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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
4625
Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas ?United States
Type: Journal Article
Year: 2017
Abstract: Problem/Condition: Drug overdoses are a leading cause of injury death in the United States, resulting in approximately 52,000 deaths in 2015. Understanding differences in illicit drug use, illicit drug use disorders, and overall drug overdose deaths in metropolitan and nonmetropolitan areas is important for informing public health programs, interventions, and policies. Reporting Period: Illicit drug use and drug use disorders during 2003?014, and drug overdose deaths during 1999?015. Description of Data: The National Survey of Drug Use and Health (NSDUH) collects information through face-to-face household interviews about the use of illicit drugs, alcohol, and tobacco among the U.S. noninstitutionalized civilian population aged =12 years. Respondents include residents of households and noninstitutional group quarters (e.g., shelters, rooming houses, dormitories, migratory workers?camps, and halfway houses) and civilians living on military bases. NSDUH variables include sex, age, race/ethnicity, residence (metropolitan/nonmetropolitan), annual household income, self-reported drug use, and drug use disorders.
Topic(s):
Healthcare Disparities
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, Opioids & Substance Use
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4626
Illicit Drugs in Oral Fluid: Evaluation of Two Collection Devices
Type: Journal Article
Year: 2017
Publication Place: England
Topic(s):
Opioids & Substance Use
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Reference Links: 
View the DOI record for Illicit Drugs in Oral Fluid: Evaluation of Two Collection Devices
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View the PubMed citation for Illicit Drugs in Oral Fluid: Evaluation of Two Collection Devices4628
Illness beliefs of depressed Chinese American patients in primary care
Type: Journal Article
Year: 2004
Publication Place: United States
Abstract: This study investigated the illness beliefs of 40 depressed Chinese Americans in a primary care setting using the Exploratory Model Interview Catalogue (EMIC). Twenty-two depressed Chinese Americans (76%) complained of somatic symptoms; 4 (14%) reported psychological symptoms including irritability, rumination, and poor memory. No patients reported depressed mood spontaneously. Yet, 93% endorsed depressed mood when they filled out the CBDI. Twenty-one patients (72%) did not know the name of their illness or did not consider it a diagnosable medical illness, and five patients (17%) attributed their symptoms to pre-existing medical problems. Only three patients (10%) labeled their illness as psychiatric conditions. The patients generally sought help from general hospital (69%), lay help (62%), and alternative treatment (55%) but rarely from mental health professionals (3.5%) for their depressive symptoms. The results suggest that many Chinese Americans do not consider depressed mood a symptom to report to their physicians, and many are unfamiliar with depression as a treatable psychiatric disorder.
Topic(s):
Healthcare Disparities
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, Medically Unexplained Symptoms
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Reference Links: View the PubMed citation for Illness beliefs of depressed Chinese American patients in primary care
4629
Immigrants' use of primary health care services for mental health problems
Type: Journal Article
Year: 2014
Publication Place: England
Abstract: BACKGROUND: Equity in health care across all social groups is a major goal in health care policy. Immigrants may experience more mental health problems than natives, but we do not know the extent to which they seek help from primary health care services. This study aimed to determine a) the rate immigrants use primary health care services for mental health problems compared with Norwegians and b) the association between length of stay, reason for immigration and service use among immigrants. METHODS: National register data covering all residents in Norway and all consultations with primary health care services were used. We conducted logistic regression analyses to compare Norwegians' with Polish, Swedish, German, Pakistani and Iraqi immigrants' odds of having had a consultation for a mental health problem (P-consultation). RESULTS: After accounting for background variables, all immigrants groups, except Iraqi men had lower odds of a P-consultation than their Norwegian counterparts. A shorter length of stay was associated with lower odds of a P-consultation. CONCLUSIONS: Service use varies by country of origin and patterns are different for men and women. There was some evidence of a possible 'healthy migrant worker' effect among the European groups. Together with previous research, our findings however, suggest that Iraqi women and Pakistanis in particular, may experience barriers in accessing care for mental health problems.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Immigrants' use of primary health care services for mental health problems
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View the PubMed citation for Immigrants' use of primary health care services for mental health problems4631
Impact of a care coordination and support strategic partnership on clinical outcomes
Type: Journal Article
Year: 2008
Publication Place: United States
Abstract: A strategic partnership between a nursing care coordination telephone support program and a home healthcare agency was evaluated. The study was supported by the Centers for Medicare and Medicaid. According to the results, the partnership was a clinically effective service that proved satisfactory to family caregivers, improved the use of community services, and reduced inpatient use and costs without affecting mortality.
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Impact of a care coordination and support strategic partnership on clinical outcomes
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View the PubMed citation for Impact of a care coordination and support strategic partnership on clinical outcomes4634
Impact of a Culturally Focused Psychiatric Consultation on Depressive Symptoms Among Latinos in Primary Care
Type: Journal Article
Year: 2014
Abstract: OBJECTIVE A culturally focused psychiatric (CFP) consultation service was implemented to increase engagement in mental health care and reduce depressive symptoms among adult Latino primary care patients. The aim of this study was to assess preliminary efficacy of the CFP consultation service to reduce depressive symptoms. METHODS In a randomized controlled study, primary care clinics were randomly selected to provide either the two-session CFP intervention or enhanced usual care. For CFP intervention participants, study clinicians (psychologists or psychiatrists) provided a psychiatric assessment, psychoeducation, cognitive-behavioral tools, and tailored treatment recommendations; primary care providers were provided a consultation summary. Depressive symptoms (as measured by the Quick Inventory of Depressive Symptomatology-Self Rated [QIDS-SR]) were assessed at baseline and six-month follow-up. Multiple regression analysis was conducted to evaluate whether CFP intervention participants showed greater improvement in depressive symptoms at follow-up, with control for baseline depression, clinic site, and significant covariates. RESULTS Participants (N=118) were primarily Spanish-monolingual speakers (64%). Although depressive symptoms remained in the moderate range for both groups from baseline to six months, symptom reduction was greater among CFP intervention participants (mean+/-SD change in QIDS-SR score=3.46+/-5.48) than those in usual care (change=.09+/-4.43). The final multiple regression model indicated that participation in the CFP intervention predicted lower depressive symptoms at follow-up (unstandardized beta=-3.09, p=.008), independent of baseline depressive symptoms, clinic site, age, gender, and employment status. CONCLUSIONS Results suggest that Latinos experiencing depressive symptoms may benefit from a short-term CFP consultation. Findings also support the integration of psychiatric interventions for Latinos in the primary care setting.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for Impact of a Culturally Focused Psychiatric Consultation on Depressive Symptoms Among Latinos in Primary Care
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View the PubMed citation for Impact of a Culturally Focused Psychiatric Consultation on Depressive Symptoms Among Latinos in Primary Care4636
Impact of a group medical visit program on Latino health-related quality of life
Type: Journal Article
Year: 2011
Publication Place: United States
Topic(s):
Medical Home
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Reference Links: View the PubMed citation for Impact of a group medical visit program on Latino health-related quality of life
4637
Impact of a Mandated Change in Buprenorphine Formulation
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract:
OBJECTIVE: This study examines the impact of an insurance-mandated change in formulation of buprenorphine/naloxone (BNX) for patients with opioid use disorder treated in a primary care clinic. METHODS: A retrospective cohort study was conducted to determine the proportion of patients who were switched back to the previous BNX formulation and rates of aberrant urine drug tests for the 3 months before and 3 months after a mandated change in BNX from the sublingual film to the rapidly dissolving tablet (BNX-RDT). Aberrant urine drug tests were defined as the presence of cocaine, nonprescribed opioids/benzodiazepines, or the absence of buprenorphine. RESULTS: In all, 186 patients were included in the analysis. At 3 months after the change, 36.0% of patients remained on BNX-RDT at equivalent dose, 9.1% were prescribed a higher dose of BNX-RDT, 52.7% were switched back to their previous formulation after a trial of BNX-RDT, and 2.2% dropped out of care. There was no significant change in the rates of aberrant urine drug tests pre and postchange (36.6% vs 33.7%; P = 0.27) or in any individual component of urine drug testing. Age, sex, and starting dose were not associated with remaining on BNX-RDT at equivalent dose, compared with increasing dose or changing formulation. CONCLUSIONS: Most patients were dissatisfied with the change in formulation and requested a return to the previous formulation. This change did not appear to impact drug use; however, the flexibility that permitted patients to switch back to their previous BNX formulation likely attenuated the policy's impact.
Topic(s):
Opioids & Substance Use
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Reference Links: View the PubMed citation for Impact of a Mandated Change in Buprenorphine Formulation
4638
Impact of a mental health based primary care program on emergency department visits and inpatient stays
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Impact of a mental health based primary care program on emergency department visits and inpatient stays
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View the PubMed citation for Impact of a mental health based primary care program on emergency department visits and inpatient stays4639
Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
General Literature
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Reference Links:
View the DOI record for Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care
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View the PubMed citation for Impact of a Mental Health Based Primary Care Program on Quality of Physical Health Care4640
Impact of a multicomponent screening, brief intervention, and referral to treatment (SBIRT) training curriculum on a medical residency program
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: BACKGROUND: Substance-related disorders are a growing problem in the United States. The patient-provider setting can serve as a crucial environment to detect and prevent at-risk substance use. Screening, brief intervention, and referral to treatment (SBIRT) is an integrated approach to deliver early intervention and treatment services for persons who have or are at risk for substance-related disorders. SBIRT training components can include online modules, in-person instruction, practical experience, and clinical skills assessment. This paper will evaluate the impact of multiple modes of training on acquisition of SBIRT skills as observed in a clinical skills assessment. METHODS: Residents were part of an SBIRT training program, from 2009 through 2013, consisting of lecture, role-play, online modules, patient encounters, and clinical skills assessment (CSA). Differences were assessed across satisfactory and unsatisfactory CSA performance. RESULTS: Seventy percent of the residents satisfactorily completed CSA. Demographics, type of components completed, and number of components completed were similar among residents who demonstrated satisfactory clinical skills compared with those who did not. All components of the training program were accepted equally across specialties and resident matriculation cohorts. CONCLUSION: The authors conclude that the components employed in SBIRT training do not have to be numerous or of a particular mode of training in order to see observable demonstration of SBIRT skills among medical residents. Thus, residency educators who have limited time or resources may utilize as few as 1 mode of training to effectually disseminate SBIRT skills among health care providers. As SBIRT continues to evolve as a promising tool to address at-risk substance-related disorders, it is critical to train medical residents and other health professionals.
Topic(s):
Education & Workforce
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