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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).
11248 Results
4122
Financing mental health and substance use disorder care within physical health: A look to the future
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: After sharing several case examples of health care for patients who have mental health/substance use disorders (MH/SUDs) in the current health care environment, this article describes the advantages that would occur if assessment and treatment of MH/SUDs became a clinical, administrative, and financial part of physical health with common provider networks, the ability to combine service locations (integrated clinics and inpatient units), similar coding and billing procedures, and a single funding pool. Because transition to such a system is complicated, the article then describes several process changes that would be required for integrated service delivery to take place.
Topic(s):
Financing & Sustainability
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Reference Links: 
View the DOI record for Financing mental health and substance use disorder care within physical health: A look to the future
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View the PubMed citation for Financing mental health and substance use disorder care within physical health: A look to the future4123
Financing mental health services for adolescents: A background paper
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: Good mental health provides an essential foundation for normal growth and development through adolescence and into adulthood. Many adolescents, however, experience mental health problems that significantly impede the attainment of their full potential. The majority of these adolescents do not receive needed mental health services, in part because of financial obstacles to care. This article reviews the magnitude and impact of mental health problems during adolescence and highlights the importance of insurance coverage in assuring access to mental health services for adolescents. Significant limitations in private health insurance coverage of mental health services are outlined. Recent federal and state efforts to move toward parity in private insurance coverage between mental and physical health services are discussed, including an explanation of the role of Medicaid and the State Children's Health Insurance Program (SCHIP) in providing access to mental health services for adolescents. Finally, other elements that would facilitate financial access to essential mental health services for adolescents are presented.
Topic(s):
Financing & Sustainability
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, Healthcare Policy
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Reference Links:
View the DOI record for Financing mental health services for adolescents: A background paper
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View the PubMed citation for Financing mental health services for adolescents: A background paper4127
Financing the Primary Care Behavioral Health Model
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Financing & Sustainability
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4128
Finding and keeping health care providers in rural communities: Culture change in recruitment at rural health group
Type: Journal Article
Year: 2015
Publication Place: United States
Abstract: Transforming rural primary care is possible only when leadership is committed to a core set of competencies. Northeastern North Carolina, not always seen as an attractive locale for health professionals, has been developing a primary care medical home that emphasizes team-based care built upon respect, trust, and professionalism.
Topic(s):
Healthcare Disparities
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, Medical Home
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Reference Links:
View the DOI record for Finding and keeping health care providers in rural communities: Culture change in recruitment at rural health group
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View the PubMed citation for Finding and keeping health care providers in rural communities: Culture change in recruitment at rural health group4129
Finding Common Ground: Interprofessional Collaborative Practice Competencies in Patient-Centered Medical Homes
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: The patient-centered medical home model is predicated on interprofessional collaborative practice and team-based care. While information on the roles of various providers is increasingly woven into the literature, the competencies of those providers have been generally profession-specific. In 2011, the Interprofessional Education Collaborative comprising the American Association of Colleges of Nursing, the American Association of Colleges of Osteopathic Medicine, the American Association of Colleges of Pharmacy, the American Dental Education Association, the Association of American Medical Colleges, and the Association of Schools of Public Health sponsored an expert panel of their members to identify and develop 4 domains of core competencies needed for a successful interprofessional collaborative practice: (1) Values/Ethics for Interprofessional Practice; (2) Roles/Responsibilities; (3) Interprofessional Communication; and (4) Teams and Teamwork. Their findings and recommendations were recorded in their Core Competencies for Interprofessional Collaborative Practice: Report of an Expert Panel. This article explores these 4 domains and how they provide common ground for team-based care within the context of the medical home model approach to patient-centered primary care.
Topic(s):
Medical Home
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Reference Links:
View the DOI record for Finding Common Ground: Interprofessional Collaborative Practice Competencies in Patient-Centered Medical Homes
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View the PubMed citation for Finding Common Ground: Interprofessional Collaborative Practice Competencies in Patient-Centered Medical Homes4130
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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4136
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 departments4137
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 curriculum4139
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
4140
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 Care