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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).
11198 Results
4101
Finding potentially new multimorbidity patterns of psychiatric and somatic diseases: exploring the use of literature-based discovery in primary care research
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: BACKGROUND: Multimorbidity, the co-occurrence of two or more chronic medical conditions within a single individual, is increasingly becoming part of daily care of general medical practice. Literature-based discovery may help to investigate the patterns of multimorbidity and to integrate medical knowledge for improving healthcare delivery for individuals with co-occurring chronic conditions. OBJECTIVE: To explore the usefulness of literature-based discovery in primary care research through the key-case of finding associations between psychiatric and somatic diseases relevant to general practice in a large biomedical literature database (Medline). METHODS: By using literature based discovery for matching disease profiles as vectors in a high-dimensional associative concept space, co-occurrences of a broad spectrum of chronic medical conditions were matched for their potential in biomedicine. An experimental setting was chosen in parallel with expert evaluations and expert meetings to assess performance and to generate targets for integrating literature-based discovery in multidisciplinary medical research of psychiatric and somatic disease associations. RESULTS: Through stepwise reductions a reference set of 21,945 disease combinations was generated, from which a set of 166 combinations between psychiatric and somatic diseases was selected and assessed by text mining and expert evaluation. CONCLUSIONS: Literature-based discovery tools generate specific patterns of associations between psychiatric and somatic diseases: one subset was appraised as promising for further research; the other subset surprised the experts, leading to intricate discussions and further eliciting of frameworks of biomedical knowledge. These frameworks enable us to specify targets for further developing and integrating literature-based discovery in multidisciplinary research of general practice, psychology and psychiatry, and epidemiology.
Topic(s):
General Literature
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4106
First, do no harm: Advocating for opioid prescribing guidelines in Canadian emergency departments
Type: Journal Article
Year: 2017
Publication Place: England
Topic(s):
Opioids & Substance Use
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Reference Links: 
View the DOI record for First, do no harm: Advocating for opioid prescribing guidelines in Canadian emergency departments
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View the PubMed citation for First, do no harm: Advocating for opioid prescribing guidelines in Canadian emergency departments4107
Fitting it all in: Integration of 12 cross-cutting themes into a School of Medicine curriculum
Type: Journal Article
Year: 2007
Publication Place: England
Abstract: Changing demographic, social, economic and technological trends have impacted the expectations of the Academic Health Center in preparing physicians to serve the needs of the American society, resulting in revisions to current curricula. In addition to the traditional basic sciences and clinical disciplines, accredited medical schools are required to provide curriculum exposure in behavioral health, communication skills, diversity and cultural awareness, ethics, evidence-based medicine, geriatrics, integrative medicine, pain management, palliative care, public health, socio-economic dynamics, and domestic violence. These themes are considered 'cross-cutting' since it is recognized these important curricular components apply across all years of medical school. In this article, the authors describe a strategic model developed at the University of New Mexico School of Medicine (UNMSOM) to integrate horizontally and vertically 12 cross-cutting themes as an evolving interdisciplinary curriculum reform process. These areas were defined through a combination of internal self-study, external requirements, and student and faculty interest. In the early stage of use of this model at UNMSOM, the authors describe the new cross-cutting themes that have been integrated. Minimal disruption and a spirit of cooperation and acceptance have characterized the curricular change that has been required. Preliminary assessment indicates that the program has been successful.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Fitting it all in: Integration of 12 cross-cutting themes into a School of Medicine curriculum
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View the PubMed citation for Fitting it all in: Integration of 12 cross-cutting themes into a School of Medicine curriculum4109
Five levels of primary care/behavioral healthcare collaboration
Type: Journal Article
Year: 1996
Topic(s):
Key & Foundational
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Reference Links: View the PubMed citation for Five levels of primary care/behavioral healthcare collaboration
4110
Five Year Experience with Collaborative Care of Opioid Addicted Patients using Buprenorphine in Primary Care
Type: Journal Article
Year: 2011
Abstract: Background: Opioid addiction is a chronic disease treatable in primary care settings with buprenorphine, but this treatment remains underutilized. We describe a collaborative care model for managing opioid addiction with buprenorphine. Methods: This is a cohort study of patients treated for opioid addiction utilizing collaborative care between nurse care managers and generalist physicians in an urban academic primary care practice over 5 years. We examine patient characteristics, 12-month treatment success (i.e., retention or taper after 6 months), and predictors of successful outcomes. Results: From 2003 to 2008, 408 patients with opioid addiction were treated with buprenorphine. Twenty-six patients were excluded from analysis as they left treatment due to preexisting legal or medical conditions or a need for transfer to another buprenorphine program. At 12 months 51% of patients (196/382) underwent successful treatment. Of patients remaining in treatment at 3-, 6-, 9- and 12 months, 93% were no longer using illicit opioids or cocaine based on urine drug tests. On admission, patients who were older, employed, and used illicit buprenorphine had significantly higher odds of treatment success; those of African American or Hispanic race had significantly lower odds of treatment success. These outcomes were achieved with a model that facilitated physician involvement. Conclusions: Collaborative care with nurse care managers in an urban primary care practice is an alternative and successful method of service delivery for the majority of patients with opioid addiction while effectively utilizing the time of physicians prescribing buprenorphine.
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Five Year Experience with Collaborative Care of Opioid Addicted Patients using Buprenorphine in Primary Care
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View the PubMed citation for Five Year Experience with Collaborative Care of Opioid Addicted Patients using Buprenorphine in Primary Care4111
Five-Phase Replication of Behavioral Health Integration in Pediatric Primary Care
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Five-Phase Replication of Behavioral Health Integration in Pediatric Primary Care
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View the PubMed citation for Five-Phase Replication of Behavioral Health Integration in Pediatric Primary Care4113
Five-Year Mental Health Care Use by Patients Referred to Collaborative Care or to Specialized Care
Type: Journal Article
Year: 2015
Publication Place: United States
Abstract: OBJECTIVE: This study compared long-term use of mental health care by two groups of patients who had common mental disorders in the Netherlands-those treated in a collaborative care setting and those referred to off-site specialized mental health services if indicated. METHODS: The study was a retrospective analysis of use of mental health care over five years by 139 patients who participated in a cluster-randomized parent study. The parent study involved 27 general practitioners (GPs) who provided either collaborative care or usual care. In the collaborative care condition, a mental health professional worked on site at the GP's practice and was available to provide short-term treatment. In the usual-care condition, the GP referred the patient to off-site specialized mental health services if indicated; if not indicated, the GP provided usual care. The two treatment groups were compared on the number of mental health care contacts and total treatment duration, the proportion that initiated a new treatment episode after termination of the initial treatment, and time to new treatment. RESULTS: Patients in the collaborative care condition received about half the number of mental health care contacts as those in the usual-care condition, and no differences were found in the rate of initiation of new treatment episodes after initial treatment, time to new treatment, and total treatment duration. CONCLUSIONS: Referral of patients with common mental disorders to collaborative mental health care as a first intervention led to fewer contacts with a mental health care professional over the long term, compared with referral to specialized mental health care.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Five-Year Mental Health Care Use by Patients Referred to Collaborative Care or to Specialized Care
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View the PubMed citation for Five-Year Mental Health Care Use by Patients Referred to Collaborative Care or to Specialized Care4114
Five-year outcome of major depressive disorder in primary health care
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: BACKGROUND: Primary health care provides treatment for most patients with depression. Despite their importance for organizing services, long-term course of depression and risk factors for poor outcome in primary care are not well known. METHOD: In the Vantaa Primary Care Depression Study, a stratified random sample of 1119 patients representing primary care patients in a Finnish city was screened for depression with the Primary Care Evaluation of Mental Disorders. SCID-I/P and SCID-II interviews were used to diagnose Axis I and II disorders. The 137 patients with DSM-IV depressive disorder were prospectively followed up at 3, 6, 18 and 60 months. Altogether, 82% of patients completed the 5-year follow-up, including 102 patients with a research diagnosis of major depressive disorder (MDD) at baseline. Duration of the index episode, recurrences, time spent in major depressive episodes (MDEs) and partial or full remission were examined with a life-chart. RESULTS: Of the MDD patients, 70% reached full remission, in a median time of 20 months. One-third had at least one recurrence. The patients spent 34% of the follow-up time in MDEs, 24% in partial remission and 42% in full remission. Baseline severity of depression and substance use co-morbidity predicted time spent in MDEs. CONCLUSIONS: This prospective, naturalistic, long-term study of a representative cohort of primary care patients with depression indicated slow or incomplete recovery and a commonly recurrent course, which need to be taken into account when developing primary care services. Severity of depressive symptoms and substance use co-morbidity should be systematically evaluated in planning treatment.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Five-year outcome of major depressive disorder in primary health care
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View the PubMed citation for Five-year outcome of major depressive disorder in primary health care4115
Five-Year Outcomes of Behavioral Health Integration in Pediatric Primary Care
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Financing & Sustainability
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Reference Links: View the PubMed citation for Five-Year Outcomes of Behavioral Health Integration in Pediatric Primary Care
4118
FLOW: Early results from a clinical demonstration project to improve the transition of patients with mental health disorders back to primary care
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
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4119
FLOW: Early results from a clinical demonstration project to improve the transition of patients with mental health disorders back to primary care
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
HIT & Telehealth
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4120
Focusing on employment in primary mental health care: A scoping review
Type: Journal Article
Year: 2018
Publication Place: Netherlands
Abstract: BACKGROUND: People with mental health issues usually access primary health care services but employment status and/or return to work is not typically an explicit focus of a general practice consultation. OBJECTIVE: This scoping review aims to investigate the broad range of interventions used in primary health care to effectively support people with mental health issues to choose, get, or keep employment. METHODS: A literature search was conducted using five electronic databases. Peer reviewed research articles published between 1996 and February 2016 were included in the review. RESULTS: Twelve studies explored work related interventions for people with mental health issues in the primary health care context. The most commonly used intervention was sickness certification, other interventions that show promise were identified but there is limited empirical evidence to show their effectiveness in relation to improving employment outcomes. General practitioners identified a range of barriers in terms of focusing on employment outcomes for patients including knowledge and confidence in understanding the impact of work on symptoms and limited access to advice or services to refer patients to. CONCLUSIONS: This review suggests that work focused interventions situated in primary health care settings appear to be a promising approach for people with mental health issues. However, various barriers impact the implementation of an employment approach, with limited comparisons between different effective interventions. In the context of increasing numbers of people presenting with mental health issues, future research should address the implementation and effectiveness of work-focused interventions based in primary health care.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Focusing on employment in primary mental health care: A scoping review
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View the PubMed citation for Focusing on employment in primary mental health care: A scoping review