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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).

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11248 Results
4941
Improving depression care for low-income minorities: Integrating routine depression screening and treatment in a primary care clinic
Type: Web Resource
Authors: Lydia Marie Franklin
Year: 2017
Topic(s):
Grey Literature See topic collection
,
Healthcare Disparities See topic collection
Disclaimer:

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

4942
Improving depression care for low-income minorities: Integrating routine depression screening and treatment in a primary care clinic
Type: Web Resource
Authors: Lydia Marie Franklin
Year: 2017
Topic(s):
Grey Literature See topic collection
,
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Measures See topic collection
Disclaimer:

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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

4943
Improving depression care for older, minority patients in primary care
Type: Journal Article
Authors: P. A. Arean, L. Ayalon, E. Hunkeler, E. H. Lin, L. Tang, L. Harpole, H. Hendrie, J. W. Williams, J. Unutzer, IMPACT Investigators
Year: 2005
Publication Place: United States
Abstract: OBJECTIVE: Few older minorities receive adequate treatment of depression in primary care. This study examines whether a collaborative care model for depression in primary care is as effective in older minorities as it is in nonminority elderly patients in improving depression treatment and outcomes. STUDY DESIGN: A multisite randomized clinical trial of 1801 older adults comparing collaborative care for depression with treatment as usual in primary care. Twelve percent of the sample were black (n = 222), 8% were Latino (n = 138), and 3% (n = 53) were from other minority groups. We compared the 3 largest ethnic groups (non-Latino white, black, and Latino) on depression severity, quality of life, and mental health service use at baseline, 3, 6, and 12 months after randomization to collaborative care or usual care. PRINCIPAL FINDINGS: Compared with care as usual, collaborative care significantly improved rates and outcomes of depression care in older adults from ethnic minority groups and in older whites. At 12 months, intervention patients from ethnic minorities (blacks and Latinos) had significantly greater rates of depression care for both antidepressant medication and psychotherapy, lower depression severity, and less health-related functional impairment than usual care participants (64%, 95% confidence interval [CI] 55-72 versus 45%, CI 36-55, P = 0.003 for antidepressant medication; 37%, CI 28-47 versus 13%, CI 6-19, P = 0.002 for psychotherapy; mean = 0.9, CI 0.8-1.1 versus mean = 1.4, CI 1.3-1.5, P < 0.001 for depression severity, range 0-4; mean = 3.7, CI 3.2-4.1, versus mean = 4.7, CI 4.3-5.1, P < 0.0001 for functional impairment, range 0-10). CONCLUSIONS: Collaborative Care is significantly more effective than usual care for depressed older adults, regardless of their ethnicity. Intervention effects in ethnic minority participants were similar to those observed in whites.
Topic(s):
Healthcare Disparities See topic collection
,
Key & Foundational See topic collection
4944
Improving depression care in patients with diabetes and multiple complications
Type: Journal Article
Authors: L. S. Kinder, W. J. Katon, E. Ludman, J. Russo, G. Simon, E. H. Lin, P. Ciechanowski, M. Von Korff, B. Young
Year: 2006
Topic(s):
Healthcare Disparities See topic collection
4945
Improving depression outcomes in community primary care practice: a randomized trial of the QuEST intervention. Quality Enhancement by Strategic Teaming
Type: Journal Article
Authors: K. Rost, P. Nutting, J. Smith, J. Werner, Duan N
Year: 2001
Topic(s):
General Literature See topic collection
4946
Improving depression outcomes in older adults with comorbid medical illness
Type: Journal Article
Authors: L. H. Harpole, J. Williams, M. K. Olsen, K. M. Stechuchak, E. Oddone, C. M. Callahan, W. J. Katon, E. H. Lin, L. M. Grypma, J. Unutzer
Year: 2005
Topic(s):
Healthcare Disparities See topic collection
4947
Improving depression screening in primary care: A quality improvement initiative
Type: Journal Article
Authors: Sarah R. Blackstone, Amanda N. Sebring, Claudia Allen, Joseph S. Tan, Rebekah Compton
Year: 2022
Topic(s):
Healthcare Disparities See topic collection
,
HIT & Telehealth See topic collection
,
Measures See topic collection
4948
Improving depression treatment by integrated care
Type: Journal Article
Authors: K. M. Rost
Year: 2005
Topic(s):
Financing & Sustainability See topic collection
4949
Improving Efficiency and Access to Canadian Mental Health Care: Combining Tertiary Care and Community Mental Health Agencies to Triage Child and Adolescent Mental Health Referrals
Type: Journal Article
Authors: Olivia Calancie, Sarosh Khalid-Khan, Robert Nesdole, Colin G. Wilson
Year: 2016
Publication Place: Baltimore
Topic(s):
General Literature See topic collection
4950
Improving evidence-based management of depression for older Americans in primary care: If not now, when?
Type: Journal Article
Authors: Charles F. Reynolds, Mario Cruz, Carrie Farmer Teh, Bruce L. Rollman
Year: 2007
Publication Place: United Kingdom: Wiley-Blackwell Publishing Ltd.
Topic(s):
Financing & Sustainability See topic collection
4951
Improving follow-up for adolescents with depression in primary care
Type: Journal Article
Authors: Jane Garbutt, Sherry Dodd, Shannon Rook, Sharon Graham, Ruoyun Wang, Katie Plax
Year: 2022
Topic(s):
Healthcare Disparities See topic collection
,
Medical Home See topic collection
4952
Improving function through primary care treatment of posttraumatic stress disorder study outcomes: A randomized controlled trial of prolonged exposure for primary care in veterans
Type: Journal Article
Authors: S. A. M. Rauch, H. M. Kim, R. Acierno, C. Ragin, B. Wangelin, K. Blitch, W. Muzzy, S. Hart, K. Zivin
Year: 2023
Topic(s):
Healthcare Disparities See topic collection
4953
Improving general medical care for persons with mental and addictive disorders: systematic review
Type: Journal Article
Authors: Benjamin G. Druss, Silke A. von Esenwein
Year: 2006
Topic(s):
General Literature See topic collection
4954
Improving GPs' skills and competencies in child psychiatry
Type: Journal Article
Authors: A. Heikkinen, K. Puura, T. Niskanen, K. Mattila
Year: 2005
Publication Place: Norway
Abstract: Concerned at the poor availability of psychiatric services for children and adolescents, the Finnish Parliament allocated extra funds for their development during 2000 and 2001. With this subsidy, a project was set underway to update general practitioners' (GPs') skills and knowledge in child psychiatry. The problem-based learning (PBL) method was used, combined with multidisciplinary teamwork. The present paper reports on changes Finnish GPs' perceptions of their knowledge and skills in child psychiatry over a 1-year period. The study sample comprised 761 physicians working in health centres in the area of Tampere University Hospital, with a catchment population of one million. GPs' self-assessments of their skills in child psychiatry in 16 areas were collected by postal questionnaire in 2000 and 2001. The response rates were 66.1% and 57.1%, respectively. Those who answered in both years were included in the analysis (n=371). Some GPs felt that their skills and competencies had improved and some that they had declined, while the majority reported no changes. According to logistic regression analysis, the only factor explaining a marked positive change was participation in child psychiatric training. In two areas of competence, GPs who had attended child psychiatric training rated their skills as significantly better than those who had not attended such training. We conclude that the effect of this undertaking was modest when implemented as a one-off training event.
Topic(s):
Education & Workforce See topic collection
4955
Improving harm reduction with a naloxone intervention in primary care to prescribe and educate a support person
Type: Journal Article
Authors: J. K. Kirk, M. Q. Tran, S. Pelc, K. G. Moore
Year: 2021
Publication Place: United States
Abstract:

OBJECTIVE: To determine whether a pharmacistled intervention would increase the number of naloxone prescriptions and naloxone administration education in a primary care family medicine setting. DESIGN: Prospective quality improvement intervention in an academic family medicine clinic. METHODS: We surveyed providers about naloxone knowledge, prescribing habits, and prescribing barriers. We identified patients on chronic opioid therapy, through electronic health records for the year 2019. Overdose risk categories based upon morphine milligram equivalent doses and concomitant benzodiazepine use were used to determine patients who met criteria for naloxone. Pharmacists phoned qualified patients to discuss overdose risk and naloxone benefits. Patients who accepted naloxone prescriptions used their local pharmacy through a department-approved standing order set. RESULTS: From the survey results, there were 47 of 54 provider responses, and the majority noted that they do not routinely prescribe naloxone in high-risk patients. The predominant barriers were lack of time during visit and naloxone administration education. The population of patients from chart review included 93 high-risk patients with a mean age of 58 years. During the time of intervention, 71 patients remained eligible for naloxone coprescribing. Of the patients contacted, 29 (40 percent) accepted the intervention prescription, and subsequently, 22 picked up their prescription from the pharmacy. Sixteen received counseling with a support person. Twelve patients had naloxone already at home, and two received counseling with a support person. CONCLUSION: The naloxone prescribing intervention is achievable. The results of this intervention support identifying patients at increased risk of opioid overdose and offer education of a support person for naloxone in a large academic family medicine clinic.

Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
4956
Improving Health Equity Through the Integration of Mental Health Services Within Primary Care
Type: Journal Article
Authors: J. D. Shahidullah, R. A. Petts
Year: 2023
Topic(s):
Healthcare Disparities See topic collection
4957
Improving health of at-risk rural patients project: A collaborative care model
Type: Journal Article
Authors: Gary R. Matzke, Michael J. Czar, William T. Lee, Leticia R. Moczygemba, L. D. Harlow
Year: 2016
Publication Place: Bethesda, Maryland
Topic(s):
Healthcare Disparities See topic collection
4958
Improving health outcomes in young people - a holistic, team based approach
Type: Journal Article
Authors: S. Radford, M. L. Van Driel, K. Swanton
Year: 2011
Publication Place: Australia
Abstract: BACKGROUND: Young people aged 12-25 years are poorly serviced by current models of healthcare; they are under represented in Medicare data and are poor seekers of healthcare. However, the majority of mental health problems commence during this age span, significant sexual health issues arise, and there is poor compliance with treatment for chronic disease. OBJECTIVE: This article describes a holistic, multisector primary healthcare delivery model which may provide a way forward to improve both access and outcomes for young people. DISCUSSION: The 'headspace Gold Coast' model incorporates the relationship the young person has with both the organisation and the individuals within it; a focus on social and vocational rehabilitation; and a team based approach. The model provided at headspace serves an unmet need for young people in urban settings. However, more and ongoing support is crucial, including options for integration into existing primary care.
Topic(s):
Healthcare Policy See topic collection
4959
Improving Healthcare through AHRQ's Digital Healthcare Research Program
Type: Web Resource
Authors: Agency for Healthcare Research and Quality
Year: 2024
Publication Place: Rockville, MD
Topic(s):
HIT & Telehealth See topic collection
,
Grey Literature See topic collection
Disclaimer:

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.

4960
Improving integration of behavioral health into primary care for adolescents and young adults
Type: Journal Article
Authors: Brian Pitts, Matthew C. Aalsma, Merrian Brooks, Preeti Galagali, Robert McKinney Jr., Peggy McManus, Melissa Pinto, Ana Radovic, Laura Richardson
Year: 2020
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection