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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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11274 Results
5162
Innovative Integrated Health And Social Care Programs In Eleven High-Income Countries
Type: Journal Article
Authors: O. Bhattacharyya, J. Shaw, S. Sinha, D. Gordon, S. Shahid, W. P. Wodchis, G. Anderson
Year: 2020
Publication Place: United States
Abstract:

High-income countries face the challenge of providing effective and efficient care to the relatively small proportion of their populations with high health and social care needs. Recent reports suggest that integrated health and social care programs target specific high-needs population segments, coordinate health and social care services to meet their clients' needs, and engage clients and their caregivers. We identified thirty health and social care programs in eleven high-income countries that delivered care in new ways. We used a structured survey to characterize the strategies and activities used by these programs to identify and recruit clients, coordinate care, and engage clients and caregivers. We found that there were some common features in the implementation of these innovations across the eleven countries and some variation related to local context or the clients served by these programs. Researchers could use this structured approach to better characterize the core components of innovative integrated care programs. Policy makers could use this approach to provide a common language for international policy exchange, and this structured characterization of successful programs could play an important role in spreading them and scaling them up.

Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
5163
Innovative reflecting interview: Effect on high-utilizing patients with medically unexplained symptoms
Type: Journal Article
Authors: Norman H. Rasmussen, Joseph W. Furst, Dana M. Swenson-Dravis, David C. Agerter, Alan J. Smith, Macaran A. Baird, Stephen S. Cha
Year: 2006
Publication Place: Inc.
Topic(s):
Financing & Sustainability See topic collection
5164
Innovative strategies for nurse recruitment and retention in behavioral health
Type: Journal Article
Authors: S. M. Valente, I. Wright
Year: 2007
Publication Place: United States
Abstract: Successfully recruiting licensed nurses to work in behavioral health is challenging. This article describes and illustrates methods one hospital successfully used to attract, orient, and mentor new graduate nurses to work in mental health. The New Horizons program included a paid internship for new graduate vocational nurses, a mental health curriculum, preceptorship, a state board review course, and a new graduate program. Since 2003, the program has recruited 37 new graduates for the unfilled licensed staff vacancies in mental health who continued their professional education and pursued degrees as registered nurses. The evaluations indicated that more than 100% of graduates rated the program as excellent as well as recommended it to their friends, and retention has been more than 90%. New Horizons graduates have received promotions; one has assumed a new role as a clinical resource nurse who teaches nursing orientation. All stakeholders including nurse management, patients, other disciplines, and coworkers have high praise for the program graduates. The program increased the cultural diversity of the mental health staff because the graduates included high percentages of African Americans, Hispanic Americans, and Asian Americans and less than 10% of White Americans. Adult learning technologies were used including teaching with films, role-playing, case studies, reflective thinking, evidence-based practice, and group performance improvement projects. Research-based fact sheets were used for the course and continued education. These 1-page fact sheets help nurses apply the evidence to improve nursing practice.
Topic(s):
Education & Workforce See topic collection
5165
Innovative Ways to Finance Mental Health Services in a Primary Care Setting
Type: Report
Authors: Kathleen Reynolds, Virgina Koster
Year: 2005
Publication Place: Ypsilanti, MI
Topic(s):
Grey Literature See topic collection
,
Financing & Sustainability 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.

5166
Inpatient Buprenorphine Induction for Opioid Use Disorder in Pregnancy
Type: Journal Article
Authors: A. Tavakoli, K. Donovan, H. Sweeney, K. Uquillas, B. Gordon
Year: 2023
5168
Inseparable: Mental Health and Primary Care [Video]
Type: Web Resource
Authors: Clinical Innovation Network
Year: 2013
Topic(s):
Key & Foundational 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.

5169
Insights and issues from FDA Advisory Committee meetings on abuse-deterrent opioids
Type: Journal Article
Authors: C. J. Miller, R. C. Dart, N. P. Katz, L. R. Webster
Year: 2017
Publication Place: United States
Abstract: It is the current policy of the US Food and Drug Administration (FDA) to convene expert Advisory Committees to provide input on key regulatory decisions regarding opioid products, including approval and labeling of opioid abuse-deterrent formulations (ADFs). Advisory Committee meetings on ADF opioids consider whether the laboratory and clinical data submitted by the sponsor are sufficient to support marketing approval and labeling of the product with properties expected to deter abuse by specific routes of abuse (ie, oral, intranasal, intravenous). The FDA has typically followed the approval and labeling recommendations for ADFs reviewed by its Advisory Committees, highlighting the importance of these meetings in the regulatory approval process. This review describes common issues considered by Advisory Committees for ADF opioids as well as insights on how to prepare for these meetings based on recent relevant experience and regulatory decisions.
Topic(s):
Opioids & Substance Use See topic collection
5170
Insights from Drug Checking Programs: Practicing Bootstrap Public Health Whilst Tailoring to Local Drug User Needs
Type: Journal Article
Authors: J. Ondocsin, D. Ciccarone, L. Moran, S. Outram, D. Werb, L. Thomas, E. A. Arnold
Year: 2023
Abstract:

The year 2021 was the most deadly year for overdose deaths in the USA and Canada. The stress and social isolation stemming from the COVID-19 pandemic coupled with a flood of fentanyl into local drug markets created conditions in which people who use drugs were more susceptible to accidental overdose. Within territorial, state, and local policy communities, there have been longstanding efforts to reduce morbidity and mortality within this population; however, the current overdose crisis clearly indicates an urgent need for additional, easily accessible, and innovative services. Street-based drug testing programs allow individuals to learn the composition of their substances prior to use, averting unintended overdoses while also creating low threshold opportunities for individuals to connect to other harm reduction services, including substance use treatment programs. We sought to capture perspectives from service providers to document best practices around fielding community-based drug testing programs, including optimizing their position within a constellation of other harm reduction services to best serve local communities. We conducted 11 in-depth interviews from June to November 2022 via Zoom with harm reduction service providers to explore barriers and facilitators around the implementation of drug checking programs, the potential for integration with other health promotion services, and best practices for sustaining these programs, taking the local community and policy landscape into account. Interviews lasted 45-60 min and were recorded and transcribed. Thematic analysis was used to reduce the data, and transcripts were discussed by a team of trained analysts. Several key themes emerged from our interviews: (1) the instability of drug markets amid an inconsistent and dangerous drug supply; (2) implementing drug checking services in dynamic environments in response to the rapidly changing needs of local communities; (3) training and ongoing capacity building needed to create sustainable programs; and (4) the potential for integrating drug checking programs into other services. There are opportunities for this service to make a difference in overdose deaths as the contours of the drug market itself have changed over time, but a number of challenges remain to implement them effectively and sustain the service over time. Drug checking itself represents a paradox within the larger policy context, putting the sustainability of these programs at risk and challenging the potential to scale these programs as the overdose epidemic worsens.

Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
,
Healthcare Policy See topic collection
5171
Insights From Transformations Under Way At Four Brookings-Dartmouth Accountable Care Organization Pilot Sites
Type: Journal Article
Authors: Bridget K. Larson, Aricca D. Van Citters, Sara A. Kreindler, Kathleen L. Carluzzo, Josette N. Gbemudu, Frances M. Wu, Eugene C. Nelson, Stephen M. Shortell, Elliott S. Fisher
Year: 2012
Topic(s):
Financing & Sustainability See topic collection
5172
Insights into insurance coverage for digital therapeutics: A qualitative study of US payer perspectives
Type: Journal Article
Authors: A. G. Lumbreras, J. T. Hurwitz, X. Liang, S. Schippers, K. Phillip, S. Bhattacharjee, H. C. Waters, D. C. Malone
Year: 2024
Abstract:

BACKGROUND: In the last decade there has been an increase in the development and marketing of digital therapeutic (DTx) products aiming to prevent, manage, or treat a medical disorder or disease. Health insurance coverage for these products is not well established, and payers are facing increasing pressure to include these products as a covered benefit. OBJECTIVE: To examine factors and characteristics that could drive health insurance coverage of DTx products from US payers' and coverage decision-makers' perspectives. METHODS: This was a qualitative noninterventional, cross-sectional study conducted from August 2022 to October 2022. Virtual focus group meetings with pharmacy benefit managers/directors or medical directors representing a range of health insurance organizations were held following a semistructured interview guide. Convenience and snowball sampling techniques were used to identify participants. Transcripts were coded and analyzed with Atlas.ti software to identify common themes and subthemes. RESULTS: Five focus group meetings and 1 individual interview were held from August to October 2022. Participants (n = 22) were mostly pharmacists (n = 18, 85%) with more than 15 years of experience (n = 18, 85%). Some participants indicated that DTx products for diabetes (n = 6, 29%), mental/behavioral health (n = 3, 14%), and substance abuse disorders (n = 3, 14%) were already covered by their organizations. The topics generating the most comments grouped by code were issues around the evidence for DTx (67 unique comments) and barriers for coverage (60 unique comments). Participants indicated they want to have evidence of effectiveness that is similar to traditional pharmaceutical products. Barriers for coverage included a need to revise benefit policies, exclusion of nonprescription products, and mechanisms for billing. DTx products with an indication for mental/behavioral health were viewed as most likely to be reimbursed. Coverage of DTx products may occur under either the pharmacy or medical benefit. CONCLUSIONS: Health care payers stated that evidence of effectiveness was a necessary condition for health insurance coverage of DTx products. Given these are relatively new in health care, payers had more questions than answers regarding how these products will be integrated into health benefits.

Topic(s):
Financing & Sustainability See topic collection
5173
Insights into primary care physicians' detection, intervention and management of patients with substance use disorders in Egypt
Type: Journal Article
Authors: S. M. El-Zoghby, R. Madroumi, S. Kewley, M. C. Van Hout
Year: 2024
Abstract:

Egypt is experiencing an increasing drug problem (cannabis, heroin, amphetamines, pharmaceutical opioids, synthetic cannabinoids). Whilst harm reduction and addiction treatment are provided by government and non-governmental organizations in Egypt, very little is known about physicians experience of handling patient substance use and substance use disorder (SUD) in primary care. A cross-sectional national study of 392 Egyptian Family Physicians (FPs) & General Practitioners (GPs) explored their knowledge, attitude and professional practice regarding management of SUD in primary care, as a first step toward identifying professional development support needs and informing general practice. Findings underscore the need for greater depth of addiction training during undergraduate medical education and in continuing professional development, so that Egyptian FPs/GPs can better prevent harmful substance use, detect patients with SUD, intervene and support those in treatment. This study provides unique information which will inform further development and scale of evidence based SUD brief intervention and treatment within Egyptian primary care.

Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
5174
Insights into the U.S. Maternal Mortality Crisis: An International Comparison
Type: Report
Authors: Munira Z. Gunja, Evan D. Gumas, Relebohile Masitha, Laurie C. Zephyrin
Year: 2024
Publication Place: New York, NY
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Healthcare Policy 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.

5176
Instruments to assess patient-reported safety, efficacy, or misuse of current opioid therapy for chronic pain: A systematic review
Type: Journal Article
Authors: William C. Becker, Liana Fraenkel, Jennifer Edelman, Stephen R. Holt, Janis Glover, Robert D. Kerns, David A. Fiellin
Year: 2013
Topic(s):
Opioids & Substance Use See topic collection
,
Measures See topic collection
5177
Instruments to detect alcohol and other drug misuse in the emergency department: a systematic review
Type: Journal Article
Authors: A. S. Newton, R. Gokiert, N. Mabood, N. Ata, K. Dong, S. Ali, B. Vandermeer, L. Tjosvold, L. Hartling, T. C. Wild
Year: 2011
Publication Place: United States
Topic(s):
Opioids & Substance Use See topic collection
,
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
5178
Insufficient Access: Naloxone Availability to Laypeople in Arizona and Indiana, 2018
Type: Journal Article
Authors: Beth E. Meyerson, Taylor J. Moehling, Jon D. Agley, Haley B. Coles, Justin Phillips
Year: 2021
Publication Place: Baltimore
Topic(s):
Education & Workforce See topic collection
,
Healthcare Disparities See topic collection
,
Opioids & Substance Use See topic collection
5179
Integrate behavioral health with primary care
Type: Journal Article
Authors: D. Woodlock
Year: 2014
Publication Place: United States
Topic(s):
General Literature See topic collection
5180
Integrated assessment of older adults who misuse alcohol
Type: Journal Article
Authors: C. Wallace
Year: 2010
Publication Place: England
Abstract: Alcohol misuse in older adults has been referred to as a'silent epidemic'. National strategies for substance misuse advocate an integrated approach to care. This article considers the principles of an integrated assessment for older people who misuse alcohol and how this approach can improve access to services for older adults.
Topic(s):
General Literature See topic collection