for Families, Systems, & Health
Type: Journal Article
Year: 2020
Publication Place: United States
Topic(s):
Education & Workforce
See topic collection
4026
Family-centered, culturally, and linguistically competent care: Essential components of the medical home
Type: Journal Article
Year: 2009
Publication Place: United States
Topic(s):
Medical Home
See topic collection
Reference Links:
View the DOI record for Family-centered, culturally, and linguistically competent care: Essential components of the medical home
View DOI Record
View the PubMed citation for Family-centered, culturally, and linguistically competent care: Essential components of the medical home4027
Fatal Fentanyl: One Pill Can Kill
Type: Journal Article
Year: 2016
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Fatal Fentanyl: One Pill Can Kill
View DOI Record
View the PubMed citation for Fatal Fentanyl: One Pill Can Kill4029
Fathers and the well-child visit
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: OBJECTIVE: Societal and economic shifts have expanded the roles that fathers play in their families. Father involvement is associated with positive cognitive, developmental, and sociobehavioral child outcomes such as improved weight gain in preterm infants, improved breastfeeding rates, higher receptive language skills, and higher academic achievement. However, father involvement in health care has been studied little, especially among nonmarried, minority fathers. Fathers are a significant part of the child's medical home, and comprehensive involvement of both parents is ideal for the child's well-being and health. Well-child visits (WCVs) represent opportunities for fathers to increase their involvement in their child's health care while learning valuable information about the health and development of their child. The objective of this study was to explore fathers' involvement in, experience and satisfaction with, and barriers to WCVs using qualitative methods. METHODS: In-depth, semistructured, qualitative interviews were conducted in 2 cities with a subsample of fathers who were participating in the national Fragile Families and Child Wellbeing Study. The 32 fathers who participated in our study come from a nested qualitative study called Time, Love, and Cash in Couples with Children. Fathers in our study reside in Chicago or Milwaukee and were interviewed about health care issues for 1.5 hours when the focal child was 3 years of age. Questions focused on the father's overall involvement in his child's health care, the father's attendance and experiences at the doctor, health care decision-making between mother and father, assessment of focal child's health, gender/normative roles, and the father's health. The open-ended questions were designed to allow detailed accounts and personal stories as told by the fathers. Coding and analysis were done using content analysis to identify themes. Particular themes that were used for this study focused on ideals of father involvement and dis/satisfaction, barriers to, and experiences in the health care system. RESULTS: Of the 50 fathers from the Time, Love, and Cash in Couples with Children study in the 2 cities, 3 had moved out of the state, 6 were in jail, 7 had been lost in earlier follow-up, and 1 had died, leaving 33 eligible respondents. Of those, 1 refused to participate, resulting in a final sample of 32 fathers and an adjusted response rate of 97%. The mean age was 31 years, and the sample was 56% black, 28% Hispanic, and 15% white; 53% were nonmarried. Only 2 fathers had attained a college degree or higher, and 84% of the fathers were employed at the time of the interview. The majority (53%) had attended a WCV and 84% had been to see a doctor with their child in the past year. Reasons for attending a WCV included (1) to gather information about their child, (2) to support their child, (3) to ask questions and express concerns, and (4) to gain firsthand experience of the doctor and the WCV. Fathers reported positive and negative experiences in their encounters with the health care system. The 3 main contributors to fathers' satisfaction with health care professionals were (1) inclusive interactions with the physician, (2) the perception of receiving quality care, and (3) receiving clear explanations. The negative experiences were often specific instances and noted along with positive comments. The negative experiences that were mentioned by the fathers included feeling viewed suspiciously by health care staff, being perceived as having a lesser emotional bond with their child than the mother, and the perception that they were receiving a lower quality of service compared with the mother. Major barriers to attending WCVs include employment schedules as well as their relationship with the focal child's mother. For example, some fathers stated that they did not attend WCVs because that was a responsibility that the mother assumed within the family. Other fathers lacked confidence in their parenting skills, which resulted in lower involvement levels. Also mentioned were health care system barriers such as inconvenient office hours and a lack of access to their child's records. Despite the presence of several barriers that seem to prevent fathers from attending WCVs, many fathers (20 of 32;63%) mentioned "situational flexibility," which enables them to overcome the stated barriers and attend doctor visits. For example, some fathers viewed the seriousness of the visit such as "ear surgery" as a reason to rearrange their schedules and attend a doctor visit with their child. CONCLUSION: The majority of fathers from our sample have attended a WCV, and most have been to their child's doctor in the past year; WCVs and doctor appointments are ways in which fathers are involved in their child's health care. Fathers detailed specific reasons for why they attend WCVs, such as to support their child, ask questions, express concerns, and gather information firsthand. The fathers reported more positive than negative experiences with the health care staff, and, overall, they are satisfied with their experiences with the health care system. Reasons for satisfaction include feeling as though their questions had been dealt with seriously and answered appropriately. However, the fathers in our study did report a variety of barriers to health care involvement, including conflicting work schedules, a lack of confidence in their parental role, and health care system barriers. Professionals who care for children and families need to explore creative ways to engage fathers in the structured health care of their children. For example, pediatricians can stress the benefits of both parents being involved in their child's health care while reframing the importance of WCVs. Understanding that many fathers have situational flexibility when it comes to health care encounters may encourage physicians to suggest more actively that fathers attend WCVs. Pediatricians can also support existing public policies such as the national 2003 Responsible Fatherhood Act that provides grants and programs that promote the father's role in the family and advocate for additional policies that would foster quality father involvement. Continued collaboration among families, physicians, and other health care professionals is essential to support father involvement and ensure positive health outcomes for children.
Topic(s):
Medical Home
See topic collection
Reference Links: View the PubMed citation for Fathers and the well-child visit
Export Citation: Download the RIS reference file for Fathers and the well-child visit
4030
FDA opioid safety plan promotes patient, physician education to prevent abuse
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Opioids & Substance Use
See topic collection
, Education & Workforce
See topic collection
Reference Links:
View the DOI record for FDA opioid safety plan promotes patient, physician education to prevent abuse
View DOI Record
View the PubMed citation for FDA opioid safety plan promotes patient, physician education to prevent abuse4032
FDA/DEA/PDMP/UDT: alphabet soup or sensible and integrated risk management?
Type: Journal Article
Year: 2015
Publication Place: United States
Abstract: OBJECTIVE: Both prescription drug monitoring programs (PDMP) and urine drug testing (UDT) are recommended as parts of an ongoing risk management approach for controlled substance prescribing. The authors provide an editorial and commentary to discuss the unique contributions of each to promote better clinical decision making for prescribers. DESIGN: A commentary is employed along with brief discussion comparing four states with an active PDMP in place to three states without an active PDMP as it relates back to findings on UDT in those states from a laboratory conducting liquid chromatography tandem mass spectrometry. CONCLUSIONS: The commentary focuses on the place of both tools (UDT and PDMP) in risk management efforts. The argument is made that relying on a PDMP alone would lead to clinical decisions that may miss a great deal of problematic or aberrant behaviors.
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for FDA/DEA/PDMP/UDT: alphabet soup or sensible and integrated risk management?
View DOI Record
View the PubMed citation for FDA/DEA/PDMP/UDT: alphabet soup or sensible and integrated risk management?4033
Feasibility and Acceptability of a Checklist and Learning Collaborative to Promote Quality and Safety in the Perinatal Care of Women with Opioid Use Disorders
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Opioids & Substance Use
See topic collection
, Healthcare Disparities
See topic collection
4034
Feasibility and acceptability of a digital health intervention to promote engagement in and adherence to medication for opioid use disorder
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
See topic collection
, HIT & Telehealth
See topic collection
, Opioids & Substance Use
See topic collection
4037
Feasibility and acceptability of electronic administration of patient reported outcomes using mHealth platform in emergency department patients with non-medical opioid use
Type: Journal Article
Year: 2021
Topic(s):
HIT & Telehealth
See topic collection
, Opioids & Substance Use
See topic collection
4039
Feasibility and acceptability of mindful recovery opioid use care continuum (M-ROCC): A concurrent mixed methods study
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Feasibility and acceptability of mindful recovery opioid use care continuum (M-ROCC): A concurrent mixed methods study
View DOI Record
View the PubMed citation for Feasibility and acceptability of mindful recovery opioid use care continuum (M-ROCC): A concurrent mixed methods study4040
Feasibility and acceptability of take-home naloxone for people released from prison in New South Wales, Australia
Type: Journal Article
Year: 2021
Publication Place: Australia
Topic(s):
Healthcare Disparities
See topic collection
, Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Feasibility and acceptability of take-home naloxone for people released from prison in New South Wales, Australia
View DOI Record
View the PubMed citation for Feasibility and acceptability of take-home naloxone for people released from prison in New South Wales, Australia