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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).
11271 Results
4583
How primary care can contribute to good mental health in adults
Type: Journal Article
Year: 2017
Publication Place: England
Abstract: The need for support for good mental health is enormous. General support for good mental health is needed for 100% of the population, and at all stages of life, from early childhood to end of life. Focused support is needed for the 17.6% of adults who have a mental disorder at any time, including those who also have a mental health problem amongst the 30% who report having a long-term condition of some kind. All sectors of society and all parts of the NHS need to play their part. Primary care cannot do this on its own. This paper describes how primary care practitioners can help stimulate such a grand alliance for health, by operating at four different levels - as individual practitioners, as organisations, as geographic clusters of organisations and as policy-makers.
Topic(s):
General Literature
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View the DOI record for How primary care can contribute to good mental health in adults
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View the PubMed citation for How primary care can contribute to good mental health in adults4584
How primary care can contribute to good mental health in adults
Type: Journal Article
Year: 2017
Publication Place: England
Abstract: The need for support for good mental health is enormous. General support for good mental health is needed for 100% of the population, and at all stages of life, from early childhood to end of life. Focused support is needed for the 17.6% of adults who have a mental disorder at any time, including those who also have a mental health problem amongst the 30% who report having a long-term condition of some kind. All sectors of society and all parts of the NHS need to play their part. Primary care cannot do this on its own. This paper describes how primary care practitioners can help stimulate such a grand alliance for health, by operating at four different levels - as individual practitioners, as organisations, as geographic clusters of organisations and as policy-makers.
Topic(s):
General Literature
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Reference Links:
View the DOI record for How primary care can contribute to good mental health in adults
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View the PubMed citation for How primary care can contribute to good mental health in adults4588
How the e-patient community helped save my life: an essay by Dave deBronkart
Type: Journal Article
Year: 2013
Publication Place: England
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for How the e-patient community helped save my life: an essay by Dave deBronkart
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View the PubMed citation for How the e-patient community helped save my life: an essay by Dave deBronkart4589
How the electronic health record did not measure up to the demands of our medical home practice
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: The American Recovery and Reinvestment Act (ARRA) of 2009 will soon provide billions of dollars to small physician practices nationwide to encourage adoption of electronic health records. Although shifting from paper to computers should lead to better and cheaper care, the transition is complex. In this paper we describe our struggles to adapt a commercial electronic health record to an innovative practice serving high-cost patients with chronic diseases. Limitations in the technology gave rise to medication errors, interruptions in work flow, and other problems common to paper systems. Our experience should encourage providers and policy makers to consider alternative software and informatics models before investing in currently available systems.
Topic(s):
HIT & Telehealth
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, Healthcare Policy
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, Medical Home
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Reference Links:
View the DOI record for How the electronic health record did not measure up to the demands of our medical home practice
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View the PubMed citation for How the electronic health record did not measure up to the demands of our medical home practice4592
How to Deliver a More Persuasive Message Regarding Addiction as a Medical Disorder
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: Many members of our field are frustrated that the public does not see addiction as a legitimate medical disorder which should be compassionately addressed as a health problem rather than a criminal justice problem. Although some attribute the disconnect to the public's lack of scientific knowledge or attachment to outdated moral views regarding substance use, this commentary suggests that the problem may well be our own messaging. We would be more persuasive if we acknowledged that addiction is different from most medical disorders because of its high negative externalities, and that this understandably makes the public more scared of and angry about addiction than they are about conditions like asthma, type II diabetes, and hypertension. Relatedly, because of the amount of violence and other crimes associated with addiction, we should acknowledge that the public's belief that law enforcement has an important role to play in responding to addiction has a rational basis.
Topic(s):
Opioids & Substance Use
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, Healthcare Policy
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Reference Links:
View the DOI record for How to Deliver a More Persuasive Message Regarding Addiction as a Medical Disorder
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View the PubMed citation for How to Deliver a More Persuasive Message Regarding Addiction as a Medical Disorder4593
How to face a patient with benzodiazepine dependence in primary health care? Strategies for withdrawal
Type: Journal Article
Year: 2018
Publication Place: Chile
Abstract:
Benzodiazepines are widely used in primary health care, and their prolonged use is an important problem given the medical consequences particularly in older adults, such as dependence, cognitive impairment, and risk of falls, among others. Primary care doctors generally have few tools to help with managing withdrawal from benzodiazepines. We conducted a review of the best available evidence on practical strategies to avoid dependence at the time of the initial prescription, and to help the patient with prolonged and probably dependent use. We found ten relevant systematic reviews showing evidence in favor of the use of multifaceted prescription strategies, gradual dose reduction, standardized letters, standardized counseling, pharmacotherapy and cognitive behavioral psychotherapy. For benzodiazepine withdrawal, a simple strategy that can be effective and long-lasting is to inform patients of the need to reduce consumption, giving them in writing the withdrawal guideline, indicating the possible effects of withdrawal and its solution. Given the available evidence, an integrated and step-by-step model is proposed for the management of the benzodiazepine user, from prescription to withdrawal.
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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Reference Links:
View the DOI record for How to face a patient with benzodiazepine dependence in primary health care? Strategies for withdrawal
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View the PubMed citation for How to face a patient with benzodiazepine dependence in primary health care? Strategies for withdrawal4595
How to manage the pace of practice innovation information flow and change? Introducing the ADFM Patient Centered Medical Home Taskforce
Type: Journal Article
Year: 2010
Publication Place: United States
Topic(s):
Medical Home
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4597
How to overcome hurdles in opiate substitution treatment? A qualitative study with general practitioners in Belgium
Type: Journal Article
Year: 2016
Publication Place: England
Abstract: BACKGROUND: Opiate substitution treatment (OST) is the administration of opioids (methadone or buprenorphine) under medical supervision for opiate addiction. Several studies indicate a large unmet need for OST in general practice in Antwerp, Belgium. Some hurdles remain before GPs engage in OST prescribing. OBJECTIVES: Formulate recommendations to increase engagement of GPs in OST, applicable to Belgium and beyond. METHODS: In 2009, an exploratory qualitative research was performed using focus group discussions and interviews with GPs. During data collection and analysis, purposive sampling, open and axial coding was applied. The script was composed around the advantages, disadvantages and conditions of engaging in OST in general practice. RESULTS: We conducted six focus groups and two interviews, with GPs experienced in prescribing OST (n = 13), inexperienced GPs (n = 13), and physicians from addiction centres (n = 5). Overall, GPs did not seem very willing to prescribe OST for opiate users. A lack of knowledge about OST and misbehaving patients creates anxiety and makes the GPs reluctant to learn more about OST. The GPs refer to a lack of collaboration with the addiction centres and a need of support (from either addiction centres or experienced GP-colleagues for advice). Important conditions for OST are acceptance of only stable opiate users and more support in emergencies. CONCLUSION: Increasing GPs' knowledge about OST and improving collaboration with addiction centres are essential to increase the uptake of OST in general practice. Special attention could be paid to the role of more experienced colleagues who can act as advising physicians for inexperienced GPs.
Topic(s):
Opioids & Substance Use
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, Education & Workforce
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Reference Links:
View the DOI record for How to overcome hurdles in opiate substitution treatment? A qualitative study with general practitioners in Belgium
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View the PubMed citation for How to overcome hurdles in opiate substitution treatment? A qualitative study with general practitioners in Belgium4599
How to scale up primary care transformation: What we know and what we need to know?
Type: Journal Article
Year: 2010
Publication Place: United States
Abstract: Becoming a medical home is a radical change, requiring both a new mental model for primary care and the skills and resources to accomplish it. Although numerous reports indicate practice change is feasible--particularly with technical support and either insulation from or alignment with financial incentives--sustained transformation appears difficult. We identified the following critical success factors: leadership, financial resources, personal and organizational relationships, engagement with patients and families, competence in management, improvement methods and coaching, health information technology properly applied, care coordination support, and staff development. Each factor raises researchable questions about what policies can facilitate achieving success so that transformation becomes mainstream rather than the province of the innovative few.
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Policy
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, Medical Home
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Reference Links:
View the DOI record for How to scale up primary care transformation: What we know and what we need to know?
View DOI Record
View the PubMed citation for How to scale up primary care transformation: What we know and what we need to know?