Literature Collection

4041

From Resistance to Existence-Experiences of Medication-Assisted Treatment as Disclosed by People with Opioid Dependence

Type: Journal Article

Authors: Britt-Marie Lindgren, Margita Eklund, Ylva Melin, Ulla Hallgren Graneheim

Year: 2015

Publication Place: Washington

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4042

From silos to bridges: meeting the general health care needs of adults with severe mental illnesses

Type: Journal Article

Authors: M. Horvitz-Lennon, A. M. Kilbourne, H. A. Pincus

Year: 2006

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4043

From the Editor. Integrating Behavioral Health Into Primary Care

Type: Journal Article

Authors: Sarina Schrager

Year: 2021

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4044

From triple to quadruple aim: Care of the patient requires care of the provider

Type: Journal Article

Authors: T. Bodenheimer, C. Sinsky

Year: 2014

Publication Place: United States

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4045

Full agonist opioid prescribing by primary care clinicians after buprenorphine training

Type: Journal Article

Authors: A. Gadomski, J. Anderson, Y. K. Chung, N. Krupa, P. Jenkins

Year: 2020

Publication Place: United States

Abstract:

Background: While primary care clinicians are being trained to use buprenorphine for the treatment of Opioid Use Disorder (OUD) in order to increase access to addiction treatment, it is not known what impact such training and subsequent experience treating patients with OUD has on full agonist opioid prescribing. Methods: This retrospective cohort study compares the full agonist opioid prescribing patterns of Drug Addiction Treatment Act (DATA)-waivered ("X-waivered") primary care clinicians to non-trained, non-waivered clinicians in a rural health network. X-waivered clinicians also received Project ECHO training and telementoring support for one year. Using prescriber data generated by an electronic medical record system, opioid prescribing and morphine milligram equivalents (MME) per day per patient were calculated. A between-group analysis was used to compare the study groups six months pre-versus post-training. Results: Although the mean number of full agonist opioid prescriptions per clinician and per 100 patient encounters decreased among all clinicians, there was no change in full agonist opioid prescribing MME. As expected, buprenorphine prescribing by X-waivered, trained clinicians increased significantly post-training. Conclusions: X-waivers plus Project ECHO support for the treatment of OUD using buprenorphine had no effect on full agonist opioid prescribing by primary care clinicians.

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4046

Full Committee Hearing - Assessing the State of America's Mental Health [Video]

Type: Web Resource

Year: 2013

Publication Place: Washington, D.C.

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,

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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.

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4047

Full immersion in the mainstream: how years of promise for mental health and substance use disorders came to fruition with the Affordable Care Act

Type: Journal Article

Authors: W. Emmet, O. Morgan, J. L. Stange

Year: 2014

Publication Place: United States

Abstract: With passage of the Patient Protection and Affordable Care Act (ACA), the behavioral health community has achieved entry into the mainstream of U.S. health care. Passage of the law was the culmination of a long effort by advocates. At the same time, findings from research and practice have informed the nation's understanding that behavioral health is integral to health. The primary task before the behavioral health community now is to ensure that the advances of recent years are secured through implementation of the ACA and approaches to service delivery that emphasize integrated care.

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4048

Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program

Type: Journal Article

Authors: R. Myers

Year: 2018

Publication Place: Italy

Abstract: People with severe persistent mental illness pose a significant challenge to managed care organizations and society in general. The financial costs are staggering as is the community impact including homelessness and incarceration. This population also has a high incident of chronic comorbid disorders that not only drives up healthcare costs but also significantly shortens longevity. Traditional case management approaches are not always able to provide the intense and direct interventions required to adequately address the psychiatric, medical and social needs of this unique population. This article describes a Medicare Advantage Chronic Special Needs Program that provides a Medical Home, Active Community Treatment, and Integrated Care. A comparison of utilization and patient outcome measures of this program with fee for service Medicare found significant reduction in utilization and costs, as well as increased adherence to the management of chronic medical conditions and preventative services.

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4049

Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program

Type: Journal Article

Authors: R. Myers

Year: 2018

Publication Place: Italy

Abstract: People with severe persistent mental illness pose a significant challenge to managed care organizations and society in general. The financial costs are staggering as is the community impact including homelessness and incarceration. This population also has a high incident of chronic comorbid disorders that not only drives up healthcare costs but also significantly shortens longevity. Traditional case management approaches are not always able to provide the intense and direct interventions required to adequately address the psychiatric, medical and social needs of this unique population. This article describes a Medicare Advantage Chronic Special Needs Program that provides a Medical Home, Active Community Treatment, and Integrated Care. A comparison of utilization and patient outcome measures of this program with fee for service Medicare found significant reduction in utilization and costs, as well as increased adherence to the management of chronic medical conditions and preventative services.

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4050

Functional concerns and treatment priorities among veterans receiving VHA Primary Care Behavioral Health services

Type: Journal Article

Authors: P. R. King, G. P. Beehler, L. J. Buchholz, E. M. Johnson, L. O. Wray

Year: 2019

Publication Place: United States

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4051

Functional evaluation of NK(1) antagonism on cue reactivity in opiate dependence; An fMRI study

Type: Journal Article

Authors: L. Fonville, L. Paterson, K. Herlinger, A. Hayes, R. Hill, D. Nutt, A. Lingford-Hughes

Year: 2021

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4052

Functional outcomes of multi-condition collaborative care and successful ageing: results of randomised trial

Type: Journal Article

Authors: M. Von Korff, W. J. Katon, E. H. Lin, P. Ciechanowski, D. Peterson, E. J. Ludman, B. Young, C. M. Rutter

Year: 2011

Publication Place: England

Abstract: OBJECTIVE: To evaluate the effectiveness of integrated care for chronic physical diseases and depression in reducing disability and improving quality of life. DESIGN: A randomised controlled trial of multi-condition collaborative care for depression and poorly controlled diabetes and/or risk factors for coronary heart disease compared with usual care among middle aged and elderly people SETTING: Fourteen primary care clinics in Seattle, Washington. PARTICIPANTS: Patients with diabetes or coronary heart disease, or both, and blood pressure above 140/90 mm Hg, low density lipoprotein concentration >3.37 mmol/L, or glycated haemoglobin 8.5% or higher, and PHQ-9 depression scores of >/= 10. INTERVENTION: A 12 month intervention to improve depression, glycaemic control, blood pressure, and lipid control by integrating a "treat to target" programme for diabetes and risk factors for coronary heart disease with collaborative care for depression. The intervention combined self management support, monitoring of disease control, and pharmacotherapy to control depression, hyperglycaemia, hypertension, and hyperlipidaemia. MAIN OUTCOME MEASURES: Social role disability (Sheehan disability scale), global quality of life rating, and World Health Organization disability assessment schedule (WHODAS-2) scales to measure disabilities in activities of daily living (mobility, self care, household maintenance). RESULTS: Of 214 patients enrolled (106 intervention and 108 usual care), disability and quality of life measures were obtained for 97 intervention patients at six months (92%) and 92 at 12 months (87%), and for 96 usual care patients at six months (89%) and 92 at 12 months (85%). Improvements from baseline on the Sheehan disability scale (-0.9, 95% confidence interval -1.5 to -0.2; P = 0.006) and global quality of life rating (0.7, 0.2 to 1.2; P = 0.005) were significantly greater at six and 12 months in patients in the intervention group. There was a trend toward greater improvement in disabilities in activities of daily living (-1.5, -3.3 to 0.4; P = 0.10). CONCLUSIONS: Integrated care that covers chronic physical disease and comorbid depression can reduce social role disability and enhance global quality of life. Trial registration Clinical Trials NCT00468676.

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4053

Functional roles and foundational characteristics of psychologists in integrated primary care

Type: Journal Article

Authors: J. M. Nash, K. M. McKay, M. E. Vogel, K. S. Masters

Year: 2012

Publication Place: United States

Abstract: Psychologists are presented with unprecedented opportunities to integrate their work in primary care settings. Although some roles of psychologists in primary care overlap with those in traditional psychology practice settings, a number are distinct reflecting the uniqueness of the primary care culture. In this paper, we first describe the integrated primary care setting, with a focus on those settings that have components of patient centered medical home. We then describe functional roles and foundational characteristics of psychologists in integrated primary care. The description of functional roles emphasizes the diversity of roles performed. The foundational characteristics identified are those that we consider the 'primary care ethic,' or core characteristics of psychologists that serve as the basis for the various functional roles in integrated primary care. The 'primary care ethic' includes attitudes, values, knowledge, and abilities that are essential to the psychologist being a valued, effective, and productive primary care team member.

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4054

Functioning and disability levels in primary care out-patients with one or more anxiety disorders

Type: Journal Article

Authors: Cathy D. Sherbourne, Greer Sullivan, Michelle G. Craske, Peter P. Roy-Byrne, Daniela Golinelli, Raphael D. Rose, Denise A. Chavira, Alexander Bystritsky, Murray B. Stein

Year: 2010

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4055

Fundamentals of primary care behavioral health integration

Type: Book Chapter

Authors: Anne C. Dobmeyer

Year: 2018

Publication Place: Washington, DC

Topic(s):

,

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.

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4056

Funding Accountable Care in Oregon: Financial Models in Two Coordinated Care Organizations

Type: Journal Article

Authors: Lauren Broffman, Kristin Brown, K. B. Bayley, Lucy Savitz, Jill Rissi

Year: 2016

Publication Place: Chicago, Illinois

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4057

Funding and Billing for Integrated Behavioral Health Care

Type: Journal Article

Authors: K. Patel, R. W. Apple, J. Campbell

Year: 2021

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4058

Funding mechanisms for depression care management: Opportunities and challenges

Type: Journal Article

Authors: J. Bachman, H. A. Pincus, J. K. Houtsinger, J. Unutzer

Year: 2006

Publication Place: United States

Abstract: OBJECTIVE: Inconsistent third-party reimbursement for depression care management is a significant economic barrier to the utilization and sustainability of the chronic illness care model in primary care practice settings. We review common mechanisms used to procure payment for depression care management services, discuss obstacles encountered and suggest future directions. METHOD: We describe several extant models for funding depression care management services in use at the demonstration sites of the Robert Wood Johnson Foundation funded "Depression in Primary Care" project and similar programs. We derived this information from ongoing discussions with the sites' project directors and through an extensive electronic literature search on "care management, funding mechanisms and depression." RESULTS: Funding mechanisms include (a) practice-based care management on a fee-for-service basis, (b) practice-based care management under contract to health plans, (c) global capitation, (d) flexible infrastructure support for chronic care management, (e) health-plan-based care management, (f) third-party-based care management under contract to health plans and (g) hybrid models. CONCLUSIONS: While substantial obstacles remain in the way of fully implementing these depression care management funding mechanisms (e.g., variations in care managers' credentials and work locations and third-party payer concerns about overutilization and transaction costs), several recent policy advances provide some optimism for the potential adoption of financial mechanisms to support and disseminate these evidence-based practices.

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4059

Funding, financing, and investing in integrated early childhood mental health services in primary care settings

Type: Book Chapter

Authors: Ayelet Talmi, Melissa Buchholz, Emily F. Muther

Year: 2016

Publication Place: Switzerland

Topic(s):

,

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.

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4060

Funding, financing, and investing in integrated early childhood mental health services in primary care settings

Type: Book

Authors: Ayelet Talmi, Melissa Buchholz, Emily F. Muther

Year: 2016

Publication Place: Cham

Topic(s):

, ,

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.

Export Citation: RIS

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