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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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11272 Results
5061
Incorporating Patients' Social Determinants of Health into Hypertension and Depression Care: A Pilot Randomized Controlled Trial
Type: Journal Article
Authors: H. F. McClintock, H. R. Bogner
Year: 2017
Publication Place: United States
Abstract: The objective of this study was to carry out a randomized controlled pilot trial to test the effectiveness of an integrated intervention for hypertension and depression incorporating patients' social determinants of health (enhanced intervention) versus an integrated intervention alone (basic intervention). In all, 54 patients were randomized. An electronic monitor was used to measure blood pressure, and the nine-item Patient Health Questionnaire (PHQ-9) assessed depressive symptoms. Patients in the enhanced intervention had a significantly improved PHQ-9 mean change from baseline in comparison with patients in the basic intervention group at 12 weeks (p = 0.024). Patients in the enhanced intervention had a significantly improved systolic and diastolic blood pressure mean change from baseline in comparison with patients in the basic intervention group at 12 weeks (p = 0.003 and p = 0.019, respectively). Our pilot trial results indicate integrated care management that addresses the social determinants of health for patients with hypertension and depression may be effective.
Topic(s):
General Literature See topic collection
5062
Incorporating recognition and management of perinatal and postpartum depression into pediatric practice
Type: Journal Article
Authors: M. F. Earls, Committee on Psychosocial Aspects of Child and Family Health American Academy of Pediatrics
Year: 2010
Publication Place: United States
Abstract: Every year, more than 400,000 infants are born to mothers who are depressed, which makes perinatal depression the most underdiagnosed obstetric complication in America. Postpartum depression leads to increased costs of medical care, inappropriate medical care, child abuse and neglect, discontinuation of breastfeeding, and family dysfunction and adversely affects early brain development. Pediatric practices, as medical homes, can establish a system to implement postpartum depression screening and to identify and use community resources for the treatment and referral of the depressed mother and support for the mother-child (dyad) relationship. This system would have a positive effect on the health and well-being of the infant and family. State chapters of the American Academy of Pediatrics, working with state Early Periodic Screening, Diagnosis, and Treatment (EPSDT) and maternal and child health programs, can increase awareness of the need for perinatal depression screening in the obstetric and pediatric periodicity of care schedules and ensure payment. Pediatricians must advocate for workforce development for professionals who care for very young children and for promotion of evidence-based interventions focused on healthy attachment and parent-child relationships.
Topic(s):
General Literature See topic collection
5063
Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice
Type: Journal Article
Authors: J. Rafferty, G. Mattson, M. F. Earls, M. W. Yogman, Committee on Psychosocial Aspects of Child and Family Health
Year: 2019
Publication Place: United States
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Medical Home See topic collection
5064
Increase in untreated cases of psychiatric disorders during the transition to adulthood
Type: Journal Article
Authors: W. E. Copeland, L. Shanahan, M. Davis, B. J. Burns, A. Angold, E. J. Costello
Year: 2015
Publication Place: United States
Abstract: OBJECTIVE: During the transition to adulthood, youths face challenges that may limit their likelihood of obtaining services for psychiatric problems. The goal of this analysis was to estimate changes in rates of service use and untreated psychiatric disorders during the transition from adolescence to adulthood. METHODS: In a prospective, population-based study, participants were assessed up to four times in adolescence (ages 13-16; 3,983 observations of 1,297 participants, 1993-2000) and three times in young adulthood (ages 19, 21, and 24-26; 3,215 observations of 1,273 participants, 1999-2010). Structured diagnostic interviews were used to assess service need (participants meeting DSM-IV diagnostic criteria for a psychiatric disorder) and use of behavioral services in 21 service settings in the past three months. RESULTS: During young adulthood, 28.9% of cases of psychiatric disorders were associated with some treatment, compared with a rate of 50.9% for the same participants during adolescence. This decrease included a near-complete drop in use of educational and vocational services as well as declines in use of specialty behavioral services. Young adults most frequently accessed services in specialty behavioral or general medical settings. Males, African Americans, participants with substance dependence, and participants living independently were least likely to get treatment. For cases of psychiatric disorders among young adults, insurance and poverty status were unrelated to likelihood of service use. CONCLUSIONS: Young adults were much less likely to receive treatment for psychiatric problems than they were as adolescents. Public policy must address gaps in service use during the transition to adulthood.
Topic(s):
Healthcare Disparities See topic collection
5065
Increased access to evidence-based primary mental health care: Will the implementation match the rhetoric?
Type: Journal Article
Authors: I. B. Hickie, P. D. McGorry
Year: 2007
Publication Place: Australia
Abstract: There is clear evidence that coordinated systems of medical and psychological care ("collaborative care") are superior to single-provider-based treatment regimens. Although other general practice-based mental health schemes promoted collaborative care, the new Medicare Benefits Schedule payments revert largely to individual-provider service systems and fee-for-service rebates. Such systems have previously resulted in high out-of-pocket expenses, poor geographical and socioeconomic distribution of specialist services, and proliferation of individual-provider-based treatments rather than collaborative care. The new arrangements for broad access to psychological therapies should provide the financial basis for major structural reform. Unless this reform is closely monitored for equity of access, degree of out-of-pocket expenses, extent of development of evidence-based collaborative care structures, and impact on young people in the early phases of mental illness, we may waste this opportunity. The responsibility for achieving the best outcome does not lie only with governments. To date, the professions have not placed enough emphasis on systematically adopting evidence-based forms of collaborative care.
Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Policy See topic collection
5066
Increased demand for amphetamine treatment in rural Australia
Type: Journal Article
Authors: J. Allan, R. H. L. Ip, M. Kemp, N. Snowdon
Year: 2019
Abstract: BACKGROUND: A substantial increase in substance treatment episodes for methamphetamine problems suggests characteristics of the treatment population could have changed and that targeted treatment programs are required. To determine who methamphetamine treatment should be designed for this study has two aims. First, to empirically describe changes in amphetamine treatment presentations to a rural NSW drug and alcohol treatment agency over time. Second, to examine how these characteristics may affect the likelihood of being treated for amphetamines compared to other drugs. METHOD: The Australian Alcohol and Other Drug Treatment Services National Minimum Data Set (AODTS-NMDS) containing closed treatment episodes from a single agency from three time periods was used. Characteristics of people receiving amphetamine treatments in these three periods were compared and the effects of these characteristics on the odds of being treated for amphetamine were estimated using a logistic regression model. The characteristics utilised in the analysis include age, sex, Indigenous status, usual accommodation, living arrangement, source of referral and source of income. RESULTS: The proportion of amphetamine treatment episodes doubled from 2006/2007 to 2015/2016 and overtook alcohol as the most commonly treated principal drug of concern. The estimated proportion of amphetamine treatments showed an increment across all ages and for men and women. It was found that younger people, women, people in temporary accommodation or homeless, people who were self-referred and people whose main source of income was not through employment are more likely to be treated for amphetamine use. CONCLUSION: Significant changes over time in the age, sex and Indigenous status of people receiving treatment for amphetamine as the principal drug of concern requires service delivery to match demand from younger people, particularly women; and Indigenous people. The needs and preferences for treatment of younger women who use amphetamine will be important factors in treatment planning service providers who are more used to providing treatment for young men who use cannabis and older men who use alcohol. Further research on women's experiences in treatment and outcomes would be useful for informing treatment practices.
Topic(s):
Opioids & Substance Use See topic collection
,
Healthcare Disparities See topic collection
5068
Increased medical utilization and psychiatric comorbidity following a new diagnosis of methamphetamine use disorder
Type: Journal Article
Authors: W. C. Lee, H. M. Chang, M. C. Huang, C. H. Pan, S. S. Su, S . Y. Tsai, C. C. Chen, C. J. Kuo
Year: 2021
Publication Place: England
Abstract:

BACKGROUND: Evidence of patterns of medical utilization and distribution of comorbidities among individuals using methamphetamine remains limited. OBJECTIVE: This study aims to investigate changes in medical utilization and comorbidities before and after a diagnosis of methamphetamine use disorder. METHODS: A total of 3321 cases (79% were male) of methamphetamine use disorder between January 1, 1996, and December 31, 2012, were identified from Psychiatric Inpatient Medical Claims database in Taiwan. Information was collected on demographics, diagnoses, and medical utilizations. The date of newly diagnosed with methamphetamine use disorder was defined as the baseline. Mirror-image study design was used to compare changes in medical utilization and comorbidities between the pre-baseline period (within 1 year before diagnosis) and the post-baseline period (within 1 year after diagnosis). Conditional logistic regression was used to estimate changes in medical utilization and comorbidities. RESULTS: Most cases (77%) were first identified in a psychiatric department. There is a significant increase (P < .001) in psychiatric admission (odds ratio[OR] = 2.19), psychiatric emergency visits (OR = 1.31), and psychiatric outpatient visits (OR = 1.15) after diagnosis. Multivariable analysis revealed significantly increased risks (P < .001) of non-methamphetamine drug induced mental disorders (adjusted OR[aOR] = 29.47), schizophrenia (aOR = 2.62), bipolar disorder (aOR = 2.14), organic mental disorder (aOR = 1.82), and upper respiratory tract infection (aOR = 2.03) after diagnosis. CONCLUSIONS: We found significant increases of medical utilization and psychiatric comorbidities after diagnosed with methamphetamine use disorder. These findings may reflect the problem of delayed diagnosis and treatment. Enhancement of early identification of methamphetamine use disorder in general practice is required for early intervention and decreased subsequent morbidities.

Topic(s):
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
5069
Increasing Access to and Utilization of Behavioral Health Care Through Integrated Primary Care
Type: Journal Article
Authors: C. Hostutler, N. Wolf, T. Snider, C. Butz, A. R. Kemper, E. Butter
Year: 2023
Topic(s):
Financing & Sustainability See topic collection
,
Medical Home See topic collection
5070
Increasing access to behavioral health care through technology
Type: Government Report
Year: 2013
Publication Place: Rockville, MD
Abstract: Insights in this report were shared by a select group of HRSA-funded health centers in a March 2012 daylong meeting, convened by the U.S. Department of Health and Human Services (HHS) and its Health Resources and Services Administration's (HRSA) Office of Special Health Affairs. The meeting was held in collaboration with HRSA's Bureau of Primary Care (which oversees the Health Centers Program), the HRSA Office of Rural Health Policy's Office for the Advancement of Telehealth, and HHS's Substance Abuse and Mental Health Services Administration's (SAMHSA) Telemental Health Program.
Topic(s):
Grey Literature See topic collection
,
HIT & Telehealth 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.

5071
Increasing Access to Buprenorphine for Opioid Use Disorder in Primary Care: an Assessment of Provider Incentives
Type: Journal Article
Authors: A. T. Kelley, J. Wilcox, J. D. Baylis, N. L. Crossnohere, J. Magel, A. L. Jones, A. J. Gordon, J. F. P. Bridges
Year: 2023
5072
Increasing Access to Buprenorphine in Safety-Net Primary Care Clinics: The New York City Buprenorphine Nurse Care Manager Initiative
Type: Journal Article
Authors: Marissa Kaplan-Dobbs, Jessica A. Kattan, Ellenie Tuazon, Christian Jimenez, Sabina Saleh, Hillary V. Kunins
Year: 2021
Publication Place: Washington, District of Columbia
Topic(s):
Education & Workforce See topic collection
,
Financing & Sustainability See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
5073
Increasing access to family planning services among women receiving medications for opioid use disorder: A pilot randomized trial examining a peer-led navigation intervention
Type: Journal Article
Authors: Deborah J. Rinehart, Melanie Stowell, Adriana Collings, M. J. Durfee, Tara Thomas-Gale, Hendrée EJones, Ingrid Binswanger
Year: 2021
Publication Place: Elmsford
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
5074
Increasing Access to Medication to Treat Opioid Addiction-- Increasing Access for the Treatment of Opioid Addiction with Medications
Type: Report
Authors: American Association for the Treatment of Opioid Dependence
Year: 2014
Publication Place: New York
Topic(s):
Grey Literature See topic collection
,
Healthcare Policy See topic collection
,
Opioids & Substance Use 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.

5075
Increasing Access to Medication-Assisted Treatment (MAT) in Rural Primary Care Practices (R18)
Type: Government Report
Authors: Agency for Healthcare Research and Quality
Year: 2016
Abstract: On January 13, 2016, the Agency for Healthcare Research and Quality (AHRQ) held a technical assistance teleconference on the Agency's funding opportunity announcement, "Medication-Assisted Treatment (MAT) in Rural Primary Care Practices (R18)". This is the text version of the slide presentation.
Topic(s):
Grey Literature See topic collection
,
Opioids & Substance Use 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.

5076
Increasing Access to Medication-assisted Treatment for Opioid Addiction in Drug Courts and Correctional Facilities and Working Effectively With Family Courts and Child Protective Services
Type: Report
Authors: Douglas B. Marlowe, Sarah Wakeman, Josiah D. Rich, Pamela Peterson Baston
Year: 2016
Publication Place: New York
Topic(s):
Grey Literature See topic collection
,
Opioids & Substance Use 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.

5077
Increasing Access to Medications for Opioid Use Disorder and Complementary and Integrative Health Services in Primary Care
Type: Journal Article
Authors: E. T. Chang, R. S. Oberman, A. N. Cohen, S. L. Taylor, E. Gumm, A. S. Mardian, S. Toy, A. Revote, B. Lewkowitz, E. M. Yano
Year: 2020
Abstract:

OBJECTIVES: Evidence-based therapies for opioid use disorder (OUD) and chronic pain, such as medications for OUD (MOUD) and complementary and integrative health (CIH; e.g., acupuncture and meditation) therapies, exist. However, their adoption has been slow, particularly in primary care, due to numerous implementation challenges. We sought to expand the use of MOUD and CIH within primary care by using an evidence-based quality improvement (EBQI) implementation strategy. METHODS: We used EBQI to engage two facilities in the Veterans Health Administration (VHA) from June 2018 to September 2019. EBQI included multilevel stakeholder engagement, with external facilitators providing technical support, practice facilitation, and routine data feedback. We established a quality improvement (QI) team at each facility with diverse stakeholders (e.g., primary care, addiction, pain, nursing, pharmacy). We met monthly with regional stakeholders to address implementation barriers. We also convened an advisory board to ensure alignment with national priorities. RESULTS: Pre-implementation interviews indicated facility-level and provider-level barriers to prescribing buprenorphine, including strong primary care provider resistance. Both facilities developed action plans. They both conducted educational meetings (e.g., Grand Rounds, MOUD waiver trainings). Facility A also offered clinical preceptorships for newly trained primary care prescribers. Facility B used mass media and mailings to educate patients about MOUD and CIH options and dashboards to identify potential candidates for MOUD. After 15 months, both facilities increased their OUD treatment rates to the ≥ 90th percentile of VHA medical centers nationally. Exit interviews indicated an attitudinal shift in MOUD delivery in primary care. Stakeholders valued the EBQI process, particularly cross-site collaboration. IMPLICATIONS: Despite initial implementation barriers, we effectively engaged stakeholders using EBQI strategies. Local QI teams used an assortment of QI interventions and developed tools to catapult their facilities to among the highest performers in VHA OUD treatment. IMPACTS: EBQI is an effective strategy to partner with stakeholders to implement MOUD and CIH therapies.

Topic(s):
Education & Workforce See topic collection
,
Opioids & Substance Use See topic collection
5080
Increasing awareness on substance use disorder
Type: Journal Article
Authors: Jennifer Scott, Kathleen Schachman, Cynthia Hupert
Year: 2022
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection