Literature Collection

5261

Integrated care through team building.

Type: Journal Article

Authors: Lissette Rodriguez

Year: 2013

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5262

Integrated Care to Address the Physical Health Needs of People with Severe Mental Illness: A Mapping Review of the Recent Evidence on Barriers, Facilitators and Evaluations

Type: Journal Article

Authors: M. Rodgers, J. Dalton, M. Harden, A. Street, G. Parker, A. Eastwood

Year: 2018

Publication Place: England

Abstract: People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI). We built on these by conducting a mapping review that looked for the most recent evidence and service models in this area. This involved searching the published literature and speaking to people involved in providing or using current services. Few of the identified service models were described adequately and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge. Efforts to improve the physical health care of people with SMI should empower staff and service users and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication among professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and greater awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered.

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5263

Integrated care to address the physical health needs of people with severe mental illness: A rapid review

Type: Report

Authors: M. Rodgers, J. Dalton, M. Harden, A. Street, G. Parker, A. Eastwood

Year: 2016

Publication Place: Southampton (UK)

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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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5264

Integrated Care Training for Psychiatrists: Lessons from a Changing Healthcare Landscape

Type: Journal Article

Authors: E. Chapman

Year: 2018

Publication Place: United States

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5265

Integrated Care Training for Psychiatrists: Lessons from a Changing Healthcare Landscape

Type: Journal Article

Authors: E. Chapman

Year: 2018

Publication Place: United States

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5266

Integrated care van delivery of evidence-based services for people who inject drugs: A cluster-randomized trial

Type: Journal Article

Authors: K. R. Page, B. W. Weir, K. Zook, A. Rosecrans, R. Harris, S. M. Grieb, O. Falade-Nwulia, M. Landry, W. Escobar, M. P. Ramirez, R. E. Saxton, W. A. Clarke, S. G. Sherman, G. M. Lucas

Year: 2024

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5267

Integrated care van delivery of evidence‐based services for people who inject drugs: A cluster‐randomized trial

Type: Journal Article

Authors: Kathleen R. Page, Brian W. Weir, Katie Zook, Amanda Rosecrans, Robert Harris, Suzanne M. Grieb, Oluwaseun Falade‐Nwulia, Miles Landry, Wendy Escobar, Michael P. Ramirez, Ronald E. Saxton, William A. Clarke, Susan G. Sherman, Gregory M. Lucas

Year: 2024

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5268

Integrated Care with Indigenous Populations: Considering the Role of Health Care Systems in Health Disparities

Type: Journal Article

Authors: M. E. Lewis, L. L. Myhra

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.

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5269

Integrated Care within the Patient Centered Medical Home: The Health Center Perspective [Video]

Type: Web Resource

Authors: The National Council for Community Behavioral Healthcare

Year: 2012

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,

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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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5270

Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness

Type: Journal Article

Authors: N. W. Bowersox, Z. Lai, A. M. Kilbourne

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.

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5271

Integrated Care: A Disruptive Innovation for Extending Psychiatric Expertise to Primary Care Practices

Type: Journal Article

Authors: A. Adaji

Year: 2018

Publication Place: Netherlands

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5272

Integrated CARE: Adaptation of Child-Adult Relationship Enhancement (CARE) Model for Use in Integrated Behavioral Pediatric Care

Type: Journal Article

Authors: B. Scott, R. H. Gurwitch, E. P. Messer, L. P. Kelley, D. R. Myers, J. K. Young

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.

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5273

Integrated care: Applying theory to practice

Type: Book

Authors: Russell Curtis, Eric Christian

Year: 2012

Publication Place: New York

Abstract: "This book provides pertinent and practical information about how to create, work, and thrive in an Integrated Care (IC) setting. Unlike other books on the subject, it focuses on the "nuts and bolts" of establishing an IC practice; it also covers material that is often missing from or insufficiently covered in the existing literature. Specific topics discussed include the basics of IC, such as different models and levels of IC and examples of IC initiatives; how to build an IC program, with guidelines for entering and working effectively in a practice, as well as managing the associated economic aspects; ethical issues involved in IC, given the discrepancies between medical and mental health ethical standards; assessment and intervention in IC; cross-cultural and diversity issues in IC; and leadership, consultation, and supervision"--Provided by publisher.

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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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5274

Integrated care: Creating effective mental and primary health care teams

Type: Book

Authors: Anna Ratzliff, Jurgen Unutzer, Wayne Katon, Kari Astley Stephens

Year: 2016

Publication Place: Hoboken, NJ

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, ,

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.

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5275

Integrated care: High-impact mental health-primary care research for patients with multiple comorbidities

Type: Journal Article

Authors: S. T. Azrin

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.

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5276

Integrated care: integrating general medical and behavioral health care: the New York State perspective

Type: Journal Article

Authors: T. E. Smith, M. D. Erlich, L. I. Sederer

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.

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5277

Integrated care: Maturing the relationship between psychology and primary care.

Type: Journal Article

Authors: Mark E. Vogel, Heather A. Kirkpatrick, Amy S. Collings, Crystal L. Cederna-Meko, Melissa J. Grey

Year: 2012

Publication Place: US

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5278

Integrated care: meeting mental health needs after the Gulf oil spill

Type: Journal Article

Authors: H. J. Osofsky, J. D. Osofsky, J. H. Wells, C. Weems

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.

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5279

Integrated care: Potential disaster or golden opportunity?

Type: Book Chapter

Authors: Jeanne Wendel

Year: 2001

Publication Place: San Diego, CA, US

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,

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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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5280

Integrated Care: Should It Count as Community Psychiatry Training for Psychiatry Residents?

Type: Journal Article

Authors: C. L. Reardon, K. A. Buhr, R. M. Factor, A. Walaszek, Zeidler Schreiter

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.

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