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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).
11193 Results
4581
Identification and Management of Opioid Use Disorder in Primary Care: an Update
Type: Journal Article
Year: 2020
Publication Place: United States
Abstract:
PURPOSE OF REVIEW: The rising prevalence of opioid use disorder (OUD) and related complications in North America coupled with limited numbers of specialists in addiction medicine has led to large gaps in treatment. Primary care providers (PCPs) are ideally suited to diagnose and care for people with OUD and are increasingly being called upon to improve access to care. This review will highlight the recent literature pertaining to the care of patients with OUD by PCPs. RECENT FINDINGS: The prevalence of patients with OUD in primary care practice is increasing, and models of office-based opioid treatment (OBOT) are evolving to meet local needs of both ambulatory practices and patients. OBOT has been shown to increase access to care and demonstrates comparable outcomes when compared to more specialty-driven care. OBOT is an effective means of increasing access to care for patients with OUD. The ideal structure of OBOT depends on local factors. Future research must explore ways to increase the identification and diagnosis of patients with OUD, improve treatment retention rates, reduce stigma, and promote interdisciplinary approaches to care.
Topic(s):
Education & Workforce
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, Opioids & Substance Use
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Reference Links: 
View the DOI record for Identification and Management of Opioid Use Disorder in Primary Care: an Update
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View the PubMed citation for Identification and Management of Opioid Use Disorder in Primary Care: an Update4583
Identification and treatment of depression in minority populations
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: Depression is a common condition, representing close to 6% of visits to primary care providers. Although minorities are more likely to have chronic depression, they are more likely to be incorrectly diagnosed and less likely to receive treatment when compared to the mainstream population. Screening and appropriate treatment within primary care is recommended in clinical practices that have systems in place to assure accurate diagnosis, effective treatment, and follow-up. This recommendation is especially relevant for treatment of minority populations, as they are more likely to seek care for mental health problems from primary care providers rather than specialists. A number of self-report screening tools that simplify screening are available. Treatment modalities that are supported by evidence are psychotherapy, prescription medications, and electroconvulsive therapy for severe depression. Selective serotonin reuptake inhibitors (SSRIs) have become the cornerstone of therapy for depression since the Food and Drug Administration (FDA) approval of fluoxetine in 1987. No substantial differences in efficacy of SSRIs have been found, although data suggest differences with respect to onset of action and adverse effects that may be relevant in the choice of one medicine over another. Common side effects of serotonin reuptake inhibitors include nausea, diarrhea, insomnia, somnolence and dizziness, akathisia, and sexual dysfunction. While most of these symptoms tend to subside within several weeks of use, sexual dysfunction appears to be a long-term side effect that typically reverses within a few days after discontinuation of the causative medication. Selective norepinephrine reuptake inhibitors (SNRIs), bupropion, mirtazapine, and tricyclic antidepressants (TCAs) are other commonly used medications. Complementary and alternative treatments, such as St. John's wort (Hypericum perforatum), exercise, acupuncture, music therapy, and relaxation, have limited data supporting their efficacy.
Topic(s):
Healthcare Disparities
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Reference Links: View the PubMed citation for Identification and treatment of depression in minority populations
4585
Identification of developmental-behavioral problems in primary care: a systematic review
Type: Journal Article
Year: 2011
Publication Place: United States
Abstract: CONTEXT: Recent mandates and recommendations for formal screening programs are based on the claim that pediatric care providers underidentify children with developmental-behavioral disorders, yet the research to support this claim has not been systematically reviewed. OBJECTIVE: To review research literature for studies regarding pediatric primary care providers' identification of developmental-behavioral problems in children. METHODS: On the basis of a Medline search conducted on September 22, 2010, using relevant key words, we identified 539 articles for review. We included studies that (1) were conducted in the United States, (2) were published in peer-reviewed journals, (3) included data that addressed pediatric care providers' identification of developmental-behavioral problems in individual patients, (4) included an independent assessment of patients' developmental-behavioral problems, such as diagnostic interviews or validated screening instruments, and (5) reported data sufficient to calculate sensitivity and specificity. Studies were not limited by sample size. Eleven articles met these criteria. We used Quality Assessment of Diagnostic Accuracy Studies (QUADAS) criteria to evaluate study quality. Although the studies were similar in many ways, heterogeneous methodology precluded a meta-analysis. RESULTS: Sensitivities for pediatric care providers ranged from 14% to 54%, and specificities ranged from 69% to 100%. The authors of 1 outlier study reported a sensitivity of 85% and a specificity of 61%. CONCLUSIONS: Pediatricians are often the first point of entry into developmental and mental health systems. Knowing their accuracy in identifying children with developmental-behavioral disabilities is essential for implementing optimal evaluation programs and achieving timely identification. Moreover, these statistics are important to consider when planning large-scale screening programs.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Identification of developmental-behavioral problems in primary care: a systematic review
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View the PubMed citation for Identification of developmental-behavioral problems in primary care: a systematic review4586
Identification of somatic and anxiety symptoms which contribute to the detection of depression in primary health care
Type: Journal Article
Year: 2004
Publication Place: France
Abstract: Somatic symptoms and anxiety symptoms are often disregarded in the detection of depression in primary care. The present investigation examined to what extent somatic and anxiety symptoms recorded with the Composite International Diagnostic Interview-Primary Health Care Version (CIDI-PHC) can improve the detection of depression as compared to the General Health Questionnaire-12-item version alone. Data from the World Health Organization study on Psychological Problems in General Health Care were used. The study sample consisted of primary care attenders from 15 centres from all over the world who underwent a psychiatric examination with the CIDI-PHC. Medically unexplained somatic symptoms (back pain, feelings of heaviness/lightness in parts of the body, periods of bodily weakness, seizures/convulsions, permanent tiredness, exhaustion after a minimum of effort) and-to a smaller extent-diverse anxiety symptoms (e.g. feelings of anxiousness/nervousness, feelings of tension, difficulties relaxing) significantly contributed to the detection of depression in a logistic regression analysis. The results confirm the observation that in primary care somatic symptoms play an important role in the manifestation of depressive disorders. The items investigated herein could prove beneficial for future depression screening instruments to improve the detection of depressive disorders in primary care.
Topic(s):
Medically Unexplained Symptoms
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Reference Links:
View the DOI record for Identification of somatic and anxiety symptoms which contribute to the detection of depression in primary health care
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View the PubMed citation for Identification of somatic and anxiety symptoms which contribute to the detection of depression in primary health care4587
Identifiers, or "red flags," of complexity and need for integrated care
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: Because complex medical patients are a subgroup of the medical population and because complexity assessment involves extra effort, preselection of these patients through identifiers is necessary. There is no best identifier for complexity, and the one most suitable for the population served should be selected. This article provides a table with potential identifiers and discusses the difference between disease-oriented screening and treatment and a more generic approach such as complexity screening and complexity management.
Topic(s):
Medically Unexplained Symptoms
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View the PubMed citation for Identifiers, or "red flags," of complexity and need for integrated care
Reference Links:
View the DOI record for Identifiers, or "red flags," of complexity and need for integrated care
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View the PubMed citation for Identifiers, or "red flags," of complexity and need for integrated care4592
Identifying and managing depression through collaborative care: expanding social work's impact
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: While behavioral health symptoms commonly present in primary care, most primary care providers lack the time, resources, and expertise to identify and treat them on their own. To address this need, many quality improvement efforts are underway to expand teams and integrate behavioral health assessments and interventions into primary care. Due to their expertise in behavioral health, community supports, and behavioral activation, social workers are natural leaders in integrating care. This paper describes one urban academic medical center's efforts to ensure adolescent and adult patients with depressive symptoms are connected to adequate care and support. A case study is included to demonstrate the Collaborative Care Team model as described, including details regarding the role social workers play. Key quality improvement and policy considerations for scaling up and sustaining collaborative initiative are included.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Identifying and managing depression through collaborative care: expanding social work's impact
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View the PubMed citation for Identifying and managing depression through collaborative care: expanding social work's impact4593
Identifying and managing depression through collaborative care: expanding social work's impact
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: While behavioral health symptoms commonly present in primary care, most primary care providers lack the time, resources, and expertise to identify and treat them on their own. To address this need, many quality improvement efforts are underway to expand teams and integrate behavioral health assessments and interventions into primary care. Due to their expertise in behavioral health, community supports, and behavioral activation, social workers are natural leaders in integrating care. This paper describes one urban academic medical center's efforts to ensure adolescent and adult patients with depressive symptoms are connected to adequate care and support. A case study is included to demonstrate the Collaborative Care Team model as described, including details regarding the role social workers play. Key quality improvement and policy considerations for scaling up and sustaining collaborative initiative are included.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Identifying and managing depression through collaborative care: expanding social work's impact
View DOI Record
View the PubMed citation for Identifying and managing depression through collaborative care: expanding social work's impact4594
Identifying and Managing Developmental and Behavioral Health Concerns within Primary Care: A Push for Change
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for Identifying and Managing Developmental and Behavioral Health Concerns within Primary Care: A Push for Change
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View the PubMed citation for Identifying and Managing Developmental and Behavioral Health Concerns within Primary Care: A Push for Change4596
Identifying barriers to emergency department-initiated buprenorphine: A spatial analysis of treatment facility access in Michigan
Type: Journal Article
Year: 2022
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
See topic collection
4600
Identifying depression among adolescents using three key questions: a validation study in primary care
Type: Journal Article
Year: 2016
Publication Place: England
Topic(s):
Healthcare Disparities
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, Measures
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Reference Links:
View the DOI record for Identifying depression among adolescents using three key questions: a validation study in primary care
View DOI Record
View the PubMed citation for Identifying depression among adolescents using three key questions: a validation study in primary care