Literature Collection

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13K+

References

11K+

Articles

1700+

Grey Literature

4800+

Opioids & SU

The Literature Collection contains over 13,000 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).

13393 Results

4761

Extended-Release Naltrexone: A Qualitative Analysis of Barriers to Routine Use

Type: Journal Article

Authors: K. Alanis-Hirsch, R. Croff, J. H. Ford II, K. Johnson, M. Chalk, L. Schmidt, D. McCarty

Year: 2016

Publication Place: United States

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4762

Extended‐release injectable naltrexone (XR-NTX): A response to clinical issues raised by Brewer & Streel

Type: Journal Article

Authors: Brantley P. Jarvis, August F. Holtyn, Shrinidhi Subramaniam, D. A. Tompkins, Emmanuel A. Oga, George Bigelow, Kenneth Silverman

Year: 2019

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4763

Extended‐release injectable naltrexone for opioid use disorder: A systematic review

Type: Journal Article

Authors: Brantley P. Jarvis, August F. Holtyn, Shrinidhi Subramaniam, D. A. Tompkins, Emmanuel A. Oga, George E. Bigelow, Kenneth Silverman

Year: 2018

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4764

Extending collaborative care for posttraumatic mental health

Type: Journal Article

Authors: Paula P. Schnurr

Year: 2016

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4765

Extending collaborative care to independent primary care practices: A chronic care model

Type: Journal Article

Authors: John T. Parkhurst, Rachel R. Ballard, John V. Lavigne, Tara Von Mach, Courtney Romba, Marisa Perez-Reisler, John T. Walkup

Year: 2021

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4766

Extending residential care through telephone counseling: initial results from the Betty Ford Center Focused Continuing Care protocol

Type: Journal Article

Authors: J. S. Cacciola, A. C. Camilleri, D. Carise, S. H. Rikoon, J. R. McKay, A. T. McLellan, C. Wilson, J. T. Schwarzlose

Year: 2008

Publication Place: England

Abstract: There is increasing evidence that a chronic care model may be effective when treating substance use disorders. In 1996, the Betty Ford Center (BFC) began implementing a telephone-based continuing care intervention now called Focused Continuing Care (FCC) to assist and support patients in their transition from residential treatment to longer-term recovery in the "real world". This article reports on patient utilization and outcomes of FCC. FCC staff placed clinically directed telephone calls to patients (N=4094) throughout the first year after discharge. During each call, a short survey was administered to gauge patient recovery and guide the session. Patients completed an average of 5.5 (40%) of 14 scheduled calls, 58% completed 5 or more calls, and 85% were participating in FCC two months post-discharge or later. There was preliminary evidence that greater participation in FCC yielded more positive outcomes and that early post-discharge behaviors predict subsequent outcomes. FCC appears to be a feasible therapeutic option. Efforts to revise FCC to enhance its clinical and administrative value are described.

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4767

Extending the Medical Home to Meet Your Patients' Mental Health Needs: Is Telehealth the Answer?

Type: Journal Article

Authors: S. J. Kressly

Year: 2019

Publication Place: United States

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4768

Extending the Medical Home to Meet Your Patients' Mental Health Needs: Is Telehealth the Answer?

Type: Journal Article

Authors: S. J. Kressly

Year: 2019

Publication Place: United States

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4769

Extent and determinants of general practitioner referrals and contacts with mental health care providers

Type: Journal Article

Authors: M. Fleury, J. M. Bamvita, J. Tremblay, A. Lesage

Year: 2010

Publication Place: URL

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4770

External Validation of Epic's Risk of Opioid Abuse and Overdose Model Among Primary Care Patients in Three Health Systems

Type: Journal Article

Authors: S. A. Hooker, R. C. Rossom, J. Haapala, A. L. Crain, K. Miley, A. W. Olson, S. Kane, K. Christensen, P. J. O'Connor, G. Bart, E. A. Wright

Year: 2026

Abstract:

BACKGROUND: Most people with opioid use disorder (OUD) do not receive evidence-based treatment. To increase treatment rates, primary care clinics may choose to implement risk prediction tools available in the electronic health record (EHR) to identify patients with a high risk of OUD or overdose. OBJECTIVE: To externally validate Epic's cognitive computing model to predict the Risk of Opioid Abuse or Overdose (referred to as the Opioid Risk Score; ORS) in three large integrated health systems. DESIGN: Prospective cohort study secondary to an ongoing clinical trial. PARTICIPANTS: Patients (N = 704,764) aged 18-75 who had a primary care encounter during the study period (April 2021-December 2022) and did not have an OUD diagnosis at index. MAIN MEASURES: Data were extracted from the EHR. The index date was defined as the first date within the study period where the patient met eligibility criteria and had an ORS calculated by the EHR. The binary outcome variable was whether the patient was diagnosed with OUD or experienced an opioid overdose within 12 months of the index date. KEY RESULTS: Most patients were classified as low risk on ORS (99.6%). Few patients experienced an OUD diagnosis or overdose in the 12-month follow-up period (0.3%). The model correctly classified 185 of 2362 patients who experienced an event (sensitivity 0.0783, 95% CI 0.0675, 0.0892) and 699,926 of 702,406 patients who did not experience an event (specificity 0.9965, 95% CI 0.9963, 0.9966). Few patients with high ORS experienced the event (PPV 0.0694, 95% CI 0.0598, 0.0791). The model had excellent discrimination (c-statistic = 0.815) but was poorly calibrated, underestimating risk for patients who experienced the outcomes. CONCLUSIONS: Epic's ORS demonstrated excellent discrimination but very low sensitivity across three large integrated health systems. Health systems should exercise caution before implementing vendor risk prediction models without validating their use in their patient populations. CLINICAL TRIAL NUMBER: Not applicable.

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4771

External validation of the medication taper complexity score for methadone tapers in children with opioid abstinence syndrome

Type: Journal Article

Authors: P. N. Johnson, J. L. Miller, T. M. Hagemann, C. Castro, D. Harrison

Year: 2014

Publication Place: United States

Abstract: BACKGROUND: Methadone is commonly prescribed for children with opioid abstinence syndrome (OAS) as a taper schedule over several days to weeks. The Medication Taper Complexity Score (MTCS) was developed to evaluate outpatient methadone tapers. OBJECTIVE: To further validate the MTCS and determine if it is a reliable tool for clinicians to use to assess the complexity of methadone tapers for OAS. METHODS: An expert panel of pediatric clinical pharmacists was convened. Panel members were provided 9 methadone tapers (ie, "easy," "medium," and "difficult") to determine construct and face validity of the MTCS. The primary objective was to further establish reliability and construct/face validity of the MTCS. The secondary objective was to assess the reliability of the MTCS within and between tapers. Instrument reliability was assessed using a Pearson correlation coefficient; with 0.8 as the minimum acceptable coefficient. Construct (divergent) validity was assessed via a repeated-measures ANOVA analysis (Bonferroni post hoc analyses) of the mean scores provided by panel members. RESULTS: Six panel members were recruited from various geographical locations. Panel members had 18.3 +/- 5.5 years of experience, with practice expertise in general pediatrics, hematology/oncology, and the pediatric and neonatal intensive care unit. The MTCS had a reliability coefficient of .9949. There was vivid discrimination between the easy, medium, and difficult tapers; P = .001. The panel recommended minor modifications to the MTCS. CONCLUSIONS: The MTCS was found to be a reliable and valid tool. Overall, the panel felt that the MTCS was easy to use and had potential applications in both practice and research.

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4772

Extra-ordinary care: Improving your medical home

Type: Report

Year: 2008

Publication Place: Concord, NH

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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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4773

Facilitated telemedicine for hepatitis C virus: Addressing challenges for improving health and life for people with opioid use disorder

Type: Journal Article

Authors: Andrew H. Talal, Urmo Jaanimägi, Arpan Dharia, Suzanne S. Dickerson

Year: 2023

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4774

Facilitating exit from encampments: combining low-barrier transitional housing with stabilizing treatment for substance related problems

Type: Journal Article

Authors: M. Komaromy, A. Stone, A. Peterson, J. Gott, R. Koenig, J. L. Taylor

Year: 2023

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4775

Facilitating factors and barriers for use of medications to treat opioid use disorder (MOUD) among justice-involved individuals in rural Appalachia

Type: Journal Article

Authors: M. Staton, E. Pike, M. Tillson, M. R. Lofwall

Year: 2023

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4776

Facilitating factors and barriers for use of medications to treat opioid use disorder (moud) among justice‐involved individuals in rural appalachia

Type: Journal Article

Authors: Michele Staton, Erika Pike, Martha Tillson, Michelle R. Lofwall

Year: 2023

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4777

Facilitating medical withdrawal from opiates in rural Ontario

Type: Journal Article

Authors: N. Kiepek, L. Hancock, D. Toppozini, H. Cromarty, A. Morgan, L. Kelly

Year: 2012

Publication Place: Australia

Abstract: CONTEXT: The abuse of oxycodone in Northwestern Ontario, Canada, has escalated at alarming rates raising concerns that opiate use has reached epidemic proportions, particularly among the First Nations communities. The authors were involved in establishing Ontario's first rural inpatient medical withdrawal unit to serve patients seeking abstinence. ISSUES: The development of the medical withdrawal support services (MWSS) required creative and adaptive strategies to respond to the geographical, cultural and institutional circumstances. LESSONS LEARNED: Key factors to support program efficacy and successful outcomes for clients during the inaugural eight months of operation are interprofessional and collaborative approaches with a cultural awareness.Key words: addiction, Canada, First Nation, medical withdrawal.

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4778

Facilitating Mental Health Treatment Engagement in Integrated Primary Care: Examining Canadian Perspectives on the Utility of Virtual Warm Handoffs Amidst COVID-19 and Beyond...22nd International Conference on Integrated Care, May 23-25, 2022, Denmark

Type: Journal Article

Authors: Alex Fountaine, Megumi Iyar, Lesley Lutes

Year: 2022

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4779

Facilitating partnership working in public health: Evaluation of a clinical service development approach

Type: Journal Article

Authors: Cath Jackson, Susan Blundell, Rosemary R. C. McEachan, Ian Cameron

Year: 2009

Publication Place: United Kingdom: Cambridge University Press

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4780

Facilitating professional liaison in collaborative care for depression in UK primary care; a qualitative study utilising normalisation process theory

Type: Journal Article

Authors: N. Coupe, E. Anderson, L. Gask, P. Sykes, D. A. Richards, C. Chew-Graham

Year: 2014

Publication Place: England

Abstract: BACKGROUND: Collaborative care (CC) is an organisational framework which facilitates the delivery of a mental health intervention to patients by case managers in collaboration with more senior health professionals (supervisors and GPs), and is effective for the management of depression in primary care. However, there remains limited evidence on how to successfully implement this collaborative approach in UK primary care. This study aimed to explore to what extent CC impacts on professional working relationships, and if CC for depression could be implemented as routine in the primary care setting. METHODS: This qualitative study explored perspectives of the 6 case managers (CMs), 5 supervisors (trial research team members) and 15 general practitioners (GPs) from practices participating in a randomised controlled trial of CC for depression. Interviews were transcribed verbatim and data was analysed using a two-step approach using an initial thematic analysis, and a secondary analysis using the Normalisation Process Theory concepts of coherence, cognitive participation, collective action and reflexive monitoring with respect to the implementation of CC in primary care. RESULTS: Supervisors and CMs demonstrated coherence in their understanding of CC, and consequently reported good levels of cognitive participation and collective action regarding delivering and supervising the intervention. GPs interviewed showed limited understanding of the CC framework, and reported limited collaboration with CMs: barriers to collaboration were identified. All participants identified the potential or experienced benefits of a collaborative approach to depression management and were able to discuss ways in which collaboration can be facilitated. CONCLUSION: Primary care professionals in this study valued the potential for collaboration, but GPs' understanding of CC and organisational barriers hindered opportunities for communication. Further work is needed to address these organisational barriers in order to facilitate collaboration around individual patients with depression, including shared IT systems, facilitating opportunities for informal discussion and building in formal collaboration into the CC framework. TRIAL REGISTRATION: ISRCTN32829227 30/9/2008.

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