Email UpdatesLiterature Collection
Collection Insights
11K+
References
9K+
Articles
1500+
Grey Literature
4600+
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).
12257 Results
4621
Fully-integrated medical home for people with severe and persistent mental illness: A description and outcome analysis of a Medicare Advantage Chronic Special Needs Program
Type: Journal Article
Year: 2018
Publication Place: Italy
Abstract: People with severe persistent mental illness pose a significant challenge to managed care organizations and society in general. The financial costs are staggering as is the community impact including homelessness and incarceration. This population also has a high incident of chronic comorbid disorders that not only drives up healthcare costs but also significantly shortens longevity. Traditional case management approaches are not always able to provide the intense and direct interventions required to adequately address the psychiatric, medical and social needs of this unique population. This article describes a Medicare Advantage Chronic Special Needs Program that provides a Medical Home, Active Community Treatment, and Integrated Care. A comparison of utilization and patient outcome measures of this program with fee for service Medicare found significant reduction in utilization and costs, as well as increased adherence to the management of chronic medical conditions and preventative services.
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Disparities
See topic collection
, Medical Home
See topic collection
4622
Functional concerns and treatment priorities among veterans receiving VHA Primary Care Behavioral Health services
Type: Journal Article
Year: 2019
Publication Place: United States
Topic(s):
Medical Home
See topic collection
Reference Links: 
View the DOI record for Functional concerns and treatment priorities among veterans receiving VHA Primary Care Behavioral Health services
View DOI Record
View the PubMed citation for Functional concerns and treatment priorities among veterans receiving VHA Primary Care Behavioral Health services4623
Functional evaluation of NK(1) antagonism on cue reactivity in opiate dependence; An fMRI study
Type: Journal Article
Year: 2021
Topic(s):
Opioids & Substance Use
See topic collection
Reference Links:
View the DOI record for Functional evaluation of NK(1) antagonism on cue reactivity in opiate dependence; An fMRI study
View DOI Record
View the PubMed citation for Functional evaluation of NK(1) antagonism on cue reactivity in opiate dependence; An fMRI study4624
Functional outcomes of multi-condition collaborative care and successful ageing: results of randomised trial
Type: Journal Article
Year: 2011
Publication Place: England
Abstract: OBJECTIVE: To evaluate the effectiveness of integrated care for chronic physical diseases and depression in reducing disability and improving quality of life. DESIGN: A randomised controlled trial of multi-condition collaborative care for depression and poorly controlled diabetes and/or risk factors for coronary heart disease compared with usual care among middle aged and elderly people SETTING: Fourteen primary care clinics in Seattle, Washington. PARTICIPANTS: Patients with diabetes or coronary heart disease, or both, and blood pressure above 140/90 mm Hg, low density lipoprotein concentration >3.37 mmol/L, or glycated haemoglobin 8.5% or higher, and PHQ-9 depression scores of >/= 10. INTERVENTION: A 12 month intervention to improve depression, glycaemic control, blood pressure, and lipid control by integrating a "treat to target" programme for diabetes and risk factors for coronary heart disease with collaborative care for depression. The intervention combined self management support, monitoring of disease control, and pharmacotherapy to control depression, hyperglycaemia, hypertension, and hyperlipidaemia. MAIN OUTCOME MEASURES: Social role disability (Sheehan disability scale), global quality of life rating, and World Health Organization disability assessment schedule (WHODAS-2) scales to measure disabilities in activities of daily living (mobility, self care, household maintenance). RESULTS: Of 214 patients enrolled (106 intervention and 108 usual care), disability and quality of life measures were obtained for 97 intervention patients at six months (92%) and 92 at 12 months (87%), and for 96 usual care patients at six months (89%) and 92 at 12 months (85%). Improvements from baseline on the Sheehan disability scale (-0.9, 95% confidence interval -1.5 to -0.2; P = 0.006) and global quality of life rating (0.7, 0.2 to 1.2; P = 0.005) were significantly greater at six and 12 months in patients in the intervention group. There was a trend toward greater improvement in disabilities in activities of daily living (-1.5, -3.3 to 0.4; P = 0.10). CONCLUSIONS: Integrated care that covers chronic physical disease and comorbid depression can reduce social role disability and enhance global quality of life. Trial registration Clinical Trials NCT00468676.
Topic(s):
General Literature
See topic collection
Reference Links:
View the DOI record for Functional outcomes of multi-condition collaborative care and successful ageing: results of randomised trial
View DOI Record
View the PubMed citation for Functional outcomes of multi-condition collaborative care and successful ageing: results of randomised trial4625
Functional roles and foundational characteristics of psychologists in integrated primary care
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: Psychologists are presented with unprecedented opportunities to integrate their work in primary care settings. Although some roles of psychologists in primary care overlap with those in traditional psychology practice settings, a number are distinct reflecting the uniqueness of the primary care culture. In this paper, we first describe the integrated primary care setting, with a focus on those settings that have components of patient centered medical home. We then describe functional roles and foundational characteristics of psychologists in integrated primary care. The description of functional roles emphasizes the diversity of roles performed. The foundational characteristics identified are those that we consider the 'primary care ethic,' or core characteristics of psychologists that serve as the basis for the various functional roles in integrated primary care. The 'primary care ethic' includes attitudes, values, knowledge, and abilities that are essential to the psychologist being a valued, effective, and productive primary care team member.
Topic(s):
Education & Workforce
See topic collection
Reference Links:
View the DOI record for Functional roles and foundational characteristics of psychologists in integrated primary care
View DOI Record
View the PubMed citation for Functional roles and foundational characteristics of psychologists in integrated primary care4629
Funding and Billing for Integrated Behavioral Health Care
Type: Journal Article
Year: 2021
Topic(s):
Financing & Sustainability
See topic collection
, Healthcare Disparities
See topic collection
Reference Links: View the PubMed citation for Funding and Billing for Integrated Behavioral Health Care
4630
Funding mechanisms for depression care management: Opportunities and challenges
Type: Journal Article
Year: 2006
Publication Place: United States
Abstract: OBJECTIVE: Inconsistent third-party reimbursement for depression care management is a significant economic barrier to the utilization and sustainability of the chronic illness care model in primary care practice settings. We review common mechanisms used to procure payment for depression care management services, discuss obstacles encountered and suggest future directions. METHOD: We describe several extant models for funding depression care management services in use at the demonstration sites of the Robert Wood Johnson Foundation funded "Depression in Primary Care" project and similar programs. We derived this information from ongoing discussions with the sites' project directors and through an extensive electronic literature search on "care management, funding mechanisms and depression." RESULTS: Funding mechanisms include (a) practice-based care management on a fee-for-service basis, (b) practice-based care management under contract to health plans, (c) global capitation, (d) flexible infrastructure support for chronic care management, (e) health-plan-based care management, (f) third-party-based care management under contract to health plans and (g) hybrid models. CONCLUSIONS: While substantial obstacles remain in the way of fully implementing these depression care management funding mechanisms (e.g., variations in care managers' credentials and work locations and third-party payer concerns about overutilization and transaction costs), several recent policy advances provide some optimism for the potential adoption of financial mechanisms to support and disseminate these evidence-based practices.
Reference Links:
View the DOI record for Funding mechanisms for depression care management: Opportunities and challenges
View DOI Record
View the PubMed citation for Funding mechanisms for depression care management: Opportunities and challenges4633
Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration
Type: Journal Article
Year: 2022
Topic(s):
Education & Workforce
See topic collection
, Measures
See topic collection
Reference Links:
View the DOI record for Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration
View DOI Record
View the PubMed citation for Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration4634
Further policy changes are needed to improve depression care
Type: Journal Article
Year: 2015
Publication Place: United States
Topic(s):
Healthcare Policy
See topic collection
Reference Links:
View the DOI record for Further policy changes are needed to improve depression care
View DOI Record
View the PubMed citation for Further policy changes are needed to improve depression care4635
Furthering the reliable and valid measurement of mental health screening, diagnoses, treatment and outcomes through health information technology
Type: Journal Article
Year: 2013
Topic(s):
HIT & Telehealth
See topic collection
, Measures
See topic collection
4637
Future complexity of care tier affected by depression outcomes
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: BACKGROUND: The inclusion of mental health issues in the evaluation of multimorbidity generally has been as the presence or absence of the condition rather than severity, complexity, or stage. The hypothesis for this study was that clinical outcome of the depression 6 months after enrollment into collaborative care management would have a role in predicting future complexity of care tier. METHODS: This study was a retrospective chart review of 1894 primary care patients who were diagnosed with major depressive disorder or dysthymia as of December 2012. Multiple logistic regression analysis was used to test the independent associations between each variable and the odds of being included in the higher tiers (HT) group. RESULTS: Age (odds ratio [OR] = 1.022, confidence interval [CI] = 1.013-1.030, P /= 2, OR = 4.678, CI = 3.242-6.750, P /= 10) at 6 months conferred 2.280 (CI = 1.673-3.107, P < .001) times likely odds of HT level compared with clinical remission at 6 months. CONCLUSION: Patients with the diagnosis of major depression or dysthymia had greater odds of complex tier levels in the future, if depression was not treated to remission by 6 months. This study demonstrated the importance of the goal of significant improvement (ie, remission) of depression symptoms by 6 months (especially those older patients with more comorbidity) from entering into the higher complexity tiers.
Topic(s):
Healthcare Disparities
See topic collection
Reference Links:
View the DOI record for Future complexity of care tier affected by depression outcomes
View DOI Record
View the PubMed citation for Future complexity of care tier affected by depression outcomes4640
Future research needs for evaluating the integration of mental health and substance abuse treatment with primary care
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: Research needs are many in the current health care environment. In this article, we describe a novel method developed by the Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center Program for prioritizing areas for future research. Using a recent- ly published systematic review as a foundation, investigators worked with a diverse group of 10 stakeholders to identify and prioritize research needs. We enumerate 13 high-priority research needs, as determined by stakeholders who represented researchers, funders, health care providers, and patients and families, and discuss considerations for specific study designs. Our findings suggest that future research on integrating mental health and primary care should focus first on a) identifying methods of integrating primary care into specialty mental health settings, b) identifying cross-cutting strategies for integration across multiple mental health diagnostic categories as opposed to a separate strategy for each diagnostic category, and c) examining the use of information technology for integrating mental and general medical health care. Other priorities for consideration include examining the economic and organizational sus- tainability of successful integration models, identifying dissemination methods for various settings, examining the business case for integration as well as methods of payment, assessing the cost-effectiveness of integration, and identifying key components of successful strategies. The importance of sustainability and economic justification for integrated care strategies was a recurring theme in discussions with the stake- holders. The ability to sustain integrated care in everyday practice remains to be proved and will depend in part on the level of incentives and sup- port provided through payment system reform, as well as the ability of practices to provide care efficiently.
Topic(s):
Financing & Sustainability
See topic collection
, HIT & Telehealth
See topic collection
Reference Links:
View the DOI record for Future research needs for evaluating the integration of mental health and substance abuse treatment with primary care
View DOI Record
View the PubMed citation for Future research needs for evaluating the integration of mental health and substance abuse treatment with primary care