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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).
11196 Results
5222
Integrated Care with Indigenous Populations: Considering the Role of Health Care Systems in Health Disparities
Type: Journal Article
Year: 2018
Publication Place: United States
Abstract: INTRODUCTION: There is increased evidence for the effectiveness of integrated behavioral health care, however, it is unknown if integrated care is effective or culturally appropriate for Indigenous populations-the population with the largest health disparities in the nation. METHODS: We conducted a literature review to analyze the state of Indigenous health care focusing specifically on the appropriateness of integrated care in this population. RESULTS: Integrated care could improve access to comprehensive care, quality of care, and may be a promising model to reduce health disparities for Indigenous people. DISCUSSION: Indigenous people experience significant barriers to effective health care services that require strategic, systemic, and collaborative interventions to close these gaps. Integrated care appears to be an appropriate solution but additional research is needed to determine this. Further, any health intervention must be carried out in collaboration with tribal communities and nations to ensure success.
Topic(s):
Healthcare Disparities
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Reference Links: 
View the DOI record for Integrated Care with Indigenous Populations: Considering the Role of Health Care Systems in Health Disparities
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View the PubMed citation for Integrated Care with Indigenous Populations: Considering the Role of Health Care Systems in Health Disparities5224
Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness
Type: Journal Article
Year: 2012
Publication Place: United States
Abstract: OBJECTIVE: The goal of this study was to evaluate relationships between recovery-supportive and integrated care features with health-related quality of life for veterans with serious mental illness. METHODS: Data were utilized from several national Veterans Affairs (VA) databases for 2,394 patients with serious mental illness from 107 VA sites. Regressions evaluated relationships between health-related quality of life and care features. RESULTS: Higher quality of life in regard to general health was associated with sites that offered peer support (beta=1.79, p<.01) and with patients' increased understanding of their treatment (beta=.80, p<.01), whereas lower quality of life was associated with sites with colocated general medical and mental health care providers (beta=-1.37, p<.05) and family psychoeducation (beta=-1.41, p<.05). Care at sites with vocational rehabilitation (beta=1.38, p<.05), peer support (beta=1.85, p<.05), and colocated providers (beta=1.60, p<.05) and patients' increased understanding of care (beta=.82, p<.01) were all associated with increased mental health quality of life, whereas reduced mental health quality of life was associated with care at sites with social skills training (beta=-1.48, p<.05) or increased levels of care collaboration between primary care and mental health providers (beta=-.27, p<.01). CONCLUSIONS: Recovery-oriented care might be associated with increased health-related quality of life among patients with serious mental illness.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness
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View the PubMed citation for Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness5225
Integrated Care: A Disruptive Innovation for Extending Psychiatric Expertise to Primary Care Practices
Type: Journal Article
Year: 2018
Publication Place: Netherlands
Topic(s):
Education & Workforce
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, Financing & Sustainability
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, Healthcare Disparities
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, HIT & Telehealth
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Reference Links:
View the DOI record for Integrated Care: A Disruptive Innovation for Extending Psychiatric Expertise to Primary Care Practices
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View the PubMed citation for Integrated Care: A Disruptive Innovation for Extending Psychiatric Expertise to Primary Care Practices5226
Integrated CARE: Adaptation of Child-Adult Relationship Enhancement (CARE) Model for Use in Integrated Behavioral Pediatric Care
Type: Journal Article
Year: 2021
Publication Place: United States
Abstract:
The authors adapted the established Child-Adult Relationship Enhancement (CARE) interaction model for use in integrated behavioral health clinics. CARE was modified for delivery in the examination room, during routine primary care visits. Adopting a real-world implementation approach, clinical social workers were trained in the new model-IntegratedCARE-and provided the brief, 3-session treatment to 30 different parent-child dyads. Measurements included the Parental Stress Index-4 Short Form (PSI 4-SF), the Eyberg Childhood Behavior Inventory (ECBI), and the Therapy Attitude Inventory (TAI). There was a statistically significant mean score decrease on the both subscales of the ECBI at pre- and posttreatment. Scores on the TAI indicated that participants were satisfied with the treatment. Attrition rates were somewhat lower than similar studies. Findings indicate the IntegratedCARE model is feasible for sustainable delivery by trained behavioral health professionals in primary care.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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, Measures
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5229
Integrated care: High-impact mental health-primary care research for patients with multiple comorbidities
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: Patients with multiple psychiatric and medical comorbidities are common in primary care practices (PCPs), and recent health care reforms will likely lead to an increase in their numbers. PCPs need flexible, integrated mental health-primary care interventions that are applicable to these complex patients and compatible with the PCP setting. Generating practice-ready solutions for rapid uptake in typical PCPs requires a new direction for mental health-primary care research. This column describes an approach that embraces both real-world relevance and methodological rigor to stimulate such research. The approach emphasizes generating knowledge that decision makers need, using practice-based evidence and efficient methods, and planning for sustainability and broad uptake from the outset.
Topic(s):
Education & Workforce
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, Healthcare Disparities
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Reference Links:
View the DOI record for Integrated care: High-impact mental health-primary care research for patients with multiple comorbidities
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View the PubMed citation for Integrated care: High-impact mental health-primary care research for patients with multiple comorbidities5230
Integrated care: integrating general medical and behavioral health care: the New York State perspective
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: This column describes recent policy and program initiatives implemented by the New York State Office of Mental Health to enhance integration of general medical and behavioral health services throughout the state public mental health system. Recent initiatives were implemented to improve access to health and wellness-oriented services, redesign managed care programs to improve engagement and retention of high-need individuals, and raise the bar on quality while lowering costs. Taken as a whole, these initiatives represent a 21st-century transformation of a state mental health authority into an accountable and more fully integrated public health delivery system.
Topic(s):
Financing & Sustainability
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Reference Links:
View the DOI record for Integrated care: integrating general medical and behavioral health care: the New York State perspective
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View the PubMed citation for Integrated care: integrating general medical and behavioral health care: the New York State perspective5232
Integrated care: meeting mental health needs after the Gulf oil spill
Type: Journal Article
Year: 2014
Publication Place: United States
Abstract: This column describes an integrated behavioral health initiative in primary care clinics in Louisiana parishes affected by the Deepwater Horizon oil spill. The Louisiana Mental and Behavioral Health Capacity Project is an integral part of the Gulf Region Health Outreach Program and is funded from the Deepwater Horizon Medical Benefits Class Action Settlement. Using a public health approach, the Department of Psychiatry of the Louisiana State University Health Sciences Center developed an interprofessional collaboration model of care to provide culturally tailored and time-sensitive on-site and telemedicine services to adults and children affected by the disaster. Results indicate a high level of acceptance of the services and reductions in both mental health symptoms and general medical symptoms. Primary care clinic staff also report increased confidence and resilience to meet future disasters. The approach could be used by communities at risk of disasters and by rural communities with limited mental health resources.
Topic(s):
Healthcare Disparities
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Reference Links:
View the DOI record for Integrated care: meeting mental health needs after the Gulf oil spill
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View the PubMed citation for Integrated care: meeting mental health needs after the Gulf oil spill5234
Integrated Care: Should It Count as Community Psychiatry Training for Psychiatry Residents?
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract:
Psychiatry residents are required to be exposed to community psychiatry. Historically, this occurred in public hospitals or assertive community treatment (ACT) teams. A new model of psychiatric care delivery, integrated care, has become prevalent. While integrated care shares some features with traditional community psychiatry rotations, no research exists to demonstrate if integrated care rotations can accomplish the aims of traditional rotations. This pilot study compared learning outcomes in ACT team rotations versus integrated care rotations. Pre- and post-rotation surveys were disseminated to third-year psychiatry residents (N = 8) who were randomized to complete a rotation with an ACT team or an integrated care team. By rotation end, many in both settings changed how conservative they were in treatment philosophies, but this did not result in a difference between groups. Residents in both groups were satisfied with their rotations. Training in integrated care may be a reasonable alternative to traditional community psychiatry rotations.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Integrated Care: Should It Count as Community Psychiatry Training for Psychiatry Residents?
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View the PubMed citation for Integrated Care: Should It Count as Community Psychiatry Training for Psychiatry Residents?5235
Integrated care: the evolving role of psychiatry in the era of health care reform
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: Health care reform offers psychiatrists, who are trained in both general medical and behavioral health care, many opportunities to assume leadership roles on collaborative care teams and improve patient outcomes. This column describes such opportunities in primary care and public mental health settings and outlines new competencies, such as enhanced primary care skills, that will allow psychiatrists to expand their scope of practice in new models of care in the era of reform. These changes will require training, and the author calls on leaders of the American Psychiatric Association to help psychiatrists obtain new skills and undertake new roles.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Integrated care: the evolving role of psychiatry in the era of health care reform
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View the PubMed citation for Integrated care: the evolving role of psychiatry in the era of health care reform5236
Integrated care: treatment initiation following positive depression screens
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: BACKGROUND: Primary Care-Mental Health Integration (PC-MHI) may improve mental health services access and continuity of care. OBJECTIVE: To assess whether receipt of integrated PC-MHI services on the date of an initial positive depression screen influences receipt of depression treatment among primary care (PC) patients in the Veterans Health Administration. DESIGN: Retrospective cohort study. SUBJECTS: Thirty-six thousand, two hundred and sixty-three PC patients with positive depression screens between October 1, 2009 and September 30, 2010. MAIN MEASURES: Subjects were assessed for depression diagnosis and initiation of antidepressants or psychotherapy on the screening day, within 12 weeks, and within 6 months. Among individuals with PC encounters on the screening day, setting of services received that day was categorized as PC only, PC-MHI, or Specialty Mental Health (SMH). Using multivariable generalized estimating equations (GEE) logistic regression, we assessed likelihood of treatment initiation, adjusting for demographic and clinical measures, including depression screening score. KEY RESULTS: Patients who received same-day PC-MHI services were more likely to initiate psychotherapy (OR: 8.16; 95 % CI: 6.54-10.17) and antidepressant medications (OR: 2.33, 95 % CI: 2.10-2.58) within 12 weeks than were those who received only PC services on the screening day. CONCLUSIONS: Receipt of same-day PC-MHI may facilitate timely receipt of depression treatment.
Topic(s):
Key & Foundational
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, Measures
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Reference Links:
View the DOI record for Integrated care: treatment initiation following positive depression screens
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View the PubMed citation for Integrated care: treatment initiation following positive depression screens5237
Integrated care: wellness-oriented peer approaches: a key ingredient for integrated care
Type: Journal Article
Year: 2013
Publication Place: United States
Abstract: People with lived experience of mental illness have become leaders of an influential movement to help the mental health system embrace the notion of whole health and wellness in the areas of advocacy, policy, and care delivery. Wellness-oriented peer approaches delivered by peer-support whole-health specialists and wellness coaches can play an important role in integrated care models. This column examines the wellness definitions and peer models and some specific benefits and tensions between the peer-oriented wellness approach and the medical model. These models can work in unison to improve health and wellness among people with mental and substance use disorders.
Topic(s):
General Literature
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Reference Links:
View the DOI record for Integrated care: wellness-oriented peer approaches: a key ingredient for integrated care
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View the PubMed citation for Integrated care: wellness-oriented peer approaches: a key ingredient for integrated care