Literature Collection

4221

Health care integration for formerly homeless people with serious mental illness.

Type: Journal Article

Authors: Lara Carson Weinstein, Marianna LaNoue, Elizabeth Collins, Benjamin F. Henwood, Robert E. Drake

Year: 2013

Publication Place: United Kingdom

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4222

Health Care Integration in the Era of the Affordable Care Act

Type: Report

Authors: C. Croze

Year: 2015

Topic(s):

, ,

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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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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4223

Health Care Integration Will Succeed When Integration is Obsolete

Type: Web Resource

Authors: Kathleen Reynolds

Year: 2012

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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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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4224

Health Care Provider Perspectives on the Use of a Digital Behavioral Health App to Support Patients: Qualitative Study

Type: Journal Article

Authors: V. Silfee, K. Williams, B. Leber, J. Kogan, C. Nikolajski, E. Szigethy, C. Serio

Year: 2021

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4225

Health Care Provider Stigma Toward Patients With Substance Use Disorders: Protocol for a Nationally Representative Survey

Type: Journal Article

Authors: C. L. Parish, D. J. Feaster, H. A. Pollack, V. E. Horigian, X. Wang, P. Jacobs, M. R. Pereyra, C. Drymon, E. Allen, L. K. Gooden, C. Del Rio, L. R. Metsch

Year: 2023

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4226

Health care quality-improvement approaches to reducing child health disparities

Type: Journal Article

Authors: M. H. Chin, M. Alexander-Young, D. L. Burnet

Year: 2009

Publication Place: United States

Abstract: Relatively few quality-improvement efforts have been aimed at reducing differences in children's care and outcomes across race and ethnicity, socioeconomic status, and insurance status. To inform quality-improvement efforts to reduce child health disparities, we summarize lessons learned from the adult disparities-intervention literature, identify interventions that have reduced disparities in pediatric asthma outcomes and immunization rates, and outline special considerations for child disparity interventions. Key recommendations for providers, health care organizations, and researchers include: (1) examine your performance data stratified according to insurance status, race/ethnicity, language, and socioeconomic status; (2) measure and improve childhood health-related quality of life, development, and condition-specific targets (such as asthma and immunizations); (3) measure and improve anticipatory guidance for early prevention of conditions (such as injuries, violence, substance abuse, and sexually transmitted diseases) and efforts to promote positive growth (such as readership programs to improve low literacy); (4) measure and improve structural aspects of care that affect child health outcomes and can reduce disparities, such as patient-centered medical-home elements; (5) incorporate families into interventions; (6) use multidisciplinary teams with close tracking and follow-up of patients; (7) integrate non-health care partners into quality-improvement interventions; and (8) culturally tailor quality improvement. A key recommendation for payers is to align financial incentives to reduce disparities. The National Institutes of Health and other funders should support (1) disparity-intervention studies on these recommendations that analyze clinical outcomes, intervention-implementation processes, and costs, and (2) creation of new child health services researchers who can find effective quality-improvement approaches for reducing disparities.

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4227

Health care reform and behavioral health: The journey ahead

Type: Journal Article

Authors: Matthew R. Merrens, Robert E. Drake

Year: 2013

Publication Place: United Kingdom

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4228

Health care reform and care at the behavioral health--primary care interface

Type: Journal Article

Authors: B. G. Druss, B. J. Mauer

Year: 2010

Publication Place: United States

Abstract: The historic passage of the Patient Protection and Affordable Care Act in March 2010 offers the potential to address long-standing deficits in quality and integration of services at the interface between behavioral health and primary care. Many of the efforts to reform the care delivery system will come in the form of demonstration projects, which, if successful, will become models for the broader health system. This article reviews two of the programs that might have a particular impact on care on the two sides of that interface: Medicaid and Medicare patient-centered medical home demonstration projects and expansion of a Substance Abuse and Mental Health Services Administration program that colocates primary care services in community mental health settings. The authors provide an overview of key supporting factors, including new financing mechanisms, quality assessment metrics, information technology infrastructure, and technical support, that will be important for ensuring that initiatives achieve their potential for improving care.

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4229

Health care reform and integrated care: A golden opportunity for preventative psychiatry.

Type: Journal Article

Authors: Ruth S. Shim, Carol Koplan, Frederick J. P. Langheim, Marc Manseau, Christopher Oleskey, Rebecca A. Powers, Michael T. Compton

Year: 2012

Publication Place: US

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4230

Health Care Reform and the Behavioral Health Workforce

Type: Journal Article

Authors: Gerald Cochran, John Roll, Ron Jackson, Jae Kennedy

Year: 2014

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4231

Health care reform, 2014: No matter what the question, mission is the answer.

Type: Journal Article

Authors: Parinda Khatri

Year: 2014

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4232

Health care savings with the patient-centered medical home: Community Care of North Carolina's experience

Type: Journal Article

Authors: H. Fillmore, C. A. Dubard, G. A. Ritter, C. T. Jackson

Year: 2014

Publication Place: United States

Abstract: This study evaluated the financial impact of integrating a systemic care management intervention program (Community Care of North Carolina) with person-centered medical homes throughout North Carolina for non-elderly Medicaid recipients with disabilities during almost 5 years of program history. It examined Medicaid claims for 169,676 non-elderly Medicaid recipients with disabilities from January 2007 through third quarter 2011. Two models were used to estimate the program's impact on cost, within each year. The first employed a mixed model comparing member experiences in enrolled versus unenrolled months, accounting for regional differences as fixed effects and within physician group experience as random effects. The second was a pre-post, intervention/comparison group, difference-in-differences mixed model, which directly matched cohort samples of enrolled and unenrolled members on strata of preenrollment pharmacy use, race, age, year, months in pre-post periods, health status, and behavioral health history. The study team found significant cost avoidance associated with program enrollment for the non-elderly disabled population after the first years, savings that increased with length of time in the program. The impact of the program was greater in persons with multiple chronic disease conditions. By providing targeted care management interventions, aligned with person-centered medical homes, the Community Care of North Carolina program achieved significant savings for a high-risk population in the North Carolina Medicaid program.

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4233

Health Care Teamwork: Interdisciplinary Practice and Teaching

Type: Book

Authors: T. J. K. Drinka, P. G. Clark

Year: 2000

Publication Place: Westport, CT

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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4234

Health care utilization among homeless-experienced adults who were seen by a mobile addiction health clinic in Boston, Massachusetts: A quasi-experimental study

Type: Journal Article

Authors: Danielle R. Fine, Andrea Joyce, Yuchiao Chang, Elizabeth Lewis, Karen Weinstock, Joseph Wright, Jessie Gaeta, Zirui Song, Travis P. Baggett

Year: 2023

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4235

Health care utilization among veterans with pain and posttraumatic stress symptoms

Type: Journal Article

Authors: Samantha D. Outcalt, Zhangsheng Yu, Helena Maria Hoen, Tenesha Marie Pennington, Erin E. Krebs

Year: 2014

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4236

Health Care Utilization Patterns Among High-Cost VA Patients With Mental Health Conditions

Type: Journal Article

Authors: G. Hunter, J. Yoon, D. M. Blonigen, S. M. Asch, D. M. Zulman

Year: 2015

Abstract: OBJECTIVE: To inform development of intensive management programs for high-cost patients, this study investigated the relationship between psychiatric diagnoses and patterns of health care utilization among high-cost patients in the Department of Veterans Affairs (VA) health care system. METHODS: The costliest 5% of patients who received care in the VA in fiscal year 2010 were assigned to five mutually exclusive hierarchical groups on the basis of diagnosis codes: no mental health condition, serious mental illness, substance use disorder, posttraumatic stress disorder (PTSD), and depression. Multivariable linear regression was used to examine associations between diagnostic groups and use of mental health and non-mental health care and costs of care, with adjustment for sociodemographic characteristics. The proportion of costs generated by mental health care was estimated for each group. RESULTS: Among 261,515 high-cost VA patients, rates of depression, substance use disorder, PTSD, and serious mental illness were 29%, 20%, 17%, and 13%, respectively. Individuals in the serious mental illness and substance use disorder groups were younger and had fewer chronic general medical conditions and higher adjusted rates of mental health care utilization; they also had a greater proportion of costs generated by mental health care (41% and 31%, respectively) compared with individuals in the PTSD and depression groups (18% and 11%, respectively). CONCLUSIONS: Optimal management of high-risk, high-cost patients may require stratification by psychiatric diagnoses, with integrated care models for patients with multiple chronic conditions and comorbid mental health conditions and intensive mental health services for patients whose primary needs stem from mental health conditions.

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4237

Health center implementation of telemedicine for opioid use disorders: A qualitative assessment of adopters and nonadopters

Type: Journal Article

Authors: Lori Uscher-Pines, Pushpa Raja, Ateev Mehrotra, Haiden A. Huskamp

Year: 2020

Publication Place: Elmsford

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4238

Health communication campaigns to drive demand for evidence-based practices and reduce stigma in the HEALing communities study

Type: Journal Article

Authors: R. C. Lefebvre, R. K. Chandler, D. W. Helme, R. Kerner, S. Mann, M. D. Stein, J. Reynolds, M. D. Slater, A. R. Anakaraonye, D. Beard, O. Burrus, J. Frkovich, H. Hedrick, N. Lewis, E. Rodgers

Year: 2020

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4239

Health economic analyses of the justice community opioid innovation network (JCOIN)

Type: Journal Article

Authors: S. M. Murphy, N. Laiteerapong, M. T. Pho, D. Ryan, I. Montoya, T. I. Shireman, E. Huang, K. E. McCollister

Year: 2021

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4240

Health Equity and Behavioral Health Integration

Type: Report

Authors: The Academy for Integrating Behavioral Health & Primary Care

Year: 2022

Publication Place: Rockville, MD

Topic(s):

, ,

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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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